The Grange is a residential care home that was providing personal care to 16 people at the time of the inspection.

People’s experience of using this service:

• The service met the characteristics of requires improvement in two of the five key questions. Therefore our overall rating for this service is requires improvement.

• We found a breach of the regulations in relation to the recruitment of new staff.

• Some improvements were needed to the cleanliness of the home and the measures in place to manage the risk of cross infection.

• There were also good practices in the service.

• People liked living in the service. We observed a homely and friendly atmosphere.

• Staff told us they enjoyed working in the home. The registered manager was described by everyone as approachable and proactive in addressing any concerns raised with them.

• People were protected against abuse, neglect and discrimination.

• Staff had received training to support their role and received supervision and appraisal to continue this support.

• Staff were good at identifying when input from health professionals was necessary.

• Staff were aware of people's life history and preferences and they used this information to develop positive relationships and deliver person centred care. People felt well cared for by staff who treated them with respect and dignity.

• People enjoyed the food provided and systems were in place to monitor their nutritional needs.

• More information is in the full report.

Rating at last inspection: This was the first inspection since a new provider had taken over the running of the service in August 2018.

Why we inspected: This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.

Enforcement: Information relating to the action the provider needs to take can be found at the end of this report.

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates. We will follow up on the breach of regulations at our next inspection.