This inspection took place on 18 July 2017 and was unannounced. At our last inspection in December 2015, the service was rated as good.

The Grange is a residential care home providing accommodation with personal care for up to 28 older people. The building was on three levels, ground, first and second floors with a lift serving all levels and two staircases (one at either end of the building).On the day of our inspection there were 27 people living in the home.

The service is owned by an individual who was also managing the home and which did not require a registered manager to be in post.

People were positive about the service and the staff who supported them. People told us they liked the staff that supported them and that they were treated with dignity and kindness.

Staff treated people with respect and as individuals with different needs and preferences. The care records contained information about how to provide support, what the person liked, disliked and their preferences. People who used the service along with families and friends had completed a life history with information about what was important to people. The staff we spoke with told us this information helped them to understand the person.

The care staff demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences. They also understood the provider’s safeguarding procedures and could explain how they would protect people if they had any concerns.

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people in the home. People told us they never had to wait for assistance. The atmosphere in the service was calm and relaxed and staff did not appear to be rushed.

Robust recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.

Most staff had worked with the service for many years which ensured a good continuity of care for people living in the home.

Medicines were managed safely. Senior staff had detailed guidance to follow when administering medicines. Staff completed comprehensive training to ensure that the care provided to people was safe and effective.

There was an open and transparent culture and encouragement for people to provide feedback. The provider took account of complaints and comments to improve the service. A complaints book, policy and procedure were in place. People told us they were aware of how to make a complaint and were confident they could express any concerns and these would be addressed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The management team provided good leadership and people using the service, relatives and staff told us they were approachable, visible and supportive. We saw that regular audits were carried out by the registered manager to monitor the quality of care.

Care staff received regular supervision and appraisal from their manager. These processes gave staff an opportunity to discuss their performance and identify any further training they required.

The staff in the home organised activities that provided entertainment and stimulation for people living in the home. However some people felt that there were not enough activities on offer. We have made a recommendation in relation to this.

The home was kept clean and well maintained.

This inspection took place on 18 July 2017 and was unannounced. At our last inspection in December 2015, the service was rated as good.

The Grange is a residential care home providing accommodation with personal care for up to 28 older people. The building was on three levels, ground, first and second floors with a lift serving all levels and two staircases (one at either end of the building).On the day of our inspection there were 27 people living in the home.

The service is owned by an individual who was also managing the home and which did not require a registered manager to be in post.

People were positive about the service and the staff who supported them. People told us they liked the staff that supported them and that they were treated with dignity and kindness.

Staff treated people with respect and as individuals with different needs and preferences. The care records contained information about how to provide support, what the person liked, disliked and their preferences. People who used the service along with families and friends had completed a life history with information about what was important to people. The staff we spoke with told us this information helped them to understand the person.

The care staff demonstrated a good knowledge of people’s care needs, significant people and events in their lives, and their daily routines and preferences. They also understood the provider’s safeguarding procedures and could explain how they would protect people if they had any concerns.

There were sufficient numbers of suitably qualified, skilled and experienced staff to care for the number of people in the home. People told us they never had to wait for assistance. The atmosphere in the service was calm and relaxed and staff did not appear to be rushed.

Robust recruitment and selection procedures were in place and appropriate checks had been undertaken before staff began work.

Most staff had worked with the service for many years which ensured a good continuity of care for people living in the home.

Medicines were managed safely. Senior staff had detailed guidance to follow when administering medicines. Staff completed comprehensive training to ensure that the care provided to people was safe and effective.

There was an open and transparent culture and encouragement for people to provide feedback. The provider took account of complaints and comments to improve the service. A complaints book, policy and procedure were in place. People told us they were aware of how to make a complaint and were confident they could express any concerns and these would be addressed.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The management team provided good leadership and people using the service, relatives and staff told us they were approachable, visible and supportive. We saw that regular audits were carried out by the registered manager to monitor the quality of care.

Care staff received regular supervision and appraisal from their manager. These processes gave staff an opportunity to discuss their performance and identify any further training they required.

The staff in the home organised activities that provided entertainment and stimulation for people living in the home. However some people felt that there were not enough activities on offer. We have made a recommendation in relation to this.

The home was kept clean and well maintained.