Enter and view: The Grange Care Home, Selby

This is an Enter and View report by Healthwatch North Yorkshire. Healthwatch representatives visited The Grange Care home to assess the care delivered there.

During this visit representatives spoke to 5 residents, 9 residents’ friends or family members, 15 members of staff.

Positive feedback:

• Residents appeared content and well looked after, with food and drink tailored to their individual needs.
• Call bells were responded to promptly.
• A good number of residents were in communal areas of the home, instead of in their rooms, and were interacting with each other and staff members.
• Residents were encouraged to eat in the dining room or other communal areas and seemed to enjoy their food and social interaction.
• Residents appreciated activities available including the ‘spa’ days and the regular morning ‘games session’.
• The ‘bus stop’ feature to help disorientated residents have time to navigate their environment and get assistance from staff was an effective and well considered feature.
• The home accommodated family members for lunch allowing extended contact and a more ‘home-like’ environment.
• Staff appreciated the portable electronic system for tracking residents' needs, which also enabled the manager to monitor care effectively on-site or remotely.
• Regular coffee mornings, open to anyone, helped people to understand the needs of residents with dementia/other cognitive impairments.

Areas for improvement:

• Outings: There were no organised outings for residents, other than individual shopping trips. Although it was noted that the level of dependency of the residents would necessitate high staffing levels. An example of a positive alternative was when the home created on-site activities like ‘beach days’ where residents could spend time outside with beach themed activities and food.
• Ensuite facilities: Most of the resident’s rooms did not have ensuite facilities. The management told the team that there were improvement works scheduled, aimed at the provision 
  of more ensuite rooms.
• Online: Website needs updating. For example, at time of the visit the website did not make it clear that the main home was closed.

There are no follow up actions in this report.