16 October 2023
During a routine inspection
Grennell Lodge Nursing Home is a residential care home providing personal and nursing care to up to 24 people. The service provides support to adults living with dementia. At the time of our inspection there were 23 people using the service.
People’s experience of using this service and what we found
People were kept safe. Staff demonstrated they knew how to raise safeguarding concerns and were aware of the processes to follow in order to keep people safe. People told us they were kept safe and that they felt safe.
Risk management strategies identified risks which included triggers for behaviours that may cause distress. Risk management plans together with care plans helped staff as well as the person involved to minimise risks.
The administration of medicines was managed in a safe way. There were policies and procedures in place for staff to follow and staff told us they found them useful in ensuring people received their medicines safely.
The service was following safe infection prevention and control procedures to keep people safe.
Staffing levels were good and appropriate to ensure people's needs were met in a safe, timely and consistent way. Staff were provided with the right training and support to make sure they could fulfil their roles appropriately.
There was evidence of collaborative working and good communication with other professionals in the health and social care sector.
People's health care needs were being met and they had access to healthcare services where needed.
People and their families told us the care they received was good and they were supported and treated with dignity and respect. We received positive feedback from relatives that reflected the caring, compassionate nature of staff.
Where people’s abilities enabled them, they were involved in decisions about their day to day lives and staff respected people's choices. Examples of this was seen with menu planning and with the activities programme. An activities coordinator worked well with people to try to ensure there was a wide range of appropriate activities people could involve themselves in. People’s dignity and privacy was respected.
People's diversity and their individual needs were respected by staff. The staff team knew people well and were able to provide appropriate care and support.
People were supported to maintain contact with relatives and friends.
Care and support plans were developed to ensure people’s needs and risks were met appropriately.
People were supported to have as much choice and control of their lives as they could achieve. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Appropriate policies and procedures were in place to manage and respond to complaints and concerns.
There was a comprehensive and effective governance system in place.
People, relatives and staff were confident about approaching the manager if they needed to. They recognised that their views and feedback were valued and respected and consistently used to support quality service development.
A wide range of comprehensive audits took place to ensure the quality of the service was maintained.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 27 June 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.