Archived: Grangewood Lodge Residential Care Home

Updated 31 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This comprehensive inspection took place on 24 April 2018 and was unannounced. The inspection was undertaken by one inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Whilst planning the inspection we looked at information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also looked at the information we held about the service and the provider, including notifications the provider is required to send us by law about significant events at the home. We reviewed this information when we planned the inspection.

We spoke with six people who used the service. Some people were unable to converse with us so we observed care in the communal areas of the home to see how staff interacted and supported people. We also spoke with the registered manager, the head of care and four members of the care staff. We looked at three care plans to see if they reflected the care people received. We also looked at records related to the management of the service including their audit process, minutes from meetings and complaints. In addition we looked at two recruitment files to check that a suitable employment process was in place.

Updated 31 May 2018

Grangewood Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Grangewood Lodge is registered to provide a care home service without nursing for up to 30 older people. Care is provided to people who may have a physical disability, sensory impairment or dementia. There were 21 people living in the home at the time of our inspection.

At our last inspection on 3 March 2016 we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

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At this inspection we found the service remained Good.

People’s safety was protected by staff who understood how to recognise poor care and abuse. Peoples risks were identified and managed to maintain their wellbeing. Medicines management arrangements ensured that people received their prescribed medicines as required and at the correct time. There were a sufficient number of suitably recruited staff to care for people and spend time with them.

Staff had access to training and support to improve their knowledge of care and enhance their skills. People were provided with a choice of nutritious food and plentiful drinks. Staff recognised when additional health support input was required and followed the advice they received to maintain people’s health.

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

People received kind and caring support and staff encouraged people to maintain their independence. Staff recognised the importance of supporting people to maintain relationships with their families. People were offered opportunities to pass their time as they wished and were provided with information to prompt reminiscence. People were involved in planning their care and maintaining their life choices.

The registered manager listened to people’s opinions and took action to implement any improvements they highlighted. There was a complaints policy in place and people were encouraged to share their concerns. Audits and checks were in place to monitor the quality of the service and make improvements where needed. The registered manager was fulfilling the requirements of their registration with us.

Further information is in the detailed findings below.