Background to this inspection
Updated
8 November 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.
An adult social care inspector and an assistant inspector carried out this unannounced inspection on 19 October 2018.
Before the inspection, we had received a completed Provider Information Return (PIR). The PIR asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the PIR and other information we held about the service as part of our inspection. This included the notifications we had received from the provider. Notifications are reports about changes, events or incidents the provider is legally obliged to send us within required timescales.
During our inspection we spoke with 12 people who used the service and six relatives. We also carried out observations using the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not communicate with us. We spoke with the registered manager, regional manager, deputy manager, three senior care staff, five care staff, a domestic staff member, the maintenance person and the administrator.
We looked at six people’s care records, three recruitment records, as well as records relating to the management of the service.
We also looked around the service, including bedrooms (with people’s permission), the bathrooms and the communal areas.
Updated
8 November 2018
This inspection took place on 19 October 2018 and was unannounced. This meant the staff and provider did not know we would be visiting.
Grosvenor Park is a ‘care home’. People in care homes receive accommodation and 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. Grosvenor Park can accommodate up to 61 people across two floors. The service provides support for older people and people living with dementia. At the time of our inspection 50 people used the service.
The registered manager has been in post for over 12 years. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last comprehensive inspection in March 2016 we rated the service good. We had found that improvements were needed to the way topical medicines were managed and when we re-inspected in September 2016 these were resolved. At this inspection the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing 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.
People, relatives and staff told us the service was a safe place. The provider had recognised that the current care documentation did not support staff to provide sufficient information or guidance about people's care and support needs. They were in the process of improving the care records.
People received their medicine safely, however the treatment rooms needed to be improved. People were supported to access the support of health care professionals when needed.
People were protected from the risk of abuse because staff understood how to identify and report it. Accidents and incidents were analysed to identify trends and reduce risks.
People spoke positively about the staff at the service, describing them as kind and caring. Staff treated people with dignity and respect. Staff knew the people they were supporting well.
People were at the core of the service and included in all discussions. They 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.
People received a varied and nutritional diet that met their preferences and dietary needs. The service provided home-made food and drinks which were adapted for different diets.
There were sufficient staff on duty to meet people’s needs. We received positive feedback about staff always being available when people needed them and staff were visible throughout our visit.
Staff were well supported and received the training they needed.
People were actively engaged in a range of activities and had opportunities to access the wider community. The provider had reviewed the unit for people living with dementia and found work was needed to ensure the environment fully met their needs.
People told us they did not have any concerns about the service but knew how to raise a complaint if needed. Feedback on the service was encouraged in a range of ways and was positive.
The management team were approachable and they and the staff team worked in collaboration with external agencies to provide good outcomes for people. Processes were in place to assess and monitor the quality of the service provided and drive improvement.
The registered manager had informed CQC of significant events in a timely way by submitting the required notifications. This meant we could check that appropriate action had been taken.
Further information is in the detailed findings below.