We carried out an inspection of Greville House on 19 October 2015. The inspection was unannounced. At the previous inspection of 26 September 2014 the home had met all the regulations we inspected
Greville House is a home for up to 59 older people, including people requiring nursing care. At the time of our inspection there were 53 people living in the home. The home has dedicated nursing, dementia, residential and rehabilitation wings and is over three floors.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered 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.
People who lived at the home were protected from the risk of abuse happening to them. People told us they felt safe and well cared for at the service and they would not be afraid to tell someone if they had any concerns about their safety or wellbeing. Staff were able to demonstrate a sound understanding of procedures to follow if they had any concerns about someone.
Risk management plans clearly identified what the risk was and provided staff with instructions about how they needed to manage the risk to ensure people received safe care and support whilst enabling them to remain as independent as possible.
There were enough staff on duty to care for people, with between three and four care staff per floor, together with a team leader. Staff had been trained to use specialised equipment, such as hoists, safely. Specialist assessments had been completed in relation to complex moving and handling issues, for example, with the support of occupational therapists.
The provider had a Service User Guide which emphasised the rights of people to be treated with dignity, to have privacy and to be able to exercise choice. This was also reflected in the home’s policies and procedures and formed the basis for staff training.
The provider ensured that people’s independence and choice was promoted. People told us that they had been involved in making decisions and there was good communication between staff and themselves. They also confirmed that their consent was asked for before doing anything, such as going somewhere, or receiving medicines.
We saw that people’s health, nutrition, fluids and weight were regularly monitored. There were well established links with GP services offering a single point of access for people. This included dieticians, occupational therapists, physiotherapists and social services. Medicines were administered and managed appropriately.
Care records were individual to each person and contained information about people’s life history, their likes and dislikes, cultural and religious preferences.
Staff spoke with people in a professional and friendly manner and were able to demonstrate an understanding of each person’s needs. Keyworkers and named nurses were allocated to people in order to have a consistent and up to date knowledge of each person’s health and well-being.
People said they were able to get up and go to bed at a time that suits them and were able to enjoy activities and interests that suited them. People’s views on the range of interesting activities were mixed. The home also supported people to maintain relationships with family, relatives and friends.
The home’s philosophy placed great importance on ensuring that people who live at the home continued to lead as normal a life as they were able. The activity co-coordinators and staff spent time getting to know the individual, their background and life history.
In order to listen to and learn from people’s experiences the home had monthly meetings with people, the latest meetings having been held in September 2015. There were also relatives meetings held in June 2015 with a further one planned for December 2015.
The provider had an effective system to regularly assess and monitor the quality of service that people received. Audits were carried out monthly and a satisfaction survey sent out in September 2015. Records and other important data were held securely and confidentially.