Background to this inspection
Updated
9 December 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was completed by 2 inspectors.
Service and service type
Grangewood Lodge is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Grangewood Lodge is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 4 people who used the service, 2 relatives and 3 healthcare professionals. We spoke with 6 staff members, including the registered manager, head of care, cook, domestic and care workers. We reviewed a range of records, including 4 care records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.
Updated
9 December 2022
About the service
Grangewood Lodge is a residential care home providing accommodation and personal care for up to 37 people. The service provides support to people who may have a physical disability, sensory impairment or dementia. At the time of the inspection there were 27 people using the service. People were accommodated on 2 floors, with communal lounge and dining areas. People had access to a pleasant secure outdoor space.
People’s experience of using this service and what we found
The registered manager did not submit all statutory notifications to CQC for all significant events that occurred at the service. The registered manager assured us that statutory notifications will be sent without delay, which we received following the inspection.
The home was decorated to stimulate people living with dementia, however some of these sensory aids were not clean. The registered manager took immediate action to address this.
People felt safe living in the home. Staff understood safeguarding procedures and were confident in reporting any concerns. Risks to people’s safety were regularly assessed and managed.
There were enough staff to meet people’s needs. Staff were recruited safely and appropriate checks were completed prior to employment.
People’s needs were assessed and risk assessments were in place to guide staff. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People told us the care provided was good and staff were caring and respectful. Staff had developed positive relationships with people.
Care plans were personalised and clearly described people’s diverse needs. Detailed information on the support needed from staff was included; this was reviewed and updated accordingly. Complaints were investigated promptly and people knew how to raise a concern.
Staff confirmed the registered manager was supportive and approachable. Staff received regular supervision and training they needed to perform their roles. The service had established good networks with external healthcare professionals which gave people access to a wide range of healthcare services. Recommendations from healthcare professionals were followed by staff.
There were clear quality assurance systems in place to monitor the quality of the service. Regular checks were carried out to ensure risks were identified and action taken to minimise any risk.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 10 July 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 31 May 2018.
Why we inspected
This was a planned inspection following registration.
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.