Grangewood Lodge Residential Home

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.

We found the following examples of good practice:

The number of people that could be admitted to the home had been reduced from 37 to 24 and the same level of staffing had been retained. This offered flexibility and provided designated donning and doffing rooms, a system to support isolation and cohorting for people using the service, if required, and three relatives’ visiting pods.

Staffing levels were higher in the morning to ensure thorough cleaning of the visiting pods between visitors.

Arrangements were in place to support staff to appropriately social distance during breaks.

Donning and doffing signage on the correct use of personal protective equipment (PPE) and handwashing was visible in all required areas.

Staff had completed appropriate infection prevention training.

A testing scheme for all staff and people using the service was in place.