This inspection took place on 11 and 12 April 2016 and was announced, as it was part of the wider inspection being carried out for Humber NHS Foundation Trust. This is the first inspection under the current registered provider. The home is registered to provide care and accommodation for up to 20 people who have a profound learning disability. We were told that the service usually accommodated a maximum of 13 people. On the day of the inspection there were 12 people living at the home, including two people who were having respite care. The home is situated in Hornsea, a seaside town in the East Riding of Yorkshire. The home consists of two separate units on the same site, each with a kitchen, lounge / dining area, bathrooms and bedrooms. All of the accommodation is on the ground floor.
The registered provider is required to have a registered manager in post and on the day of the inspection there was a manager who was registered with the Care Quality Commission (CQC). 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.
On the day of the inspection we saw that there were sufficient numbers of staff employed to meet people's individual needs. New staff had been employed following robust recruitment and selection policies and this ensured that only people considered suitable to work with vulnerable people were working at Granville Court.
People were protected from the risks of harm or abuse because there were effective systems in place to manage any safeguarding concerns. The registered manager, unit manager and staff were trained in safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm.
Staff confirmed that they received induction training when they were new in post and told us that they were happy with the training provided for them, including training on the administration of medication. We saw that medicines were stored, recorded and administered safely.
We observed that staff were caring, compassionate and encouraging; it was clear they understood the particular needs of the people they were supporting.
People's nutritional needs had been assessed and people were provided with meals and nutrition that met their individual dietary requirements.
We saw that any complaints made to the home had been thoroughly investigated and that people had been provided with details of the investigation and outcome. There were also systems in place to seek feedback from people who lived at the home, relatives and staff, and to involve relatives in the running of the home.
Staff, relatives and a health care professional told us that the home was very well managed. Quality audits undertaken by the registered manager were designed to identify any areas of improvement to staff practice that would promote safety and optimum care to people who lived at the home. Staff told us that, on occasions, feedback received at the home was used as a learning opportunity and to make improvements to the service provided.