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Inspection Summary


Overall summary & rating

Good

Updated 16 May 2018

We inspected Graceland Care Home on 9 and 12 March 2018. The provider was given 12 hours' notice before the first day of the inspection. At the end of the first day we advised the provider that we would be returning the next working day to speak with people living in the home as they were all out on the first day of our inspection. At the last inspection in December 2014, the service was rated 'Good'. At this inspection we found the service remained 'Good'.

Graceland is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. Graceland Care Home is not registered to provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Graceland Care Home is registered to accommodate up to three adults; its specialism is supporting people with a learning disability. At the time of our inspection there were three people living in the home. Graceland Care Home is located off a busy main road in Thornton Heath, close to shops and good transport links. Each person had their own room which was well furnished and decorated. The decor in the communal lounge/diner required updating but all areas of the home were clean and tidy. Graceland Care Home had the feel and is run like a small family home. The registered manager told us that was her aim.

Graceland Care Home has been developed and designed in line with the values that underpin the Building the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with a learning disability were supported to live as ordinary a life as any citizen.

People’s needs had been assessed and they were involved in developing their care and support with staff. If they wanted to change any aspect of this, it was discussed with staff and care records were updated accordingly. Staff worked within the principles of the Mental Capacity Act 2005. People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were encouraged to be as independent as possible. They were supported in a way that developed their confidence to do as much as they could for themselves. People were protected from the risk of social isolation. They spent their days out at social clubs engaged in a wide range of activities which reflected their age and interests. Staff supported people to stay in contact with their relatives.

People were supported to stay healthy and well. They were given nutritious, well-balanced meals and had a sufficient amount to eat and drink. They were registered with a local GP surgery and visited specialist healthcare professionals when necessary. Staff ensured people's physical and mental health was regularly reviewed. People’s medicines were managed safely and they received them as prescribed..

There was a sufficient number of staff to meet people's needs and they had been through a satisfactory recruitment process. Staff felt supported in their roles and had access to refresher training to keep their knowledge and skills up to date. The registered manager and staff knew people well and understood how to meet their individual needs. They treated people with kindness ad respect.

People were supported by staff who knew how to protect them from abuse and avoidable harm; they knew how to report and escalate any concerns. People’s views and the opinions of staff were sought to make improvements to the service provided. People were given information on how to make a complaint and told us they would do so if necessary.

The registered manager was at the service every day which meant that they had good oversight of staff working practices. The registered manager and staff worked well as a team to ensure people received consistently good person-centred care.

Inspection areas

Safe

Good

Updated 16 May 2018

The service remains safe.

Effective

Good

Updated 16 May 2018

The service remains effective.

Caring

Good

Updated 16 May 2018

The service remains caring.

Responsive

Good

Updated 16 May 2018

The service remains responsive.

Well-led

Good

Updated 16 May 2018

The service remains well-led.