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Grosvenor House Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 23 December 2017

Grosvenor House Care Home is registered to provide accommodation, nursing and personal care for 39 people. The service can accommodate both younger adults and older people. It can provide care for people who live with dementia and/or who have a physical disability. There were 36 people living in the service at the time of our inspection visit. The service is also registered to provide care for people living in their own home. However, no one was receiving assistance in this way at the time of our inspection visit and so we did not assess this part of the service.

The service was run by a company who was the registered provider. There was a registered manager in post. 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. In this report when we speak about both the company and the registered manager we refer to them as being, ‘the registered persons’.

At the last inspection on 4 October 2016 the service was rated, ‘Requires Improvement’. Although there were no breaches of the regulations we found that improvements were needed to ensure that people reliably benefited from living in a well-led service so that they received safe, effective and responsive care.

At the present inspection we found the concerns we had previously raised had been addressed. As a result we have rated the service as being, ‘Good’.

In more detail, there were systems, processes and practices to safeguard people from situations in which they may experience abuse including financial mistreatment. Risks to people’s safety had been assessed, monitored and managed so they were supported to stay safe while their freedom was respected. In addition, most of the necessary provision had been made to ensure that medicines were managed safely. Suitable arrangements had been made to ensure that sufficient numbers of suitable staff were deployed in the service and most of the necessary background checks had been completed before new nurses and care staff had been appointed. People were protected by their being arrangements to prevent and control infection and lessons had been learnt when things had gone wrong.

Nurses and care staff had been supported to deliver care in line with current best practice guidance. People received most of the individual assistance they needed to enjoy their meals and they were helped to eat and drink enough to maintain a balanced diet. In addition, suitable steps had been taken to ensure that people received coordinated and person-centred care when they used or moved between different services. People had been supported to live healthier lives by having suitable access to healthcare services so that they received on-going healthcare support. Furthermore, people had benefited from the accommodation being adapted, designed and decorated in a way that met their needs and expectations.

Suitable arrangements had been made to obtain consent to care and treatment in line with legislation and guidance.

People were treated with kindness, respect and compassion and they were given emotional support when needed. They had also been supported to express their views and be actively involved in making decisions about their care as far as possible. This included them having access to lay advocates if necessary. Confidential information was kept private.

People received personalised care that was responsive to their needs. As part of this people had been offered opportunities to pursue their hobbies and interests. People’s concerns and complaints were listened and responded to in order to improve the quality of care. In addition, suitable provision had been made to support people at the end of their life to have a comfortable, dignified and pain-free death.

There was a

Inspection areas

Safe

Good

Updated 23 December 2017

The service was safe.

Nurses and care staff knew how to keep people safe from the risk of abuse including financial mistreatment.

People had been supported to avoid preventable accidents while their independence was promoted. As part of this positive outcomes were promoted for people who lived with dementia if they became distressed.

Most of the necessary arrangements had been made to ensure that medicines were safely managed.

Suitable arrangements had been made to ensure that sufficient numbers of suitable staff were deployed in the service to support people to stay safe and meet their needs.

Most of the necessary background checks had been completed before new nurses and care staff were appointed.

People were protected by the prevention and control of infection and lessons had been learnt when things had gone wrong.

Effective

Good

Updated 23 December 2017

The service was effective.

Care was delivered in line with current best practice guidance.

People received most of the individual assistance they needed to enjoy their meals and they were helped to eat and drink enough to maintain a balanced diet.

People received coordinated care when they used different services and they had received on-going healthcare support.

The accommodation was adapted, designed and decorated to meet people�s needs and expectations.

Suitable arrangements had been made to obtain consent to care and treatment in line with legislation and guidance.

Caring

Good

Updated 23 December 2017

The service was caring.

People were treated with kindness, respect and compassion and they were given emotional support when needed.

People were supported to express their views and be actively involved in making decisions about their care as far as possible.

People's privacy, dignity and independence were respected and promoted.

Confidential information was kept private.

Responsive

Good

Updated 23 December 2017

The service was responsive.

People received personalised care that was responsive to their needs.

People told us that they were offered the opportunity to pursue their hobbies and interests and to take part in a range of social activities.

People�s concerns and complaints were listened and responded to in order to improve the quality of care.

Suitable provision had been made to support people at the end of their life to have a comfortable, dignified and pain-free death.

Well-led

Good

Updated 23 December 2017

The service was well led.

There was an open culture and people benefited from staff understanding their responsibilities so that risks and regulatory requirements were met.

People who lived in the service, their relatives and staff were engaged and involved in making improvements.

There were suitable arrangements to enable the service to learn, innovate and maintain its sustainability.

Quality checks had been completed and the service worked in partnership with other agencies to promote the delivery of joined-up care.