OSJCT Grevill House

Updated 16 June 2023

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

Two inspectors and 2 Expert by Experience carried out this inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

OSJCT Grevill House 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. OSJCT Grevill House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection the management of the service was being transferred over from the registered manager to a new manager who would be in charge of the service. This manager intends to register with the Care Quality Commission.

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. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 10 people who used the service and 14 representatives of people, to gather their view of the service. We spoke with 14 staff, which included 4 care staff, 1 care team leader, 2 nurses, 2 housekeepers, the activities co-ordinator, deputy manager, manager, operations manager and the provider’s staff induction support co-ordinator.

We reviewed 5 people’s care records and 8 people’s medicine administration records. We reviewed 3 staff recruitment files and records related to staff training and support. We also reviewed records related to the management of the service which included, audits, service action plans, minutes of staff and ‘resident and relative’ meetings and policies and procedures.

Updated 16 June 2023

About the service

OSJCT Grevill House is a residential care home providing personal and nursing care to 68 people. At the time of our inspection there were 44 people using the service. The service provides support to people who require long and short-term care, some of whom live with dementia.

On the same site is the Ashley unit. This is a short-stay assessment and enablement unit. Both buildings are purpose built and have been adapted to meet people’s needs. People in each building have access to outside spaces to enjoy in good weather.

People’s experience of using this service and what we found

People’s safety was supported and maintained. Risks related to people’s health were assessed, and action taken to mitigate and reduce risks. Environmental safety checks were completed and risks identified and mitigated.

People told us they felt safe with the staff who supported them. Appropriate recruitment checks were completed before staff started work. Staffing numbers, and skills had been reviewed to ensure there were enough staff to meet people’s needs. Successful ongoing recruitment of staff was supporting the growth of a permanent staff team and less need for agency staff. Staff were trained in safe ways of working and on how to recognise and report safeguarding concerns. People received the support they required to take their prescribed medicines.

The service was well managed. A new manager had recently started work, along with recent additions to the senior staff team. People who used the service, their relatives and staff spoke positively about these changes. A team approach to work was being promoted and new and longer standing staff told us they felt well supported. The manager was keen to meet people and their relatives; to hear their views on the service and to use this feedback to make further improvements to the services provided.

The manager and provider had systems and processes in place to monitor the performance of the service along with staff performance and practice. Staff told us they felt positive about the changes being made by the manager.

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.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Right Support:

People had a choice about their living environment and were able to personalise their rooms.

People could access specialist health and social care support in the community.

Right Care:

People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood and responded to their individual needs.

Right Culture:

Managers and senior staff modelled good practice and led by example.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 19 March 2020).

Why we inspected

We received concerns in relation to staffing, the quality of care provided and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.

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.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for OSJCT Grevill House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.