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Inspection Summary


Overall summary & rating

Good

Updated 13 September 2017

This inspection took place on 26 June, 14 and 17 July 2017. The last inspection took place on the 29 January and 1 February 2015 and we rated the service as ‘Good.’ Without exception previous CQC inspections have found the service to be compliant with our regulations

Grizedale is registered with the Commission to provide accommodation for up to seven people who have learning disabilities and may at times have a mental health need. The home is located in Leadgate, Consett, County Durham. Up to seven people can live there and at the time of our inspection five people lived at the service.

There was a registered manager in post at the time of our inspection who had worked at the service since 2011. 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.

Over time as people’s needs changed Grizedale had worked collaboratively with people to assist them to ensure their voices were heard by healthcare professionals. Staff went over and above expectations in order to ensure people had equity of access to healthcare and would vigorously assert the rights of people to good care and treatment. The community nurses we spoke with told us the tenacity of staff to advocate on behalf of the people and their dedication to the people who used the service had led to strong bonds being formed between them. The community nurses discussed how they worked closely with the staff from Grizedale and had formed a strong working relationship. We also heard how staff had worked with hospital staff when people had needed to be admitted to ensure the continuity of their care and demonstrate how medical devices were used.

The service was making a difference to people’s wellbeing by working well as a team, in harmony with one another sharing the same values and principles. The service was proactive in providing people with a range of information to assist them to make decisions about their health and wellbeing. Staff worked with health and social care professionals in ways that benefited people and had supported individuals to improve their general health.

Staff were exceptionally caring and inspired people to do well in achieving their goals. People were cared for by staff who knew them well and understood how to support them and maximise their potential. The service's visions and values promoted people's rights to make choices and live a dignified and fulfilled life. This was reflected in the care and support that people received. Staff understood people's different ways of communicating and how to make people feel valued. They supported people to make decisions for themselves and spoke with people about their wishes and preferences. People were listened to and their voice was heard.

We found staff were committed to delivering a service which improved the lives of the people who use the service in fulfilling and creative ways. Their drive and passion had created an exceptionally dynamic and vibrant service. The culture embedded in the service was an absolute commitment to deliver a service that focused totally on the wants and aspirations of the people who used it. The relatives told us the service provided care that was exceptional and contrasted dramatically from any other provision they had experienced and described the service as one that had dramatically improved people’s quality of life. We found that the manager had encouraged staff to constantly think about improvements. We found that the management style had led to people who use the service and staff feeling that they were an integral and essential partner in the operation and enhancement of the service.

Staff were devoted to ensuring each individual found their lives were enriched. We found staff empowered peo

Inspection areas

Safe

Good

Updated 13 September 2017

The service remains good.

Effective

Good

Updated 13 September 2017

The service remains good.

Caring

Outstanding

Updated 13 September 2017

This service was exceptionally caring.

People were extremely well cared for. People were complimentary of staff and the support they provided. People were treated with respect and their independence, privacy and dignity were promoted.

Staff interacted with people in a way which was particularly knowledgeable, kind, compassionate and caring.

Staff took time to speak with people and to engage positively with them. People were consistently involved in conversations and reviews about their own care and contributed to making decisions with the help and support of staff and other professionals.

Responsive

Good

Updated 13 September 2017

The service remains good.

Well-led

Good

Updated 13 September 2017

The service remains good.