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Grace Lodge Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 September 2020

About the service

Grace Lodge Nursing Home is a residential care and nursing home in the Walton Vale area of Liverpool, providing personal and nursing care to 35 people aged 65 and over at the time of the inspection. The service can support up to 65 people with different health and care needs, including those living with dementia. Grace Lodge Nursing Home is laid out across two floors in one purpose-built setting. The ground floor had recently reopened to admission, following temporary closure during the COVID-19 pandemic.

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

When we inspected Grace Lodge Nursing Home to assess the safety and quality of people’s care, we took into consideration the significant pressures the COVID-19 pandemic had put on this service in particular. However, we found that some aspects of safe care, particularly medication and safety monitoring were not always robust. The underpinning of governance and recording systems to prevent or address issues had not always been effective. We therefore assessed that the provider was in breach of regulations regarding safe care and treatment and good governance.

We had previously received concerns regarding aspects of care not always being safe. Some relatives told us that monitoring of their loved one’s safety had not always been sufficient. We have included these concerns in our assessment that some aspects of safety and risk management at times needed to be more consistent. However, there were also examples of learning from events and issues to bring about improvements.

There was much gratitude from relatives for the dedication and commitment staff had shown to people living at Grace Lodge Nursing Home, particularly during the pandemic. People’s comments were positive, and most relatives felt their loved ones were safe and well care for at the service. One person told us, “The staff are excellent, I would not change them at all.”. Relatives told us, “ I can sleep at night knowing that [they are] safe” and “My family member was on end of life care and a few years later they are still here – they must be doing something right.”

People and staff told us the service was led by a well-respected, approachable and open registered manager. Staff were honest about the pressures on them due to changes in staffing and the service setup. They also praised the teamwork at the service, feeling the recent difficult times had brought them closer together. We observed kind, caring and person-centred interactions between people and staff. Although there were varying levels of details and information in people’s care plans, there were good examples of person-centred knowledge. Staff spent time with people to learn about their life.

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

Rating at last inspection (and update)

The last rating for this service was requires improvement (published 14 May 2019).

Why we inspected

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.

This service’s last rating was requires improvement and we had previously received concerns in relation to infection control, the management of medicines and people’s nursing care needs. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained requires improvement. This is based on the findings at this inspection.

We have found evi

Inspection areas

Safe

Requires improvement

Updated 26 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 26 September 2020

Caring

Good

Updated 26 September 2020

Responsive

Good

Updated 26 September 2020

Well-led

Requires improvement

Updated 26 September 2020

The service was not always well-led.

Details are in our well-led findings below.