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Grazebrook Homes - 39 Adshead Road Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 5 February 2020

About the service

Grazebrook Homes - 39 Adshead Road is a residential care home for people with dementia, learning disabilities, physical disabilities, sensory impairments and adults over 65 years old. The home provides accommodation for persons who require personal care and is registered to provide support to nine people, at the time of inspection seven people lived at the home. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. There were no identifying signs such as an intercom or cameras or anything else outside to indicate it was a care home. Staff did not wear a uniform that suggested they were care staff when coming and going with people.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

There were some areas of concern that had not been identified by the provider’s audit system. Recruited checks were not robust. Medicines audits had not identified discrepancies in protocols and medicine counts. A person’s protocol regarding the checking of their blood glucose levels was no longer relevant and had not been updated.

People were encouraged to maintain their independence. People’s privacy and dignity was maintained. People were involved in their care planning.

Peoples religious and cultural needs were met. People participated in activities and community involvement was encouraged. People and relatives were involved in reviews of their care.

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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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 requires improvement (published 10 January 2019).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 5 February 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 5 February 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 5 February 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 5 February 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 5 February 2020

The service was not always well-led.

Details are in our well-Led findings below.