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Inspection Summary


Overall summary & rating

Good

Updated 6 June 2019

About the service:

Grangemoor House Nursing Home is a residential care home that provides personal and nursing care for up to 30 people who have a mental health condition. The accommodation is provided in a single building, arranged over two floors, with communal facilities including dining rooms and lounges on both floors. At the time of our inspection, 17 people were using the service.

People’s experience of using this service:

People felt safe and were protected from the risk of harm by staff who understood their responsibilities to identify and report any signs of potential abuse. We found that any concerns were taken seriously and investigated thoroughly to ensure lessons were learnt.

Risks associated with people’s care and support were managed safely. People received their prescribed medicines when needed and there were suitable arrangements in place in relation to the safe administration, recording and storage of medicines. There were sufficient, suitably recruited staff to meet people’s needs.

The service worked in partnership with other organisations and health and social care professionals were positive about the care and support people received. Staff received training and ongoing support to meet people’s individual needs. People were supported to have a varied and healthy diet and to access other professionals to maintain good health.

Staff knew people well and promoted their dignity and independence at all times. There was a kind and caring, inclusive atmosphere. Staff had good relationships with people and ensured people's friends and families were made welcome at the service. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible; the policies and systems in the service underpin this practice.

People’s support plans reflected their needs and preferences and were reviewed when things changed. People’s diversity was recognised and promoted by the staff and systems were in place to meet people’s communication needs. There was a strong emphasis on supporting people to take part in activities, follow their religious beliefs and maintain their cultural identity. Arrangements were in place to ensure people’s end of life wishes were explored and respected.

The provider used management systems to identify and effectively manage risks to the quality of the service and drive continuous improvement. People and their relatives knew how to raise any concerns or complaints and felt confident they would be acted on. There were systems in place to capture people’s views on how the service could be improved and these were acted on. Staff felt supported and valued by the management team.

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

Rating at last inspection: Good (report published 16 November 2016).

Why we inspected:

At the last inspection the service was rated Good overall, with Requires Improvement in the Well-led domain. This was because improvements were needed to the quality assurance systems to continually drive improvements. At this inspection, we found the provider had addressed the concerns identified and the service was rated as Good in each domain.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

Inspection areas

Safe

Good

Updated 6 June 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 6 June 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 6 June 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 6 June 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 6 June 2019

The service was well-led

Details are in our Well-led findings below.