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Inspection Summary


Overall summary & rating

Good

Updated 14 September 2018

Greville House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Greville House provides care and support to older adults some of whom have physical and learning disabilities and mental health needs. The care home specialises in supporting people living with dementia. Greville House can accommodate up to 59 people. At the time of inspection 51 adults were receiving support with personal care from this service. The care home is situated over three floors.

At the last inspection the service was rated Good, at this inspection we found the service remained Good.

This inspection was carried out on 21 August 2018 and was unannounced.

The service had a registered manager in post. 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.

People felt there was enough staff to meet their needs in good time. There were systems in place for recording and reporting any potential abuse to people and incidents and accidents occurring. People had sufficient risk assessments in place to ensure their safety. The service followed appropriate staff recruitment processes to employ suitable staff to take care of people.

People had support to move safely where they needed assistance with manual handling. People’s health needs were monitored and they had access to healthcare professionals when they needed it. Staff understood and applied the Mental Capacity Act 2005 (MCA) principles in practice to support people in the decision-making process. Staff regularly up-dated knowledge and skills to ensure they carried out their duties in line with their role requirements. Staff supported people to have meals according to their preferences and dietary requirements.

Staff respected people’s individual needs and attended to their care with kindness and respect. Staff were aware of how people wanted to be cared for and had time to have conversations with people which ensured that people were listened to. People had their religious and cultural needs identified and met by the staff that supported them.

People had assessments undertaken to determine their support needs and to inform staff of how people wanted to be cared for. There was a variety of activities facilitated at the service which helped people to build and maintain relationships with other residents if they wanted to. People told us if they made complaints, changes were made to the service delivery as necessary. Some people felt they were not supported to provide regular feedback about the service and the registered manager told us they would review the systems in place to ensure people’s involvement.

The service was led by a registered manager who we found being open minded, transparent and caring for people’s wellbeing. Staff were led by example and had a good understanding of their role expectations. The registered manager was available to support staff and listen to people’s wishes. The service undertook regular quality assurance checks to identify any improvements required.

Inspection areas

Safe

Good

Updated 14 September 2018

The service remains Good.

Effective

Good

Updated 14 September 2018

The service remains Good.

Caring

Good

Updated 14 September 2018

The service remains Good.

Responsive

Good

Updated 14 September 2018

The service remains Good.

Well-led

Good

Updated 14 September 2018

The service remains Good.