• Care Home
  • Care home

Grace House

Overall: Good read more about inspection ratings

110 Nether Street, Finchley, London, N12 8EY (020) 8445 5628

Provided and run by:
The Christian Care Trust

Latest inspection summary

On this page

Background to this inspection

Updated 14 January 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by one inspector. They were supported by an Expert by Experience who made telephone calls to relatives for feedback on their experiences of the care provided. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We reviewed the action plan submitted by the provider. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all this information to plan our inspection.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with eight members of staff including the nominated individual, registered manager, care workers, administrator and the chef. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spent time observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with six relatives about their experience of care provided.

Overall inspection

Good

Updated 14 January 2022

About the service

Grace House is a residential care home providing personal and nursing care to 10 people aged 65 and over some of whom were living with dementia. At the time of the inspection, there were 10 people living at Grace House which is set out in one adapted building.

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

People received care and support from staff that demonstrated compassion and kindness. People and their relatives praised the service and spoke of a warm and homely service with dedicated staff and management team. People were encouraged to make decisions about their care.

Improvements had been made to how medicines were managed. There were enough numbers of suitable staff employed to keep people safe. People were supported by trained staff who followed the government COVID-19 guidance.

People and their relatives told us the service was safe, people were protected against the risk of harm and abuse as staff had received safeguarding training and knew the provider's safeguarding procedure.

People's care was tailored to their individual needs. People were aware of how to raise their concerns and were confident these would be managed well. Activities provided ensured people were not socially isolated.

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.

A new registered manager had implemented improvements across the service and were well supported by the provider. People, staff and relatives told us the service had improved. The registered manager was working with the provider to implement further improvements to the service.

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 17 November 2020) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an announced inspection of this service on 30 September 2020. A breach of legal requirements was found in relation to medicines management. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Responsive and Well-led which were previously rated as requires improvement and contained those requirements.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grace House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service.