14 January 2016
During a routine inspection
We inspected the service on 14 January 2016. The Grand is registered to provide accommodation, personal and nursing care for up to 82 people, some of whom are living with dementia. The service had opened in April 2015 and was not full; on the day of our inspection 44 people were using the service.
The service had a registered manager at the time of our inspection who had left the service in October 2015 and was in the process of deregistering. A new manager had been appointed and we had received an application from them to become registered. 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.
We found that risk assessments were in place for aspects of people’s care. Further information for staff on how to manage risks to people’s health were relocated into people’s care records following our inspection.
People were protected from the risk of abuse and staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The manager had shared information with the local authority when needed.
People received their medicines as prescribed and these were managed safely.
People were encouraged to make independent decisions and legislation to protect people who lacked capacity was being adhered to. Staff were aware of the principles of the Mental Capacity Act 2005 (MCA) and had not deprived people of their liberty without applying for the required authorisation.
People were protected from the risks of inadequate nutrition and specialist diets were provided if needed. Referrals were made to health care professionals for additional support or guidance if people’s health changed.
People were treated with dignity and respect and had their choices acted on. We saw staff were kind and caring when supporting people.
Improvements were required in relation to provider management systems to ensure they were effective in monitoring the service and responding to any issues. The manager and senior members of staff were carrying out audits at the service which had not identified that some information was absent from people’s care plans.
People were given opportunities to feedback their views on the running of the service and there was evidence that action had been taken in response to people’s views.