Background to this inspection
Updated
26 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 11 February 2022 and was announced. We gave the service short notice on the day of the inspection.
Updated
26 February 2022
This inspection took place on 14 January 2019 and was unannounced. This meant the staff and provider did not know we would be visiting.
Grangewood Care Centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
Grangewood Care Centre provides accommodation and personal care for up to 50 people across two floors in one purpose built building. Some of the people were living with dementia. On the day of our inspection there were 49 people using the service.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Accidents and incidents were appropriately recorded and risk assessments were in place. Staff understood their responsibilities with regard to safeguarding people and had been trained in protecting vulnerable adults.
The home was clean and regular health and safety audits were carried out. Appropriate arrangements were in place for the safe administration and storage of medicines.
There were enough staff on duty to meet the needs of people. The provider had an effective recruitment and selection procedure in place and carried out relevant vetting checks when they employed staff. Staff were suitably trained and received regular supervisions and appraisals.
People were supported to have maximum choice and control of their lives, and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.
People were protected from the risk of poor nutrition. Care records contained evidence of people being supported during visits to and from external health care specialists.
People and family members were complimentary about the standard of care at Grangewood Care Centre.
Staff treated people with dignity and respect and helped to maintain people’s independence by encouraging them to care for themselves where possible. Support plans were in place that recorded people’s plans and wishes for their end of life care.
Care records showed that people’s needs were assessed before they started using the service and support plans were written in a person-centred way. Person-centred means ensuring the person is at the centre of any care or support and their individual wishes, needs and choices were considered.
Activities were arranged for people based on their likes and interests, and to help meet their social needs.
The provider had an effective complaints procedure in place, and people were aware of how to make a complaint.
The provider had a robust quality assurance process in place. Staff said they felt supported by the registered manager. People, family members and staff were regularly consulted about the quality of the service via meetings and surveys.