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Archived: 100 Grosvenor Terrace Good


Inspection carried out on 6 February 2015

During a routine inspection

This inspection took place on 6 February 2015 and was announced. We provided the registered manager with 24 hours’ notice of our inspection. This was because the registered manager manages other locations supporting staff and is often not at the service. We needed to be sure that they would be in.

100 Grosvenor Terrace is a residential care home which provides accommodation and personal care for up to four adults with complex health needs and learning disabilities. At the time of the inspection there were four people living at the service.

There is a registered manager at the service. 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.

The service was not well led. The service did not always carry out audits to improve the care delivery for people. We found that the service carried regular audits and acted on outcomes to make improvements to the service. However, we found that the service had not carried out an overall audit of medicines; therefore the registered manager did not have an overview of the management of medicines. We have made a recommendation about the management of some medicines.

Despite this medicines were managed safely and medicine administration records were accurate and up to date. Staff carried out medicine audits at each shift change.

Staff were aware of what actions to take to protect people from abuse. Staff were of the signs of abuse and how to escalate an allegation of abuse to their manager and the safeguarding department of the local authority.

People received a safe service that assessed risks to their health. Staff developed and implemented plans to reduce occurrence of those risks for people.

The service employed skilled staff who could meet the needs of people, newly appointed staff worked with experienced staff to develop their caring skills.

Staff had regular training, supervision and appraisal to support and equip them in their caring role.

Staff were aware of their responsibilities of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). People were supported to consent to care and their relatives were involved in making complex decisions, where required.

People had assessments completed before coming to live at the service to ensure that staff could meet their needs. Staff were experienced in caring for people with complex needs and were able to communicate with people they cared for. Staff engaged well with people and we saw that people responded well to staff. People were supported to participate in activities outside of the home and they were encouraged to be as independent as possible. People’s confidential records were kept safe and secure.

Care and support was delivered to meet people’s care needs. Care plans were used to meet people’s needs and to provide appropriate care.

People and their relatives were encouraged to provide feedback on the quality of the service provided and staff acted on those comments received. People and their relatives were provided with information on how they could make a complaint and how their complaint would be managed by staff.

The registered manager was aware of their responsibilities of managing the service and of their registration with the Care Quality Commission.

Staff used incidents and accidents at the service as learning opportunities during team meetings to improve the service to people.

Inspection carried out on 27 November 2013

During an inspection looking at part of the service

During our previous inspection on 7 August 2013 we found that the provider had not carried out their action plan to make sure the premises were safe and suitability. During this inspection we found that actions had been taken and that the planned repairs, refurbishment and redecoration were nearly complete.

Inspection carried out on 7 August 2013

During an inspection looking at part of the service

There were four people using the service, who were unavailable. We spoke with three staff members at 100 Grosvenor Terrace, they told us no refurbishment or decoration had been completed since our last inspection on 19 April 2013.

We observed that the decoration and refurbishments we were told about in the action plan, had not been completed.

Senior staff told us there was no plan for refurbishments or redecoration for the building. The provider remains non-compliant with this standard.

Inspection carried out on 16 March 2013

During a routine inspection

We looked at the care records of two people, spoke with four members of staff and observed how people were cared for. Due to people's complex health conditions they were not able to verbally communicate with us.

We found looking at care records and speaking with staff people were encouraged to be independent by participating in community involvement such as attending local colleges to lean new skills. We also found people had individual advocates to support them make decisions regarding their care.

We looked at two people's care records and found them to be up to date and contain full care plans and risk assessments to ensure people were not placed at any risk of receiving inappropriate or unsafe care. Care staff we spoke to were able to tell us about each person's care needs and how they were supported. This meant people were supported by staff who understood their needs.

We observed the environment of the home and found it was not adequately maintained and improvements needed to be made to ensure the safety and well-being of people who use the service.