5 January 2023
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 Health and Social Care Act 2008.
This was a targeted inspection to for a concern we had about keeping people safe from abuse.
One inspector completed the inspection
Service and service type
Graysford Hall is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Graysford Hall is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.
We received information from the local authority about the safeguarding allegation that had been made and the follow up actions taken by the provider to ensure people were safe from abuse. We reviewed any statutory notifications the provider had sent us. This is information that the provider is legally required to send us. We also reviewed any incoming information that members of the public had shared with us about the service. We used all of this to plan the inspection.
During the inspection
We spoke with 3 people about their experiences at Graysford Hall. We spoke with 5 members of staff. We reviewed 3 staff’s recruitment files to ensure that safe recruitment checks were completed. We reviewed processes and policies relating to safeguarding people living at Graysford Hall. The registered manager was unavailable on the day of the inspection but forwarded on management documents the day after the inspection by email.
5 January 2023
About the service
Graysford Hall is a residential care home providing personal and nursing care to up to 72 people in a purpose built building. At the time of inspection 16 people were using the service. The accommodation is over three floors, with communal dining and social areas on each floor and an accessible garden.
People’s experience of using this service and what we found
People were cared for safely. Risk assessments were in place and reviewed regularly and as people’s needs changed. Staff understood safeguarding procedures. Safe recruitment practices were followed to ensure staff were suitable for their roles.
There were consistently enough staff to meet people’s care needs. People were supported with their medicines and good infection control practices were in place.
People’s care records contained clear and comprehensive information covering all aspects of their care and support needs. Staff knew people well and had a good understanding of people’s wishes and individual preferences. People’s personal histories, preferences and dislikes, diversity needs such as cultural or religious needs and links with family were all considered within the care plans. Staff received training to meet people’s needs.
Where required, people were supported with their eating and drinking to ensure their dietary requirements were met. People were supported to promptly access health care services when needed.
People received support from reliable, compassionate staff. Staff enjoyed working at the service and there was good communication and team work. Staff were caring in their approach and had positive relationships with people and their relatives. People were treated with respect. Staff maintained people’s dignity and promoted their independence. Consent was sought before care was delivered.
People received personalised care which was responsive to their needs. People and their relatives knew how to make a complaint, and felt they could raise any issues with the registered manager.
The registered manager was proactive in their approach to ensuring people received high quality care. Robust quality assurance and monitoring of the service were being embedded in practice. The management team were committed to ensuring care standards were maintained as more people moved to live in the service. The management team were aware of their legal responsibilities and worked in an open and transparent way.
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.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 21 October 2019 and this is the first inspection.
Why we inspected
This was a planned inspection in this newly registered service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.