Grosvenor House Care Home

Updated 21 January 2020

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.

Inspection team

The inspection team consisted of one inspector.

Service and service type

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

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and four relatives about their experience of the care provided. We spoke with 10 members of staff including the deputy manager, care worker staff, nurses, activities co-ordinator, registered provider and the cook. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We also spoke with the registered provider during the inspection.

We reviewed a range of records. This included three people’s care records and multiple medication records. 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 quality assurance records.

Updated 21 January 2020

About the service

Grosvenor House Care Home is a nursing home providing personal and nursing care to 25 people aged 65 and over. At the time of the inspection there were 26 people living there.

Grosvenor Home Care home is in an adapted building with bedrooms available over two floors. There were lounges and dining areas on two floors with access by lifts and stairs.

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

People valued the exceptional care and attention they were offered. People felt a part of a family in a welcoming and embracing environment.

People’s had an exceptional experience of care because staff understood their individual needs and went to extraordinary efforts to achieve outcomes for them. Staff were innovative in the way they helped provide compassionate care and ensured where appropriate people’s End Of Life care allowed people and their families to have a peaceful experience.

People were cared for by enough staff who they liked and kept them safe. Staff understood and knew the risks people lived with and had undergone checks of their background as part of the recruitment process. Processes were in place to ensure people received their medicines safely. Staff understood and practiced infection control techniques. The registered manager promoted learning from improving people’s experience of care.

People's needs were assessed, and care was planned and delivered to meet legislation. People and their families were appropriate were involved in care planning. People felt the food they ate was exceptional and in response to their individual preferences. Close relationships with the local GP enabled people to have swift response to their healthcare needs. Staff were supported through regular training and supervision. 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.

The registered manager and provider worked closely to enable people’s vision for their care to be realised. People and their families were encouraged to share feedback in order to help shape care delivered at the home. The registered manager was supported by a team that understood their obligations for investigating and reporting any incidents were appropriate. Staff were happy working at the home and were people felt was a welcoming environment. The home was a part of the local community and the registered manager worked with local stakeholders.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published on 17 November 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.