We carried out a review of the data available to us about Grosvenor House Care Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Grosvenor House Care Home, you can give feedback on this 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.
The home is registered to provide accommodation and personal care for adults who require nursing care and who may have a dementia related illness. A maximum of 25 people can live at the home. There were 23 people living at home on the day of the inspection.
There was a registered manager in post. 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.
People told us that they felt safe in the home and were supported by staff to maintain their safety. All staff told us about how they kept people safe and how they knew what to do if they suspected the risk of abuse. During our inspection staff were available for people and were able to support them by offering guidance or care that reduced people’s risks. People told us they received their medicines as needed and at the correct time. They also said that if they needed extra pain relief or other medicines these were provided.
People told us staff had the knowledge to look after them and staff told us their training supported their role and reflected the needs of people who lived at the home. Nursing staff had clinical supervision which they felt supported and help them in providing care to people who lived at the home.
People told us they enjoyed their meals and we saw where needed people were supported to eat and drink enough to keep them healthy. We found that people’s health care needs were assessed, and care planned and delivered to meet those needs. People had access to other healthcare professionals that provided treatment, advice and guidance to support their health needs.
People told us and we saw that their privacy and dignity were respected and staff were kind to them. People received support to have their choices and decisions respected and staff were considerate of promoting their privacy and dignity.
People had been involved in the planning of their care and relatives felt they were involved in the care of their family member and were asked for their opinions and input. People told us staff offered encouragement and support to attend places of worship or go on day trips.
People and relatives we spoke with told us they were aware of who they would make a complaint to, but were confident to approach the management team if they were not happy with the care. The provider had reviewed and responded to all concerns raised.
The registered manager provided good leadership and management for the staff team. The service and staff demonstrated their commitment to care for people with dignity, to further improve and to follow best practice for the care of people living at the home. The management team linked with care forums and ensured people had access to the local community. The service had a good reputation within the local community and also with health and social care professionals.
The provider had a robust programme of audits in place to monitor the quality and safety of people’s care and support. Action plans were developed where shortfalls or people’s feedback had identified any improvements that could be made. The provider continually strived to make things work better so that people benefitted from a home that met their needs. The provider’s planned improvements were followed up to ensure they were implemented.
This inspection took place on 2 February and was unannounced.
Grosvenor House provides accommodation for people who require nursing care for a maximum of 25 people some of who have a dementia related illness. There were 19 people living at the home when we visited and there was a registered manager in post.
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.
People told us that they felt safe and well cared for. Staff were able to tell us about how they kept people safe. During our inspection we observed that people received their medicines as prescribed and at the correct time.
The provider followed the correct process to support people who might not be able to make decisions on their own about the care or treatment they receive
We found that people’s health care needs were assessed, planned and delivered to meet those needs. People had access to other healthcare professionals that provided treatment, advice and guidance to support their health needs.
People were supported to eat and drink enough to keep them healthy. People had access to drinks during the day and had choice of meals. People’s likes and dislikes had been considered alongside any specialist dietary needs.
People were relaxed and chatting with staff. The atmosphere was calm and staff responded to people’s requests. Relatives said that they were very happy with the care of their family member. Our observations and the records we looked at supported this view.
Staff had received training which they felt reflected the needs of people who lived at the home. People, their relatives and staff told us that they would raise concerns with the nursing staff, the deputy manager or the registered manager and were confident that any concerns were dealt with.
People felt they made everyday choices and were supported by staff. They also told us how they spent their time enjoying their interests or hobbies.
The management team had kept their knowledge current and they led by example. The management team were approachable and visible within the home and people knew them well. The provider ensured regular checks were completed to monitor the quality of the care that people received and looked at where improvements may be needed.