18 May 2023
During an inspection looking at part of the service
Grasmere Nursing Home is a nursing home providing nursing and personal care to up to 20 people with a range of health care needs, including people who were coming to the end of their lives and people with complex medical conditions. At the time of our inspection, there were 15 people using the service.
People’s experience of using this service and what we found
Risks to people had not always been identified, assessed, and documented to ensure they were protected from avoidable harm. Care plans lacked information and guidance for staff on how to manage risks or how to support people safely. There not been a registered manager in post since June 2022, although there were plans to recruit one. Auditing systems were not effective in monitoring or measuring the quality of the service overall to drive improvement.
People told us they felt safe living at the home. Staff knew people well and were attentive to their needs. People received their medicines as prescribed, and medicines were managed safely. There were enough staff to look after people. Visitors to the home were made welcome.
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
The last rating for this service was good (published 28 September 2017).
Why we inspected
This inspection was prompted by a review of the information we held about this 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 undertook a focused inspection to review the key questions of safe and well led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
We have found evidence that the provider needs to make improvements. You can see what action we have asked the provider to take at the end of this report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grasmere Nursing Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to the identification and assessment of risks to people, monitoring, oversight, governance of the service and due to the provider not having a registered manager in post.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.