Grangefield Residential Care Home

Updated 13 April 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Grangefield Residential Care Home 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. Grangefield Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

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

We reviewed the information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 5 people living in the service. We also spoke with 3 relatives and received written feedback from 3 relatives, about their experience of care and support provided. We observed people and their interaction with staff and each other throughout the inspection visit. We also spoke with 6 members of staff including the provider, the registered manager, and care staff.

We viewed a range of records held within the service, this included 3 care plans and multiple medicines records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management and oversight of the service, including staff training records, risk assessments, policies and procedures were reviewed.

Updated 13 April 2023

About the service

Grangefield Residential Care Home is a residential care home providing accommodation and personal care for up to 23 people. The service provides support to people over 65 and specialist support to people living with dementia. At the time of our inspection there were 17 people using the service.

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

Records were not always person centred and language used was not always respectful. Not all required notifications had been made to CQC as required by law. The provider had robust systems in place to monitor quality within the service. The provider and registered manager acted promptly to make changes following the areas highlighted during the inspection. Relatives told us communication was excellent.

People were protected from the risk of harm and felt safe. Staff were aware of how to raise any safeguarding concerns. Risk assessments provided guidance to ensure staff could provide safe care. Medicines were managed safely. The provider was working within current government guidance in relation to infection control and there were no restrictions upon visiting arrangements. Incidents and accidents were acted upon appropriately and lessons were learned when things went wrong. People described feeling safe and well cared for.

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 requires improvement (published 25 February 2021). At our last inspection we recommended the provider reviews all risk assessments and strategies in place to ensure staff are following them. At this inspection we found the provider had taken action; risk assessments were regularly reviewed, and staff were following them.

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.

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 requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grangefield Residential care home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.