27 February 2023
During an inspection looking at part of 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.