Background to this inspection
Updated
19 May 2022
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector 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
Grosvenor Park 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. Grosvenor Park 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 12 April 2022 and ended on 22 April 2022. We visited the location’s service on 12 and 13 April 2022.
What we did before the 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 (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 six people who used the service and eight relatives about their experience of the care provided. We spoke with 15 members of staff including the registered manager, the regional manager, the deputy manager, senior care workers, care workers, the cook, a domestic assistant and the maintenance person. We reviewed a range of records. This included nine people’s care records, three recruitment files and multiple medication records. A variety of documents relating to the management of the service, including surveys and meeting minutes were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We reviewed further documents including training information, quality assurance documents and policies and procedures. We sought feedback from professionals who regularly visited the service.
Updated
19 May 2022
About the service
Grosvenor Park Care Home is a residential care home providing accommodation and personal care to up to 61 people. The service provides support to older people and people living with a dementia illness. Accommodation is provided over two floors in one specially adapted building. At the time of our inspection there were 56 people using the service.
People’s experience of using this service and what we found
The provider had struggled over the past few months to ensure there were always sufficient numbers of staff on duty. The provider had faced challenges with recruitment, retention and staff sickness. However, the provider was actively recruiting, and staffing levels had started to improve. We have made a recommendation about staffing levels.
Risks to people were appropriately assessed and managed. People received their medicines as prescribed. Infection prevention and control measures were in place to help keep people safe. People told us they felt safe and relatives spoke positively about the safety of people in the home. Systems were in place to ensure that lessons were learnt when things went wrong.
People received enough to eat and drink to maintain a balanced diet. People’s needs, choices and preferences were assessed and recorded. Staff received appropriate training and support to effectively care for people. The building had been adapted to meet people’s needs and created a homely environment. People were supported to access appropriate healthcare services in a timely manner.
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.
People were consistently treated with kindness and respect. People and relatives spoke highly about the staff team. People were involved in making decisions about their care, and people’s religious and cultural needs were explored to ensure person-centred care was provided. Care was delivered in a way which respected people’s privacy and dignity.
People were supported to exercise choice wherever possible. Comprehensive and person-centred guidance was in place to help staff communicate effectively with people. People were supported to maintain important relationships. Complaints and concerns were dealt with well. End of life care and support was managed in a compassionate and caring manner.
The quality of the service was effectively monitored. Accidents and incidents were analysed to look for patterns and trends. There was a positive and open culture within the service. Feedback was encouraged and relatives were kept up to date. Staff told us they could approach management and raise concerns. Staff morale had been low due to staffing issues, but this was improving. The provider and registered manager understood their legal and regulatory requirements. The registered manager and staff team worked well with external professionals to achieve good outcomes for people.
For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk
Rating at last inspection
This service has changed provider. The last rating for the service under the previous provider was good (published 8 November 2018).
This service was registered with us with the new provider on 6 August 2020 and this was the first inspection under the new provider.
Why we inspected
This was a planned inspection to assess the standard of care delivered by staff and award a rating.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.