Background to this inspection
Updated
18 April 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by an adult social care 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. The team were experienced in the care of older adults and people living with dementia.
Service and service type:
Granville Court is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service does not provide nursing care.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
The inspection was unannounced.
What we did:
Before our inspection we reviewed the information we held on the service and completed our planning tool. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least annually to give some key information about the service.
We also reviewed the information we held about the service, such as quality monitoring reports and notifications we had received from the registered provider. A notification is information about important events which the service is required to send us by law. We spoke with social workers, health care practitioners and commissioners of care during our regular contact with them.
We visited the home and met the eleven people who lived there. We also met four relatives and friends. We spoke to them individually and in groups. We read five care files and related forms and documents.
We spent time with the registered manager and we spoke with three care assistants and the cook. We looked at three staff personnel files.
We walked around the home and spent time in the shared areas with people in the home. We saw some records related to maintenance and things like fire and food safety. We saw quality audits and discussed some of the policies and procedures with the staff.
Updated
18 April 2019
Granville Court is a residential care home. It can accommodate up to 12 older people. People have single bedrooms with ensuite facilities. One bedroom may be used as a double room, if appropriate. The home has suitable shared facilities and suitable outside space. The home does not provide nursing care.
People’s experience of using this service:
People told us they felt safe and staff had received suitable training about protecting vulnerable adults.
The provider had good arrangements in place to ensure that new members of staff had been suitably vetted and that they were the right kind of people to work with vulnerable adults. Accidents and incidents were responded to appropriately.
People told us they had support from "lovely, kind staff". The registered manager kept staffing rosters under review as people's needs changed. We judged that the service employed enough staff by day and night to meet people's needs.
People and their relatives told us staff understood their needs. Staff were appropriately inducted, trained and developed to give the best support possible. We met team members who understood people's needs and who had suitable training and experience in their roles.
People were happy with the arrangements for medicines support. Medicines were suitably managed with people having reviews of their medicines on a regular basis.
People saw their GP and health specialists whenever necessary. Staff took the advice of nurses and consultants. The staff team had good working relationships with local GP surgeries.
Staff carried out assessments of need and reviewed the delivery of care for effectiveness. They worked with health and social care professionals to ensure that assessment and review of support needed was suitable and up to date.
People told us they liked the food provided. Nutritional planning was in place and special diets catered for appropriately.
Granville Court is an older property that has been modernised and adapted to meet the needs of the 11 people living there. The house was warm, clean and comfortable on the day we visited. The home had equipment in place to support care delivery.
The staff team were aware of their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People told us that the staff were caring. We also observed kind and patient support being provided. Staff supported people in a respectful way. They made sure that confidentiality, privacy and dignity were maintained.
Risk assessments and care plans provided detailed guidance for staff in the home. People in the service or their relatives, as appropriate, had influenced the content. The registered manager had ensured the plans reflected the person- centred care that was being delivered.
Staff could access specialists if people needed communication tools like sign language or braille.
People told us they enjoyed the activities, interests and hobbies on offer.
The service had a quality monitoring system and people were asked their views in a number of different ways. Quality assurance was used to support future planning.
We had saw that the registered manager could deal with concerns or complaints appropriately. There had been no complaints in this service.
Records were well organised, easy to access and stored securely.
Rating at last inspection: Good (8 September 2016)
Why we inspected:
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk