Archived: Granville

' Is the service safe?

' Is the service effective?

' Is the service caring?

' Is the service responsive?

' Is the service well-led?

This is a summary of what we found.

Is the service safe?

People were cared for in an environment that was safe, clean and hygienic. Equipment at the home was suitable for people's assessed needs and had been well maintained. There were enough staff on duty to meet the needs of the people who used the service and a member of the management team was available on call in case of emergencies. Accidents and incidents were investigated and changes made to improve the safety of people who used the service.A relative we spoke with said: "They(the staff) look after them well. I feel he's one hundred percent safe."

Staff personnel records contained all the information required by the Health and Social Care Act. This meant the provider could demonstrate that the staff employed to work at the home were suitable and had the skills and experience needed to support the people who had respite care in the home.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. While no applications have needed to be submitted, proper policies and procedures were in place. Relevant staff had been trained to understand when an application should be made, and how to submit one.

Is the service effective?

People told us they were happy with the care delivered and their relatives said:'You couldn't get nicer staff and you couldn't get better care.'

People's health and care needs were assessed before they came to the home and their relatives were consulted about the plans of care. Specialist dietary, mobility and equipment needs had been identified in care plans where required. One relative said: ' I think it's absolutely excellent. We hope that nothing is going to change.'

People's needs were taken into account with signage and the layout of the service enabling people to move around freely and safely. The premises were suitable to meet the needs of people with physical impairments with access for wheelchairs,grab rails and a lift to the upper floor.

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Relative's confirmed to us their views and experience of caring were valued by staff. Records confirmed people's preferences, interests and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. People had access to the regular activities that were important to them and the staff made efforts to book people to stay at the same time as their friends. One person who used the service said: "I just enjoy myself."

Is the service caring?

People were supported by kind and attentive staff. We saw care workers showed patience and gave encouragement when supporting people. One relative of a person who used the service said: 'They are so good with them. I find it wonderful.' Another relative told us: 'All the staff are caring. They look after him well."

Is the service responsive?

Relatives told us they and the prospective person met with support workers at a tea visit before they brought the person to the home and provided a wide range of information about what was important to them. Records confirmed people's preferences, interests, aspirations and diverse needs had been recorded and care and support had been provided in accordance with people's wishes. We saw that the cook kept diet cards on the preferences and allergies of each person so that meals could be personalised to people's needs and tastes. One relative said: 'If there's anything, if he doesnt feel well, they ring you immediately.' Another person told us that the staff had put a person's radio in their relative's bedroom with the volume on low overnight as they had it at home.They commented: "It's the little things that count."

Is the service well-led?

Staff had a good understanding of the culture of the home and quality assurance processes were in place. People told us they were given a thorough handover at the completion of each stay. Staff told us they were clear about their roles and responsibilities. A relative said: 'The best thing we ever did was when we found Granville.'

A relative told us; 'I think it is one of the best places for young adults and the staff are brilliant and really supportive. They are on the phone straight away if there are any problems.' Another relative said 'Absolutely brilliant, I don't know what I would do without them. The staff are brilliant, nothing too much trouble, they will do everything they possibly can."

One member of staff told us; 'We have regular supervision meetings, where I sit with my manager and discuss my development. I have had two this year and that is in addition to my appraisal."

One relative told us; 'If I had any concerns I would mention it directly to the staff, but I have never had reason to complain."

We looked at the records and files for six people who used the service and found that each record accurately reflected current needs and personal care.