Archived: Grimsby Manor

Updated 7 June 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.’

This comprehensive inspection took place on 9 and 10 May 2017. The first day of the inspection was unannounced, which meant the registered provider did not know we would be visiting. The second day was announced. The inspection was carried out by an adult social care inspector who was accompanied on the first day by an expert by experience and their area of expertise was dementia care. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we reviewed the information we held about the service. Information included statutory notifications about incidents and events affecting people using the service and a Provider Information Return (PIR) that the registered manager completed and sent to us. The PIR is a form that asks them to give some key information about the service, what the service does well and improvements they plan to make.

Prior to the inspection, we spoke with the local safeguarding team and the local authority contracts and commissioning team regarding their views of the service. There were no concerns from any of these agencies.

During the inspection we used the Short Observational Framework Tool for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who used the service. We observed staff interacting with people and the level of support provided to people throughout the day, including meal times.

We spoke with 10 people, the registered manager, the unit manager, two deputy managers and four care staff. We also spoke with the activity coordinator, the cook, three visiting social and healthcare professionals and seven friends and relatives.

We examined six care records and three staff recruitment files. We also checked a variety of records related to the quality and safety of the service. We conducted a tour of the premises.

Updated 7 June 2017

Grimsby Manor is a purpose built home and registered to provide personal care and accommodation for a maximum of 47 older people, some of whom may be living with dementia. The accommodation is on three floors with lift and stair access; all bedrooms have en-suite facilities. At the time of our inspection 33 people used the service.

At the last inspection, the service was rated Good. At this inspection we found the service remained Good.

People told us they felt safe living in the service. Staff showed a good knowledge of safeguarding procedures and were clear about the actions they would take to protect people. People’s medicines were stored safely and administered as prescribed.

The premises were clean and staff were aware of procedures to follow to prevent the spread of infection. Individual risks to people were assessed and reviewed regularly. Checks on the safety of the premises were carried out and staff demonstrated an awareness of maintaining a safe environment as they worked.

There were enough staff on duty to provide people with the support they needed and employment checks had been carried out before new staff were appointed.

The health needs of people were met. Visiting professionals told us they were asked to see people in a timely manner and that staff acted upon the advice they gave. People liked the meals provided to them and their nutritional needs were met.

Staff received regular training and supervision and felt well supported by the management team at the service. Specialist training to support people with specific health or care needs was also provided.

Staff ensured they gained consent from people prior to completing care tasks. They worked within mental capacity legislation when people were assessed as not having capacity to make their own decisions.

Staff were observed to be kind, caring, attentive and respectful in their communication with people. Staff respected people’s privacy and some minor shortfalls around the protection of people’s dignity were addressed during the inspection. A number of people and visitors commented on the friendly and helpful approach of staff.

People’s needs were assessed, planned and reviewed. A range of activities were provided for people to participate in, these included involvement with the local and wider community. People were supported to remain as independent as possible.

Staff told us the registered manager was approachable and their management style was open and inclusive. Complaints were investigated and resolved wherever possible to the complainants’ satisfaction.

There were feedback mechanisms in place to obtain the views of people, relatives, professional visitors and staff. Although there was a comprehensive quality monitoring programme in place, the service had experienced delays with repair and renewal of some equipment and furniture. We have made a recommendation about this.

Further information is in the detailed findings below.