The Care Quality Commission
  • Care Home
  • Care home

Archived: Grimsby Manor

Overall: Good read more about inspection ratings

Second Avenue, Grimsby, Lincolnshire, DN33 1NU (01472) 752110

Provided and run by:
Orchard Care Homes.Com Limited

Important: The provider of this service changed. See new profile

All Inspections

9 May 2017

During a routine inspection

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.

9 &10 October 2014

During a routine inspection

We undertook this unannounced inspection on the 9 and 10 October 2014. The last inspection was completed on 2 October 2013 and the service was meeting the regulations we assessed.

Grimsby Manor is registered with CQC to provide care and accommodation for a maximum of 47 older people who may have dementia related needs. Local facilities and amenities are within walking distance. At the time of our inspection 46 people used the service. The accommodation is on three floors with lift and stair access; all bedrooms have en-suite facilities.

The home has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have the legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People and their relatives told us the service was a safe place to live.

Staff understood the various types of abuse and knew who to report any concerns to. There were appropriate arrangements in place to ensure people’s medicines were obtained and administered safely. Improvements to the safe storage of medicines were in progress but there had been some delays with the provision of new air conditioning units to improve the temperature control.

We found staff had developed good relationships with people who used the service and were attentive to their needs. Staff respected people’s privacy and dignity at all times and interacted with people in a caring and professional manner. People who used the service told us they felt staff were always kind and respectful to them.

Assessments were undertaken to identify people’s health and support needs and any risks to people who used the service and others. Plans were in place to reduce the risks identified. Personalised care plans were developed with people who used the service, or their representatives to identify how they wished to be supported.

People’s care plans contained information about how they communicated and their ability to make decisions. The registered manager and staff understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 and where people lacked capacity, we saw that decisions had been made in their best interests. The registered manager was up to date with recent changes to the law regarding the Deprivation of Liberty Safeguards and at the time of the inspection they were working with the local authority to make sure people’s legal rights were protected.

Staff had the knowledge and skills to care for people safely. Referrals were made to health care professionals for additional support or any required intervention when needed. This meant people would receive support from the appropriate people when their needs changed.

During our inspection we saw there were enough staff to ensure everyone’s needs were met in a timely manner. The registered manager had recently increased the numbers of staff on duty in the mornings and evenings following concerns and comments from people who used the service, relatives and staff. People told us there were enough staff to give them the support they needed. People told us staff were good and knew them well.

The registered provider had a robust recruitment process. The registered manager checked staff were suitably qualified to work with vulnerable people before they started working at the service. All the staff we spoke with told us they received regular training and supervision to enable them to deliver care and support effectively. Staff were encouraged to champion, or take a lead role, in a specific aspect of care, which improved the quality of care and supported staff in their personal development.

People told us the quality of the meals was very good. People’s nutritional needs were being assessed and met. Where concerns were identified about a person’s food intake, or ability to swallow, appropriate referrals had been made for specialist advice and support.

Relatives told us they always felt welcome and were involved in decisions about their relation’s care. Meetings for people and their relatives were recorded and we could see how suggestions were acted on.

People told us the service was well organised and the registered manager dealt with issues. Staff told us the registered manager was approachable and supported them to maintain high standards of care. Relatives, people who used the service and staff were encouraged to provide feedback about the service to continuously monitor and improve the quality of the service provided.

2 October 2013

During a routine inspection

We saw staff treated people with privacy and dignity. We observed staff knocked on people’s bedroom doors before entering and they ensured doors were closed when they were assisting people with personal care. One person told us, “Staff always knock on the door before they come in. They are very courteous.”

We found staff had a good understanding of the care needs of people who used the service. Staff felt they provided a good standard of care. This was confirmed by three people we spoke with. One person told us, "Staff are good here, if I need any help I only have to ask. They are very kind and supportive."

We spoke with care staff who confirmed they had completed training in how to safeguard people from abuse. They were able to accurately describe the different types of abuse and what the signs and symptoms of abuse might be. One staff member told us, “If I witnessed any abuse or poor practice I would speak to the shift manager.”

People we spoke with said they could raise concerns with staff or the manager and these would be acted on. We observed the provider operated an open door policy and encouraged people or their relatives to raise concerns.

We looked at five care plans and found they were clear and easy to read and contained sufficient detail to enable staff to meet people’s needs. Staff told us accurate care plans were important as it helped them to ‘do their job properly.’

14 January 2013

During a routine inspection

We found that people were consulted about their care and appropriate arrangements were in place to ensure decisions made were in people’s best interest if they found this difficult.

We found that people were provided with a varied and nutritional diet. People told us the food was excellent and they had plenty of choice. Comments included, “I really like the food and there is always plenty of choice.” Visiting families were able to have meals with their relatives, one family member told us “The food here is brilliant, you can’t fault it.”

We found that people’s medication was administered and stored safely and staff had received medication training.

We found that staff were recruited safely and recruitment checks were done before they started working at the home.

We found that people could make complaints and these were acted on and resolved were possible to the person satisfaction. People told us they would approach the manager or the care staff if they had any concerns. Relatives also told us they would approach the manager if they had any concerns.

12 October 2011

During a routine inspection

People we spoke with were very positive about the care and support they received. They told us they liked living at the home and confirmed they were supported to make choices and decisions about the care they received. Comments included ' They look after us very well' and 'I am happy here, the staff are very good'.

People using the service appeared relaxed and comfortable in their surroundings and were supported where possible to choose how they spent their time. We observed people using the service participating in a range of activities during the inspection.

During the visit we spoke with a number of relatives who expressed their satisfaction with the standards of care at the home. They told us that the staff were very good and that they were kept informed of any changes. 'Great staff, so kind and supportive to all the family' and 'We are happy with the home, our relative is very settled here, the staff are very good'.