Archived: Grimsby Grange and Manor

Updated 25 November 2020

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 13 November 2020 and was announced.

Updated 25 November 2020

About the service

Grimsby Grange and Manor is a care home providing accommodation and personal care for up to 94 people aged 65 and over and who may be living with dementia. Accommodation is provided across two sites. At the time of the inspection, 45 people were living at Grimsby Grange and 14 people were living at Grimsby Manor.

People’s experience of using this service and what we found

The provider and senior management team had made significant improvements in how the service was overseen and managed. These improvements were in areas such as staffing levels, staff training and supervision, fire prevention and safety, standards of hygiene and the environment. Although further improvements were needed in some areas, work was ongoing to deliver these.

People’s medicines were not managed safely and risks to some people’s health and wellbeing were not properly assessed or safely managed.

People’s care plans were being reviewed and updated to make sure they consistently contained person-centred information about their needs and preferences. People were generally happy with their care, but we received some mixed comments from relatives about the quality of care delivered.

People were supported to eat and drink enough, but their dietary requirements were not always clearly recorded to guide staff and help make sure they received consistent support. We spoke with the manager about the importance of reviewing records to make sure actions were recorded and handed over where people had not had a lot to drink.

Staff ensured people were referred to relevant professionals. Some people had not been supported to attend their regular health screening appointments and these were rearranged.

Staff morale remained mixed. There had been a lot of changes and upheaval at the service. The manager had arranged individual meetings with each member of staff to listen to their concerns.

Staff were recruited safely and knew how to safeguard people from the risk of harm and abuse.

There were positive comments about the staff team and their approach when supporting people. They were described as kind and caring. Staff supported people to maintain their privacy and dignity. 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.

The provider had a system to manage complaints. The management team had regularly met with people and their families to provide information and discuss any concerns. People’s feedback about the service was used to drive improvements.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 26 September 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection, we found improvements had been made. However, the provider was still in breach of one regulation. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a continued breach in regulation in relation to the assessment and management of risk for people, and the management of medicines. Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.