Background to this inspection
Updated
9 December 2020
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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Florence Grogan House 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 did not have a manager registered with the Care Quality Commission. A registered manager 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
We gave the service very limited notice of the inspection. This was because we needed to ensure that we considered any precautions in place due to the management of the COVID-19 pandemic.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with four people who used the service and had contact with five relatives about their experience of the care provided. We spoke with six members of staff including the manager, senior care workers and care staff. We also spoke with a representative of the registered provider who was visiting the service at the time of our visit.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at three staff files in relation to recruitment.
After the inspection
We continued to seek clarification from the provider to validate evidence found. A variety of records relating to the management of the service, including policies and procedures were reviewed remotely to reflect the COVID-19 pandemic. We spoke with two professionals who regularly had contact with the service.
We received a notification following the visit of a person falling and sustaining injuries. This was the subject of further investigation at the time of writing this report.
Updated
9 December 2020
About the service
Florence Grogan House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The home accommodates up to 40 people in purpose-built premises. This includes a specialist unit providing care for ten people who are living with dementia. The home does not provide nursing care. 31 people were living at the home when we visited.
People’s experience of using this service and what we found
People and their relatives told us that they felt safe and happy with the care they received. They told us staff were always available to respond to their needs and this was confirmed through observation. People were protected by safeguarding processes and staff were clear of the process to follow to refer concerns. Staff were safely recruited and had the necessary skills to meet people’s needs. People were protected by risk assessments relating to their support and perceived hazards in the environment. The building was clean and hygienic and appropriate checks were in place to prevent the spread of COVID-19. People were safely supported to take their prescribed medicines. Measures were in place for reflection when things went wrong, for example, accidents.
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.
People who used the service and their families had confidence in the management team’s running of the service. They felt they had been fully informed during the current pandemic. Care plans were person-centred, and this extended to the individual support observed being provided to people who used the service. Effective systems were in place to assess and monitor the quality of the service. The service had established strong links with partner agencies and local schools.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was Good (published 3 May 2018).
Why we inspected
This inspection was carried out to assess arrangements to COVID-19 and to assess the running of the service given that there had been no registered manager since April 2020.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Florence Grogan House on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.