Background to this inspection
Updated
11 February 2022
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 the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on Thursday 27th January 2022 and was announced. We gave the service one day’s notice of the inspection.
Updated
11 February 2022
We inspected this service on 15 and 16 November 2017.
The Gravers Care Home Limited provides residential care for up to 21 people with mental health needs and/or learning disabilities. The service is situated close to York Hospital and York city centre. The main property is made up of two adjoining terraced properties and there is additional accommodation in a property to the rear of the main building. At the time of our inspection 20 people were using the service.
At the last inspection in November 2015, the service was rated Good. At this inspection we found the service remained Good.
The home had two registered managers, who had joint accountability for the service. 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 legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. One of the registered managers was the owner of the organisation, and the other registered manager had responsibility for the day to day management of the home and staff. Throughout this report, when using the term ‘registered manager’ we are referring to the registered manager who had responsibility for the day to day management of the home.
There were sufficient staff to meet people’s needs safely and effectively. Staff received an induction, training and supervision. Recruitment checks were conducted to ensure the suitability of workers.
People told us they felt safe and they appeared at ease in the presence of staff and other people at the home. Staff received safeguarding training and told us they would report any concerns. People’s medicines were managed safely. Risks to people were appropriately assessed and managed.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were complimentary about the meals at the home and we found that people’s nutritional needs were met. Staff supported people to access a range of healthcare professionals when required, in order to promote and maintain their physical and mental health. People took part in recovery focussed group and individual activity at the service, to aid their mental health and well-being.
People and visitors told us that staff were kind and caring and that they treated people with dignity and respect. We observed staff were very attentive to people’s needs and wishes. People’s independence was promoted.
Staff were knowledgeable about people’s individual care needs and care plans were person centred and very comprehensive. People had access to an extensive range of activities and entertainment.
People and visitors told us that the service was well managed. The provider had a quality assurance system in place which enabled them to monitor the quality of care provided to people and drive improvement. There was a very person-centred culture within the service.