Grandville Lodge Limited

Updated 27 March 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.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Grandville Lodge Limited 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 had a manager registered with the Care Quality Commission. This means that they 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

This inspection was unannounced.

What we did before the inspection

We reviewed any notifications we had received from the service (events which happened in the service that the provider is required to tell us about). We reviewed the last inspection report. We asked commissioners for their feedback about the service. At the time of the inspection, we had not asked the provider to complete their Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. However, we gave the provider the opportunity to share any information they wished and this was included in this inspection

During the inspection

As part of this inspection, we spent time with people who used the service talking with them and observing support they received from staff. We also used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We spoke with five people who used the service and four visiting relatives of people living at the service. We spoke with the registered manager, deputy manager, two senior care workers and the cook. We reviewed a range of records. This included in part four people's care records. We looked at three staff files. We reviewed a variety of records relating to the management of the service, including accidents and incidents, numerous medicine records, audits, staff training and checks on health and safety.

After the inspection

We continued to seek clarification from the provider to validate evidence found. This included training data and quality assurance records.

Updated 27 March 2020

About the service

Grandville Lodge Limited is registered to provide accommodation and personal care for a maximum of 19 people and people living with dementia in one adapted building. There were 18 people living at the service at the time of our inspection visit.

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

People continued to receive safe care. Staff were aware of their responsibilities to protect people from abuse and avoidable harm. They had received safeguarding training and had policies and procedures to support their practice. Action was taken when accidents or incidents occurred. Risks associated with people’s care needs, including the environment, had been assessed and were regularly reviewed, monitored and managed well. The provider completed recruitment checks before staff commenced their employment, to ensure they were suitable to care for people. There was sufficient numbers of staff available who were sufficiently experienced and competent. People received their prescribed medicines safely and staff followed infection control and prevention best practice guidance.

People continued to receive effective care from staff who received ongoing training and support. People’s individual needs had been assessed using recognised assessment tools. People lived in a comfortable environment and a refurbishment was in progress. People were supported to access health care services, and they received a choice of meals and drinks that met their individual nutritional needs and preferences. 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 continued to receive care from staff who were caring, kind and compassionate. People were involved as fully as possible in their care. Independence was promoted and privacy and dignity respected.

People continued to receive a responsive service. People’s individual diverse needs, preferences, routines and social history and pastimes had been discussed with them. Care plans provided staff with guidance that supported them to provide individualised care. Opportunities to participate in activities were provided and this was an area that was being further developed. People had access to the provider’s complaints policy and procedure. End of life care wishes were discussed with people, relatives and health care professionals.

People continued to receive a service that was well managed by an experienced, dedicated and committed registered manager. The provider had systems and processes that monitored the quality and safety of the service. People, relatives and staff were involved in the development of the service. The staff worked with external professionals in meeting people’s ongoing care needs to achieve positive outcomes. The service was a part of the local community.

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

Rating at last inspection

The last rating for this service was Good (published 6 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.