- Care home
Grimston Court
Report from 14 March 2024 assessment
Contents
Ratings
Our view of the service
We carried out an assessment of this service to follow up on concerns we had following incidents the service told us about. We looked at 18 quality statements across 5 domains. The assessment included site visits on 15 April, 2 May, and 7 May 2024. We found breaches of the legal regulations in relation to safe care and treatment, medicines, and governance. We identified issues with the environment including unnecessary restrictions and residents having access to areas of the home and equipment which put them at risk of harm. The service had not always learnt from incidents or took action to fully mitigate the potential risk of harm. When accidents and incidents happened, the service did not always evidence they had fulfilled their responsibilities under duty of candour. Medicines management and practice did not follow the policy in place, and we could not be assured that all staff were assessed as competent in the management and administration of medicines. Risk assessments were not always in place or were generic and required more information. Recording of people’s food and fluids was in place but these were not always effectively reviewed and actioned to ensure people received the amount required to meet their needs. Whilst mental capacity assessment documentation was in place this was often of a poor standard and not always reflective of the person’s current presentation. The home was generally clean and well-maintained. Issues found on inspection had not been identified by the provider as part of their routine checks or audit processes. The service was responsive to the feedback provided as part of the inspection and had taken immediate action to address issues within the environment. There had been a recent change in the management and staff team and whilst improvements had been made more work was needed. Staff told us that they had seen a positive change in the culture of the service and felt able to raise concerns which would be listened to and addressed.
People's experience of this service
People and their relatives were happy with the care and support they received. People told us, “Staff are very kind” and they had not had to raise any concerns with staff, but they would approach the manager if there were any issues. People also told us, “Staff do their best to get you what you need” and that “Staff were very welcoming when family come to visit”. Relatives told us, “Staff are so lovely, patient and kind”. They use simple language and slow pace, there is open transparency”. “Clothes are lovely clean and well looked after” and “staff are very welcoming”. “Every member of staff has positive interaction”. They also told us they saw entertainment every time they visited such as singers and word games. There was mixed feedback from people in terms of the food choices. People who were nursed in bed or chose to eat in their rooms told us there was a lack of choice. Whilst those who ate in the communal dining room were observed being offered a choice of meal. This was supported by our observations. While the people and families we spoke to expressed that they were generally happy with their care, our assessment found elements of care such as risk management and learning from incidents did not meet the expected standards.