Grazebrook Homes - 49 Adshead Road

Updated 28 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one inspector and an assistant inspector.

Service and service type:

Grazebrook Homes - 49 Adshead Road 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 care home can accommodate nine people in one adapted building.

The service had a manager registered with the Care Quality Commission. This means that they are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

The inspection was unannounced.

Inspection site visit activity started on 12 May 2019 and lasted one day.

What we did:

We sent the registered manager a provider information return (PIR). This is a form that asks the registered manager to give some key information about the service, what the service does well and improvements they plan to make. Before our inspection, we reviewed the information included in the PIR along with information we held about the home. This included notifications received from the registered manager about deaths, accidents/incidents and safeguarding alerts which they are required to send us by law. We also contacted the local authority who commissioned services. The local authority raised concerns about the lack of information in peoples care records and the providers lack of oversight in relation to audits and analysis. The local authority were not allowing the provider to take on any new support packages

During the inspection five people shared their views about the support they received. Three staff members were spoken with along with the registered manager who was available throughout the inspection.

Care records for four people who used the service, were looked at. Management records for how people were administered medicines as well as a range of records relating to the running of the service were also looked at. These included incident and accident monitoring as well as complaints. We viewed three staff files and training records.

Updated 28 June 2019

About the service:

Grazebrook Homes - 49 Adshead Road is a residential care home for people with dementia, learning disabilities, physical disabilities, sensory impairments and adults over 65 years old. The home provides accommodation for persons who require nursing or personal care and is registered to provide support to nine people, at the time of inspection eight people lived at the home.

People’s experience of using this service:

People spoke highly of staff and felt safe. There were enough staff available to people and people felt staff knew them well. Staff were recruited in a safe way. People received their medicines as expected.

The service had been developed in line with the values that underpin the ‘Registering the right support’ and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary life as any citizen.

People were supported to have maximum choice and control over their lives and staff supported them in the least restrictive way as possible; the policies and systems in the service supported this practice.

Staff had undergone induction and training to ensure they had the skills and knowledge to meet people’s needs.

People knew how to complain and that any concerns would be listened and responded to by the

registered manager. Actions were taken as a response to complaints.

People's care plans and risk assessments required improvement, to ensure they contained enough detail about people’s needs and preferences.

The registered manager had systems in place to ensure the service was meeting people’s needs. This did not include an assessment of the communal environment and we found areas required work.

Rating at last inspection:

At the last inspection the service was rated as good. The last inspection report was published on 21 March 2016.

Why we inspected:

This was a planned inspection based on previous rating.

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