Greville House

Updated 9 August 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. 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

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

Service and service type

Greville 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 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:

The inspection was unannounced.

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 (PIR). 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 this information to plan our inspection.

During the inspection

We spoke with nine people who use the service and six relatives. 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 three members of care staff, the deputy, registered manager and operational manager.

We looked at four people's care records, four staff recruitment records and records relating to the governance of the service. This included quality assurance audits, records of accidents and incidents and complaints records.

Updated 9 August 2019

About the service

Greville House is a residential care home providing personal and nursing care to 22 people aged 65 and over at the time of the inspection. The service can support up to 25 people.

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

There were systems in place to monitor the service and gather feedback on people’s experiences.

However, these were not always robust. Some improvement was required in relation to recording and documentation of some people’s records and to some of the quality assurance systems.

People told us the registered manager and staff were kind and caring. They said they felt safe with their care staff and trusted them. Relatives were complimentary about the kindness of the staff.

Staff had been recruited safely and there were sufficient numbers of staff to support people. Staff were committed to delivering care that was personalised. Staff spoke enthusiastically about how they provided people with good quality, person-centred care. Staff turnover was low and people told us they were supported by staff who knew them well and met their needs. The service liaised with health and social care professionals.

People's needs were assessed, and these considered protected characteristics under the Equality Act. 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's dietary needs were met, and people had access to healthcare services where required.

People were supported by staff who were caring. People were involved in decisions around their care and were treated with dignity.

People and staff felt well supported and told us that the service was well managed.

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 Requires Improvement (Published August 2018)

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.