Grand View Care Home

Updated 28 June 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Grand View Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Grand View Care Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and two relatives about their experience of the care provided. We spoke with four members of staff including the registered manager, a nurse, a care worker and a housekeeper.

We reviewed a range of records. This included four people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 28 June 2023

Grand View Care Home is a residential care home providing personal and nursing care to up to 80 people. The service provides support to adults of all ages some of whom may be living with dementia, a physical disability or sensory impairment. At the time of our inspection there were 21 people using the service. The home is purpose built and is spread over three floors.

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

Most risks to people had been identified and action taken to keep people safe. However, while staff were aware of people’s individual support needs when they were distressed this information had not been included in their care plans. The registered manager contacted us after the inspection to say this had been rectified.

People were supported to eat and drink enough to stay healthy. However, where people needed their fluids monitoring this was not always accurately recorded, while there was no impact on people we raised this as a concern with the registered manager.

The home was clean and staff followed infection control processes to reduce the risk of spreading infection. Medicines were safely managed and available to people when needed.

People were happy with the care they received. Staff were kind, caring and supported people’s independence. 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.

There were enough staff to meet people’s needs and the recruitment practices ensured staff were safe to work with people living in the home. Staff received the training and support needed to provide safe care to people.

Staff were confident in raising any safety concerns they had about people’s care and the registered manager worked with the local safeguarding authority to keep people safe. Staff worked collaboratively with other health and social care professionals to ensure that people received support when they were unwell.

The registered manager had good oversight of the care provided in the home and used audits effectively to identify areas for improvement and to progress the standard of care.

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

Rating at last inspection

This service was registered with us on 1 June 2021 and this is the first inspection.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.