Background to this inspection
Updated
24 March 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was carried out to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This inspection was carried out on the 28 February 2017 and was unannounced. The inspection was undertaken by an inspector.
The provider had completed a Provider Information Return (PIR) in 2016. This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We considered the PIR and looked at records that were sent to us by the registered manager and the local authority to inform us of significant changes and events.
We looked at four sets of records which included those related to people’s care and medicines. We looked at people’s assessments of needs and care plans and observed to check that their care and treatment was delivered consistently with these records.
We spoke with 10people who lived in the service and one of their relatives to gather their feedback. Although most people were able to converse with us, others were unable to, or did not wish to communicate. Therefore 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 the registered manager, the deputy manager, two nurses, six members of care staff, and two ancillary workers. We also contacted two health professionals who oversaw people’s care in the home. We obtained feedback about their experience of the service.
Updated
24 March 2017
We inspected Grosvenor Park Nursing and Residential Home on the 28 February 2017. This was an unannounced inspection.
Grosvenor Park Nursing and Residential Home is a care home with nursing located in Bexhill on Sea owned by BUPA Care Homes Limited. It is registered to support a maximum of 57 people. The service provides personal care and support to people with nursing needs and increasing physical frailty, such as Parkinson’s disease, multiple sclerosis and strokes. There is also a rehabilitation service provided for up to 10 people who were non-weight bearing following an operation with specialised input from a physiotherapist and occupational therapist. We were told that some people were also now living with a mild dementia type illness. There were 54 people living at Grosvenor Park Nursing and Residential Home during our inspection, nine of which were there for rehabilitation
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service and shares the legal responsibility for meeting the requirements of the law along with the provider.
At a comprehensive inspection in May 2015 we found the 'responsive' question required improvement. There was a breach of regulation 16 because the provider had not ensured that there was an accessible system for identifying, receiving, recording, handling and responding to complaints by people in relation to the service delivery. We received an action plan from the provider that told us how they were to meet the breach of regulation by May 2016.
This unannounced focused inspection on the 28 February 2017 was to look specifically at the ‘responsive’ question and we found that that they had now met the breach of regulation previously found.
This inspection demonstrated that peoples’ concerns and complaints were appropriately recorded, investigated and responded to. People told us that they felt listened to. Resident and staff meeting minutes were available told us that peoples and staff comments were taken seriously and discussed at these events.
Care plans and risk assessments reflected people’s assessed level of care needs and care delivery was based on people's preferences. This included up to date information of falls, skin damage, nutritional risks including swallowing problems and risk of choking and moving and handling. Staff responded to peoples’ changing needs. For example, cushions were in place for those that were susceptible to skin damage and pressure ulcers. The care plans also highlighted health risks such as diabetes and Parkinson’s. Visits from healthcare professionals were recorded in the care plans, with information about any changes and guidance for staff to ensure people's changing needs were met in a responsive way.
A range of activities were available for people to participate in if they wished and people enjoyed spending time with staff. Activity sessions were provided throughout the whole day, five days a week and were in line with people's preferences and interests.