The Granary

Updated 4 September 2020

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 planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 19 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 4 September 2020

This inspection took place on 22 and 26 October 2018 and was unannounced.

The Granary is ‘care home’ registered to provide accommodation and support for up to 12 adults who may have a learning disability or autistic spectrum disorder. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection there was 11 people living in the home.

At our last inspection in March 2016, we rated the service overall good. At this inspection, we found the evidence continued to support the overall rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The care service has been developed and designed 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 a life as any citizen.

Medicines were managed safely and staff had a good knowledge of the medicine systems and procedures in place to support this. We found staff had been recruited safely and training was provided to meet the needs of people. Staff received supervision and annual appraisals.

Staff received training on safeguarding adults from abuse and understood their responsibilities in respect of protecting people from the risk of harm. Accidents and incidents were responded to appropriately and monitored by the management team. The home was clean and infection control measures were in place.

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

There was a strong person-centred approach and a positive caring culture within the service and we observed people were treated with dignity and respect. People’s wider support needs were met through the provision of activities. People’s nutrition and hydration needs were catered for.

There was a complaints policy and procedure made available to people who received a service and their relatives. Feedback was regularly sought from people and their relatives and this was positive.

There was a range of quality audits in place completed by the management team. These were up-to-date and completed on a regular basis. The provider completed regular unannounced visits to complete their own audits and observations. People and staff spoke highly of the registered manager.

Further information is in the detailed findings below.