20 December 2022
During an inspection looking at part of the service
Granville House is a care home providing personal care and accommodation for up to 23 older people living with dementia, physical disabilities and sensory loss. At the time of our inspection visit there were 19 people receiving care.
People’s experience of using this service and what we found
Improvements had been made to quality assurance systems at the service. However, quality assurance checks were not all effective and had not identified some issues identified in our inspection, such as medicine errors and gaps in legionella risk management.
We were somewhat assured infection prevention controls were being followed.
People felt safe using the service. Staff understood how to recognise and report abuse. Staff recruitment processes included background checks to review their suitability to work with vulnerable adults. However, not all staff had appropriate references.
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 spoke positively about the staff and the care they provided. Staff felt supported by the registered manager.
The registered manager was open and honest and worked in partnership with outside agencies. They were committed to making improvements to the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 13 March 2021) and there was 1 breach of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
At our last inspection of this service, breaches of legal requirements were found.
This inspection was carried out to follow up on action we told the provider to take at the last inspection, to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the key questions of safe and well-led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
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.
The overall rating for the service has remained requires improvement, based on the findings of this inspection.
We found evidence the provider has made some improvements in their governance systems, but other improvements were still required. Please see the safe and well-led sections of the full report.
You can read the report from our last inspection, by selecting the ‘all reports’ link for Granville House on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.