CQC report explained · a nursing home
What the CQC found at Grand View Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe, and there were enough staff to meet their needs. Risk assessments were generally in place, but care plans for people who became distressed had not initially recorded their support needs.
- Effective?
- Good
- Staff had suitable training and people were supported with food, drink and healthcare. Fluid records were not always accurate, and mental capacity assessments had not always been completed when bed rails were used.
- Caring?
- Good
- People and relatives described staff as kind and caring. Staff respected privacy and dignity, encouraged independence and involved people in choices about their care.
- Responsive?
- Good
- Care plans reflected people's needs and preferences, and staff knew how to support them. The home offered activities, supported relationships and recorded people's end of life wishes.
- Well-led?
- Good
- People, relatives and staff said the home was well managed and approachable. Audits, feedback and work with other professionals were used to monitor and improve care.
What inspectors found, June 2023
Grand View Care Home was rated Good; inspectors found kind, safe care, but some records and dementia-friendly signage needed improvement.
This was the home’s first inspection since it was registered. It was unannounced and covered all five CQC areas. Inspectors spoke with eight people, two relatives and four staff, and reviewed care, medicines and management records.
Inspectors found people were safe, treated kindly and supported to make choices. There were enough staff, medicines were managed safely, the home was clean, and staff worked with health and social care professionals. Activities, family visits and end of life wishes were also supported.
There were some gaps. Care plans did not record how staff should support people with dementia when they became distressed. Fluid records were not always complete, and mental capacity assessments had not always been done when bed rails were used. The registered manager said the care plans and assessments were put right after the inspection. The dementia floor also needed clearer signs to help people recognise their bedrooms.
Enough trained staff
Inspectors found staffing levels were based on people's needs. Recruitment checks and training were used to help ensure staff were safe and skilled to work in the home.
“The provider had assessed people's needs and used this information to identify safe staffing levels for the home.” from the report
Safe medicines
Medicines were stored and given safely. Records were accurate, and staff training and competency checks were in place.
“Medicines were safely stored and administered to people at the right time.” from the report
Kind and respectful care
People were supported with dignity, privacy, independence and everyday choices. Staff knew people's histories and preferences.
“Staff were kind and caring and knew people and their needs well.” from the report
Active management oversight
The home used audits, surveys and meetings to identify improvements. The manager also worked with health and social care professionals.
“The provider had audits in place to monitor the quality of care in the home.” from the report
Care plans for distress
needs fixingCare plans did not initially explain how to support people living with dementia when they became distressed. Staff knew what to do, but the information was not recorded for all staff to follow; the manager later said this had been corrected.
“Risk assessments and care plans had not been put in place for when people living with dementia became distressed.” from the report
Incomplete fluid records
needs fixingWhen people's drinks needed monitoring, staff did not always record that enough had been offered. Inspectors found no evidence of dehydration, but raised this with the manager.
“However, while there was no evidence that people were dehydrated, staff had not always recorded that people had been offered enough to drink.” from the report
Mental capacity assessments
needs fixingAssessments had not always been completed when restrictions such as bed rails were used. The manager later confirmed that these assessments were in place.
“However, MCA assessments had not always been completed when restrictions such as bed rails had been put in place.” from the report
Dementia-friendly signs
minorThe dementia floor did not have enough signage or visual guidance to help people recognise their bedrooms and remain independent. The manager said memory boxes were planned.
“The dementia floor lacked appropriate signage and there was no visual guidance for people to be able to recognise their bedrooms.” from the report
- 01How are care plans now recording what to do when a person living with dementia becomes distressed?
- 02How do you check that drinks offered to people who need fluid monitoring are recorded accurately?
- 03Are mental capacity assessments completed before restrictions such as bed rails are used?
- 04Have memory boxes or other clear signs been added outside bedrooms on the dementia floor?
- 05How do you use audits and residents' feedback to check that these improvements remain in place?
This was an unannounced first inspection covering all five key questions and infection prevention and control measures; there were no previous ratings to carry over. This explanation was written from the published report of 28 June 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Grand View Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- June 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2021
Registered with the Care Quality Commission on 1 June 2021.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
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9 live-in carers within about an hour of Lincolnshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.