CQC report explained · a residential care home
What the CQC found at Grandville Lodge Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding, risks were reviewed, recruitment checks were completed and medicines were managed safely.
- Effective?
- Good
- People's needs were assessed using recognised guidance. Staff had training and support, and people received suitable food, drinks and access to health professionals.
- Caring?
- Good
- Staff were observed to be friendly, attentive and respectful. People were involved in decisions, and independence, privacy and dignity were promoted.
- Responsive?
- Good
- Care plans reflected people's preferences, routines and communication needs. Activities were limited at the time because the activity coordinator had left, although recruitment was under way.
- Well-led?
- Good
- Inspectors found experienced leadership, regular quality and safety checks, and involvement from people, relatives and staff in developing the home.
What inspectors found, March 2020
Grandville Lodge Limited was rated Good in all areas; inspectors found safe, kind and personalised care, with activities limited while a replacement coordinator was recruited.
This was an unannounced inspection on 11 March 2020. Two inspectors spoke with five people, four relatives and staff. They observed care and checked care records, medicines, staff files, training, accidents, audits and health and safety records.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from harm, received their medicines safely, had suitable food and health support, and were treated with kindness, dignity and respect.
Care was tailored to people's routines, communication needs, interests and wishes. The home was being refurbished. Activities had reduced after the activity coordinator left, but the manager was recruiting a replacement and some activities continued.
The previous inspection, published on 6 July 2017, also rated the home Good. All five ratings stayed the same. Good means the inspectors found the service met the relevant standards at the time of this inspection.
Kind and respectful care
Staff treated people with kindness and respect. They supported people to make choices and remain as independent as possible.
“We observed staff treated people with respect and dignity.” from the report
Personalised support
Staff knew people's routines, preferences, communication needs and personal histories. Care plans gave staff guidance for individual care.
“People's individual needs, preferences, routines and what was important to them had been assessed and discussed with them.” from the report
Good oversight
The home had regular checks on quality and safety, with an improvement plan. The manager investigated incidents and used them to improve care.
“Audits and checks were regularly completed at least daily, weekly and monthly in all aspects of quality and safety and there was an ongoing improvement plan to drive forward improvements.” from the report
Safe medicines practice
Inspectors observed medicines being given safely. Staff had training and competency checks, and medicines were ordered, stored and managed safely.
“The ordering, storage and management of medicines were safe.” from the report
Risk guidance was sometimes too brief
minorSome written guidance about managing people's risks varied in detail. Inspectors described this as a recording issue, and the manager said it was corrected after the inspection.
“Guidance for staff about how to manage and mitigate people's risks were variable in detail.” from the report
Activities were limited
needs fixingActivities had reduced because the activity coordinator had recently left. The manager was recruiting a replacement, while a volunteer and visiting entertainers provided some activities.
“Activities were therefore limited but due to improve.” from the report
- 01Has the activity coordinator role been filled, and what activities are now available for people with different interests and abilities?
- 02How do you make sure risk guidance in each person's care plan is detailed and kept up to date?
- 03What changes from the refurbishment have been completed, and what work remains?
- 04How are people and relatives involved in care reviews and decisions about the home's development?
- 05How do you check that staffing levels continue to match people's changing needs?
This was an unannounced planned inspection that looked at the home, care and all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 27 March 2020 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.
What inspectors found, July 2017
Rated Good and remained Good in all five areas; inspectors found safe, kind and personalised care, with fewer activities during a staff change.
This was an unannounced inspection on 6 and 9 June 2017. Inspectors spoke with people living in the home, relatives, managers and staff. They observed care and reviewed care files, staff records, training records and quality checks.
The home supported 18 people and could care for up to 19. Inspectors found enough safely recruited staff, good medicine management and suitable risk assessments. Staff were trained and supported, and people received enough food, drink and healthcare.
People told inspectors that staff were kind, respectful and caring. Care plans were detailed and regularly updated. People were involved in decisions, supported to remain independent and encouraged to maintain family relationships.
The home had a new manager who was registering with the CQC while the previous registered manager was due to retire. Inspectors found that the home remained Good in Safe, Effective, Caring, Responsive and Well-led, and met all relevant fundamental standards.
Safe staffing and medicines
Inspectors found enough staff to meet people's assessed needs. Medicines were administered safely, with clear records and regular staff competency checks.
“We found that the system was in good order with clearly completed records.” from the report
Kind and respectful care
Staff knew people well and supported their dignity, privacy, choices and independence. Inspectors saw caring and compassionate interactions.
“We saw many examples of caring, compassionate interaction between staff and people throughout our visits.” from the report
Personalised care planning
Care plans included people's risks, likes, dislikes and family background. They were reviewed and updated as people's needs changed.
“The care plans viewed were detailed and informative and described people's identified risks, likes, dislikes and their family background.” from the report
Good communication and involvement
Relatives said they were kept involved, and people and staff were asked for their views. The home had a complaints process and regular staff meetings.
“Other relatives said that the home and staff were very good at communicating with them.” from the report
Activities were limited during the visit
minorInspectors did not see planned activities on the first day. The home had been without an activities co-ordinator for eight weeks, although a replacement was due to start shortly after the inspection.
“Although there was an activities plan in place, we did not see any of the planned activities going on during day one of our visit.” from the report
- 01How are activities planned and provided now that the home has an activities co-ordinator?
- 02How are activities matched to each resident's interests and needs?
- 03Has the new manager completed registration with the CQC, and how was the handover managed?
- 04What quality checks are now carried out under the improved monitoring system?
- 05How are relatives involved in reviews of care plans and changes in care needs?
This was an unannounced inspection covering the overall quality of the home and all five CQC questions; the report says the previous overall rating was also Good. This explanation was written from the published report of 6 July 2017 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 Grandville Lodge Limited
3 rated inspections over 4 years: the service has held its Good rating throughout.
- March 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 December 2010.
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.
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