CQC report explained · a nursing home
What the CQC found at Granville Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from avoidable harm. Risks, staffing, recruitment, medicines and infection control were managed safely.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear leadership, effective audits, regular communication and an open culture where concerns were expected to be listened to and acted on.
What inspectors found, September 2022
Granville Lodge was rated Good; inspectors found safe care, suitable staffing and strong management systems.
This was an unannounced focused inspection on 17 August 2022. Inspectors checked whether the home was safe and well-led. They spoke with people living there, a relative and staff, observed care and reviewed records.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed, staffing was sufficient, recruitment checks were completed and medicines were managed safely. Infection control arrangements were also satisfactory.
The managers and staff were described as knowledgeable and committed to person-centred care. Audits, care reviews and communication systems were used to monitor and improve the service.
The overall rating remained Good. The other three areas were not inspected during this visit, so their previous ratings were carried forward from the 2018 inspection.
Safe staffing
The home used a dependency tool to plan staffing. People and staff told inspectors that there were enough staff and that help was available without long waits.
“There was enough staff to safely provide care and support.” from the report
Safe medicines
Medicines were stored securely and managed by trained staff. Records were accurate and stock checks matched the recorded balances.
“Medicines were well managed, and people received their medicines as prescribed.” from the report
Risk management
People had individual risk assessments and emergency evacuation plans. The home carried out regular checks of fire equipment and the environment.
“Risk assessments were in place to reduce the risk of harm to people.” from the report
Strong oversight
Managers and the provider used audits and improvement plans to monitor care, medicines, infection control and the building. Families and staff were asked for feedback.
“Robust systems were in place to provide oversight of the quality of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and manage my relative's specific risks, including falls or other risks mentioned in their care plan?
- 02How do you make sure there are enough staff at busy times and when staff are absent?
- 03How will you keep my relative and our family informed when their care needs change?
- 04How can our family give feedback or raise a concern, and how will the home show us what action was taken?
- 05What were the previous ratings for Effective, Caring and Responsive, and when will these areas next be reviewed?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the inspection published in 2018. This explanation was written from the published report of 30 September 2022 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, March 2022
Inspected but not rated; inspectors found strong infection control arrangements and manageable staffing during the COVID-19 period.
This was an announced, targeted inspection on 15 February 2022. Inspectors checked infection prevention and control and asked about staffing pressures. The home was not given an overall rating.
Inspectors found the home visibly clean. Staff had training in infection control and PPE, and were seen using and disposing of PPE correctly. There were cleaning schedules, PPE stations, testing arrangements and checks on visitors and professional visitors.
People could see family and friends through pre-booked visits. The home also supported video and telephone contact during outbreaks or isolation, and supported safe visits for people receiving end-of-life care. Staffing was described as manageable, with no agency staff being used.
The Safe question was inspected but not rated. The other four questions were not assessed in this targeted inspection.
Clean surroundings
The home was visibly clean, with regular cleaning schedules in place.
“The home was visibly clean and hygienic and regular cleaning schedules were maintained by house keeping staff to evidence regular cleaning tasks were being completed.” from the report
PPE and infection control
Staff had infection control training and inspectors saw them using PPE safely. PPE stations were available throughout the home.
“Staff had received training in relation to infection prevention and control and were observed following current guidance in the use and disposal of PPE.” from the report
Family visits
The home supported pre-booked visits, essential caregiver arrangements and safe end-of-life visits. Telephone and video calls were used when visiting was restricted.
“People were supported to see friends and family in accordance with government guidance.” from the report
Staffing arrangements
The home reported manageable staffing, maintained staffing levels and did not use agency staff at the time of the inspection.
“We were told the home did not use agency staff. They had a good core team of staff that liked to pick up extra hours as overtime.” from the report
Inspectors raised no specific concerns in this report.
- 01How are your infection prevention and control arrangements different now from those seen in February 2022?
- 02How do you currently manage visits during an infection outbreak, including visits from essential caregivers?
- 03How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?
- 04What are your current staffing levels, and do you still avoid using agency staff?
- 05What are the home's current ratings or inspection findings for Effective, Caring, Responsive and Well-led?
This was an announced targeted inspection of infection prevention and control and staffing pressures; only Safe was inspected and rated as inspected but not rated, while the other areas were not assessed. This explanation was written from the published report of 17 March 2022 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 Granville Lodge
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- September 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- August 2017Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- June 2016
Registered with the Care Quality Commission on 20 June 2016.
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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40 live-in carers within about an hour of Bristol, City of
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.
Most charge £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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