CQC report explained · a residential care home
What the CQC found at Graver's Care Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including protective equipment, testing, hygiene, safe admissions and outbreak arrangements. The home also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- The report does not give a rating or findings for this question.
- Caring?
- Good
- The report does not give a rating or findings for this question.
- Responsive?
- Good
- The report does not give a rating or findings for this question.
- Well-led?
- Good
- The report does not give a rating or findings for this question.
What inspectors found, February 2022
Graver's Care Home Limited was inspected but not rated; inspectors found good infection-control arrangements and support for visiting during the pandemic.
This was an announced, targeted inspection on 27 January 2022. Inspectors checked infection prevention and control, visiting arrangements, and whether COVID-19-related staffing pressures were affecting the home.
Inspectors said they were assured about infection control. This included the use of protective equipment, testing, cleaning and hygiene, social distancing, safe admissions, and managing possible outbreaks. Visiting arrangements followed the guidance in place at the time.
The home was inspected but not rated. This was not a full inspection of all aspects of care, so the report does not give an overall quality rating.
Infection control
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of protective equipment and access to testing.
“We were assured that the provider was using PPE effectively and safely.” from the report
Visiting arrangements
The home was facilitating visits in line with the guidance in force at the time. It also checked vaccination requirements for staff and visiting professionals.
“The provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
Support during the pandemic
Staff arranged self-contained accommodation for residents who needed to isolate. Some staff volunteered to isolate with them so care could continue.
“Staff were committed to providing care and support to residents throughout the pandemic.” from the report
Activities and visiting space
The home arranged events and activities during the pandemic and installed an outdoor dome for visits and recreation.
“The service had installed a large outdoor dome in the garden of the home, which was used as a visiting pod, a recreational space for residents, and a staff rest area.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage staffing pressures, and have these affected residents' care?
- 02How are protective equipment, testing and infection-control training managed now?
- 03What are the current visiting arrangements, including any vaccination or other requirements for visitors and professionals?
- 04How would the home support a resident who needed to self-isolate now?
- 05What recent full inspection rating or findings should families read alongside this targeted report?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other four questions or give an overall quality rating. This explanation was written from the published report of 11 February 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, January 2018
Rated Good; inspectors found safe, kind and person-centred care, with some records and staff knowledge needing improvement.
This was an unannounced comprehensive inspection over 15 and 16 November 2017. Inspectors spoke with six people using the home, a relative, a visiting professional and staff. They observed care, medicines, meals and daily activities, and checked care, staff and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable risk assessments and staff who were kind, respectful and attentive. People had detailed care plans, access to healthcare and a wide choice of activities.
The home remained Good, as it was at the previous inspection in November 2015. Inspectors noted some areas to improve, including the detail in accident records, the recording of reference checks and staff knowledge of the Mental Capacity Act. Training or improvements were planned.
Enough staff
Staffing levels were consistently maintained and inspectors saw staff available in communal areas. Staff responded promptly and did not appear rushed.
“We found there were always staff available in the communal areas of the home throughout our inspection, and staff did not appear unduly rushed.” from the report
Kind and respectful care
People and visitors described staff as kind and caring. Inspectors saw staff paying attention to small details and protecting people’s dignity.
“We observed throughout our inspection that staff were friendly, attentive and respectful towards people.” from the report
Detailed care planning
Care plans covered people’s needs, routines, communication and preferences. Staff knew people well and had the information needed to provide consistent support.
“This level of detail meant that staff had the information they needed to provide care that met the person's needs and preferences in a consistent way.” from the report
Activities and recovery support
People could take part in recovery work and a wide range of social, creative and therapeutic activities. They were also supported to keep in touch with family and friends.
“People had access to an extensive range of activities and entertainment.” from the report
Improved quality monitoring
Since the previous inspection, the provider had introduced formal systems to monitor care and act on issues found.
“At this inspection we found that the provider had acted on our feedback and implemented formal systems to monitor all aspects of service delivery.” from the report
Accident records
needs fixingSome accident records did not contain enough detail for a full analysis. The manager agreed to address this with staff.
“We noted some examples where the accident records would benefit from more detail in order to enable a fuller analysis by the provider.” from the report
Reference check records
minorRecruitment checks were carried out, but the records did not always clearly show the source of references. Inspectors discussed this with the manager.
“We discussed with the registered manager some improvements which could be made to the recording of references checks, to provide clearer evidence of the source of references.” from the report
Mental Capacity Act knowledge
needs fixingStaff understood the importance of seeking consent, but their knowledge of the Mental Capacity Act and related safeguards needed to improve. Further training was planned.
“Staff had received training in MCA and DoLS but we found their understanding of the Act could be developed further.” from the report
Limited quiet space
minorThe home had little communal space where people could spend quiet time, apart from their bedrooms. The report says the layout made it difficult to create more.
“There was minimal communal space in the home where people could enjoy quiet time, other than their bedrooms.” from the report
- 01What changes have you made to ensure accident records contain enough detail for proper review?
- 02How do you now record and verify the source of employment references?
- 03What further training have staff completed on the Mental Capacity Act and Deprivation of Liberty Safeguards?
- 04How can my relative find a quiet place if they need time away from the lively communal areas?
- 05How are my relative’s monthly care plan reviews and activity choices recorded?
This was an unannounced comprehensive inspection covering all five ratings, and the home remained Good in each area. This explanation was written from the published report of 11 January 2018 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 Graver's Care Home Limited
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 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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