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CQC report explained · a nursing home

What the CQC found at Grennell Lodge Nursing Care Home

Goodpublished 18 November 2023, 2 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, staffing, recruitment checks, medicines procedures and infection control arrangements.
Effective?
Good
People's needs and choices were assessed and care plans had been updated and digitalised. Staff were trained, people had access to healthcare, and the home worked with other professionals.
Caring?
Good
People and relatives said staff were kind, respectful and compassionate. Inspectors saw staff protecting privacy and dignity and encouraging independence.
Responsive?
Good
Care plans were personalised and people were supported with communication, activities, friendships and family contact. Complaints procedures and end-of-life planning were in place.
Well-led?
Good
Inspectors found an open culture, approachable management and effective checks on care, medicines, staffing, accidents and other areas of quality.
The latest report, explained

What inspectors found, November 2023

Grennell Lodge Nursing Care Home was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.

The CQC carried out an unannounced inspection. Inspectors visited on 16 and 23 October 2023, spoke with people living in the home, relatives, staff and a healthcare professional, and checked care records, medicines, recruitment files and other records.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found that people were safe, medicines were managed properly, staff were trained, and people's health needs were supported.

People and relatives described kind and respectful care. Care plans reflected people's needs and preferences, relatives were involved where appropriate, and people were supported with activities, relationships and end-of-life wishes.

The overall Good rating means inspectors found the home was meeting the relevant requirements and providing a consistently good standard of care at the time of the inspection. The previous rating was also Good, published in June 2018.

What inspectors praised
  • People felt safe

    People said they felt safe and were well supported. Staff understood safeguarding procedures and the home had acted appropriately when concerns were raised.

    “People said they felt safe and were well supported by staff.” from the report
  • Safe medicines systems

    Trained nursing staff gave medicines, records were audited, and medicines were stored safely. There were also clear arrangements for medicines given only when needed.

    “Medicines were managed safely. Staff followed procedures to make sure people received their medicines safely, according to their needs and choices, and as prescribed.” from the report
  • Kind and respectful care

    People and relatives gave positive feedback about staff's compassion. Inspectors saw staff protecting privacy, explaining care and encouraging independence.

    “We received positive feedback about the caring nature of staff and their compassionate approach.” from the report
  • Personalised activities

    The activities programme was based on people's interests. The home also supported cultural and religious events.

    “The provider recruited an activities coordinator who was creative in developing a wide range of individualised activities that people had expressed an interest in.” from the report
  • Strong oversight

    The home used regular audits and checks to identify improvements. People, relatives and staff felt able to speak with managers.

    “There was a good governance system in place to ensure there was appropriate oversight of the service to identify improvements needed.” from the report
What inspectors were concerned about
  • Registered manager application pending

    minor

    There was no registered manager in post at the time of the inspection. A new manager had been in post for three months and had applied to register, but the application was still being assessed.

    “At the time of our inspection there was not a registered manager in post.” from the report
Questions to ask them, based on this report
  1. 01What is the current position of the manager's application to become registered?
  2. 02How would you meet my relative's particular dementia, nursing and communication needs?
  3. 03How are families involved in reviewing care plans and decisions about care?
  4. 04What activities would be suitable for my relative's interests, abilities and cultural or religious needs?
  5. 05How do you check that medicines, falls, skin care and nutritional needs are being managed safely?

This was an unannounced inspection covering all five CQC questions, including infection prevention and control, with visits to the home on 16 and 23 October 2023. This explanation was written from the published report of 18 November 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.

The story over the years

Every inspection of Grennell Lodge Nursing Care Home

4 rated inspections over 8 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Grennell Lodge Nursing Care Home →

  2. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. January 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. August 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. March 2022

    Registered with the Care Quality Commission on 21 March 2022.

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.

Next steps

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