CQC report explained · a nursing home
What the CQC found at Grosvenor Hall Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were managed, including testing, PPE, visiting, cleaning and outbreak management. They also found measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, January 2022
Inspected but not rated; inspectors found good infection control and plans to manage staffing pressures.
This was an announced, targeted inspection on 12 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, and staffing pressures linked to COVID-19.
The home was supporting 31 people, although it is registered for up to 40. Inspectors found systems for testing, visiting, personal protective equipment, cleaning, social distancing and managing outbreaks. They were assured these arrangements were in place.
Inspectors also found that the provider had planned how to manage shortages of nursing staff. The service was inspected but not rated, so this report does not give an overall quality rating.
Infection control
Inspectors were assured that the home had effective arrangements to prevent and manage infection, including during outbreaks.
“We were assured that the provider was making sure infection outbreaks were effectively prevented or managed.” from the report
Testing and visiting
The home had systems covering COVID-19 testing and visits, including arrangements to support visits in line with guidance.
“The provider had developed effective systems to ensure compliance in areas including COVID-19 testing and visiting arrangements.” from the report
Staffing plans
The provider had made a plan to deal with possible shortages of nursing staff and had discussed this with relevant organisations.
“The provider had been proactive in developing a plan to address any shortfall in the availability of nursing staff, consulting with CQC and other organisations as required.” from the report
Team support
The provider said staff worked well together, helping the home continue to provide safe care during the pandemic and a recent outbreak.
“This had ensured people continued to receive safe care and support throughout the pandemic and during a recent COVID-19 outbreak in the home.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current nursing staff levels, and how would you manage any nursing staff shortages?
- 02What infection prevention measures are currently in place for visitors, residents and staff?
- 03How are COVID-19 or other infection outbreaks detected and managed now?
- 04How are visits arranged if there is an infection outbreak or other restriction?
- 05What is the home's current full CQC rating, given that this inspection was not rated?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19; it did not assess the other quality areas. This explanation was written from the published report of 20 January 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, May 2021
Grosvenor Hall Care Home rated Good; inspectors found safe care and sound management, with a medicines process not followed on one occasion.
This was a focused inspection on 21 April 2021. Inspectors reviewed the information held about the home, spoke with staff and managers, checked care and medicine records, and looked at staffing, training, audits and policies. They also spoke with two relatives after the visit.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment, suitable training, risk assessments, safe medicine management overall, infection control measures and systems for reporting and learning from incidents.
The overall rating remained Good, as it was at the previous inspection published on 8 January 2018. The inspection did not examine all five key questions. It focused on Safe, Caring and Well-led because concerns had been received about skin care and information when people went to hospital.
Enough trained staff
Inspectors found enough staff to meet people's care needs. Staff training was either up to date or planned.
“There were sufficient staff to ensure people received safe care.” from the report
Infection control
Staff had suitable protective equipment and training. Inspectors were assured that the home had arrangements to prevent and manage infections.
“We were assured that the provider was using PPE effectively and safely.” from the report
Risk management
People's care and environmental risks were assessed. The home used care plans and actions to reduce risks such as falls.
“People were protected from risks associated with their care needs.” from the report
Learning from incidents
The manager recorded accidents and incidents, monitored patterns and took action to help prevent problems happening again.
“We saw where incidents had occurred action had been taken to prevent this happening again.” from the report
Medicine advice not fully followed
needs fixingOn one occasion, a person's medicine was crushed after advice had been sought from a GP but not a pharmacist. Inspectors raised this with the manager, who agreed to contact a pharmacist.
“However, we saw this had not been followed on one occasion.” from the report
More proactive family contact
minorRelatives told inspectors they wanted to be contacted more proactively about what was happening to their family member.
“However the relatives we spoke with said they would like to be contacted more proactively to ensure they were aware of what was happening to their family member.” from the report
- 01How do you make sure a pharmacist is consulted when a person's medicine needs to be crushed or altered?
- 02How will you keep relatives updated proactively about changes in their family member's care?
- 03How do you use falls, medicine and cleanliness audits to make sure actions are completed?
- 04How do you check that care plans and risk assessments stay up to date when people's needs change?
This was a focused inspection of Safe, Caring and Well-led following concerns about skin care and hospital transfer information; Effective and Responsive were not inspected, and Caring was not given a rating in the report. This explanation was written from the published report of 15 May 2021 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 Grosvenor Hall Care Home
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2021Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodup from Requires improvementSafe: Requires improvementWell-led: Good
- December 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Inspected but not rated
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2014
Registered with the Care Quality Commission on 25 July 2014.
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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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.