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CQC report explained · a nursing home

What the CQC found at Grosvenor House Care Home

Goodpublished 31 March 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe and risks were assessed and managed. Medicines were administered safely, staff were safely recruited, and infection control was effective, although some people reported waits for support at busy times.
Effective?
Good
Staff knew people's needs, received training and support, and worked with health professionals. People were supported with food, drink, healthcare and decisions about their care.
Caring?
Good
Staff were kind, respectful and attentive. Inspectors saw staff ask for consent, offer choices and protect people's privacy and dignity.
Responsive?
Good
Care plans were personalised and regularly reviewed. People had activities, support to keep in touch with relatives and personalised end-of-life care, but some people were not aware they could have more choice over their care.
Well-led?
Good
The manager and staff were described as approachable and supportive. The provider had quality checks, feedback systems and processes for learning from incidents and complaints.
The latest report, explained

What inspectors found, March 2023

Rated Good; inspectors found safe, kind and well-organised care, with some waits at busy times and building improvements still underway.

This was an unannounced inspection on 8 March 2023. An inspector and an Expert by Experience spoke with people, relatives, staff and visiting professionals. They reviewed care records, medicines records, staff files and health and safety paperwork.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated with kindness and dignity, and supported by staff who knew their needs well.

There were some less positive points. Some people had to wait for support at busy times, especially at weekends. The building was described as old and tired, although renovation work had started. Some people were not aware they could have more choice about their care.

What inspectors praised
  • Consistent staff team

    People and relatives said staff were consistent and knew people's needs well. Inspectors also found staff were safely recruited and supported with training and supervision.

    “One health professional commented, "One of their greatest assets is that they have good retention of nurses. This results in the staff having good knowledge of the residents and their needs.” from the report
  • Kind and respectful care

    Staff treated people with kindness, dignity and respect. They asked for consent, offered choices and protected people's privacy.

    “Staff were attentive and kind in the way they spoke with and supported people.” from the report
  • Personalised support

    Care plans included people's wishes and gave staff guidance on how to support them. People were involved in decisions and could take part in activities suited to their interests.

    “Care plans contained person-centred information to guide staff on how best to support each person.” from the report
  • Good management

    The manager was described as approachable and fair. Quality checks, staff meetings and feedback systems were used to monitor and improve the service.

    “The provider had robust quality assurance systems used to monitor the quality of the service and drive improvements.” from the report
  • Activities and relationships

    People could join a range of activities, with one-to-one alternatives for those who did not join groups. Staff also helped people maintain contact with those close to them.

    “People had the opportunity to take part in a wide range of regular and meaningful activities.” from the report
What inspectors were concerned about
  • Waiting at busy times

    needs fixing

    Some people said they had to wait for support, particularly at weekends. Inspectors still judged staffing levels sufficient to meet people's needs safely.

    “although some people said they had to wait for support at busy times, particularly on weekends.” from the report
  • Building improvements

    minor

    Relatives described the building as old and tired. Renovation work had started and an improvement plan was in place.

    “Relatives commented the building was old and tired, but also acknowledged they had been informed of plans to update the décor.” from the report
  • Choice about care

    needs fixing

    Some people were not aware that they could have more choice about how their care was provided. The report gives examples involving showering and use of a commode.

    “Some people we spoke to were not aware they could have more choice over how their care was provided.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure people receive prompt support at busy times, particularly at weekends?
  2. 02What renovation work has been completed since the inspection, and what work remains?
  3. 03How do you explain to each resident the choices they have about their care, including bathing and toileting?
  4. 04How are care plans checked to make sure they reflect each person's current wishes and preferences?
  5. 05How do you use feedback, complaints and incidents to make improvements?

This was an unannounced inspection of all five key questions, including the premises, care provided and infection control measures. This explanation was written from the published report of 31 March 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 Grosvenor House Care Home

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. March 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Grosvenor House Care Home →

  2. May 2021Inspected but not rated
    Safe: Inspected but not rated
  3. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. October 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. December 2021

    Registered with the Care Quality Commission on 13 December 2021.

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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Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

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