Granville

Updated 9 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Granville is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Granville is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was announced. We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started 24 November 2023 and ended on 7 December 2023. We visited the location on 29 November and 4 December 2023.

What we did before the inspection

We reviewed information we had received about the service since their registration with us. We sought feedback from the local authority. The provider completed a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager, head of service, service manager, team manager, 4 members of staff and a facilities manager. We met 4 people who were using the service at the time, 2 relatives and 2 social care professionals.

We reviewed a range of records. This included looking at care and support records and medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed. We reviewed further evidence requested and sent electronically by the provider.

Updated 9 January 2024

About the service

Granville is a residential care home providing respite accommodation and personal care for up to 14 people. Respite care allows those with caring duties to take a break, while the person you care for is looked after by someone else. The service provides support to people with a range of health conditions, including people with a learning disability or autistic spectrum disorder. At the time of our inspection there were 7 people using the service.

Granville is a spacious, extended and adapted building, with its own grounds and outside space. There are 14 bedrooms, some with specialist equipment such as tracking hoists and profile beds. Communal areas include wet rooms, toilets, large lounges, a dining area and a sensory room.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People’s experience of using this service and what we found

Right support: People and their relatives told us they felt safe and supported. Risks were assessed and managed to ensure people could safely participate in activities that they enjoyed. People had their own bedrooms and appropriate equipment required during respite stays was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were encouraged to do things for themselves, supported by a consistent team of staff who promoted their independence. People were able to receive visitors without restrictions in line with best practice guidance.

Right Care: People were supported to express their views and make decisions about their care. People were supported to maintain relationships, follow their interests, and take part in activities that were relevant to them. People had access to health care professionals when they needed them. People's privacy, dignity and independence were respected and promoted. People were safeguarded from abuse and avoidable harm. Staff understood their responsibilities to raise concerns and report incidents and were supported to do so. There were sufficient numbers of suitable staff and the provider operated safe recruitment processes.

Right Culture: There was a positive and open culture at the service and systems were in place to provide person-centred care. People and staff were involved in the running of the service and the provider worked in partnership with others to achieve good outcomes for people. Systems had been implemented to enable the provider to assess, monitor and improve the quality of the services provided and the provider was focused on developing these further. Any learning was identified and acted on. People benefitted from staying at a service that had an open and friendly culture. People enjoyed staying at the service and feedback we saw and received confirmed people enjoyed their respite stays.

For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection

The last rating for the service was Good, published on 24 July 2017.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Granville on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.