Grimston House Care Home

Managers and the staff understood their responsibility about safeguarding people from abuse, staff had been appropriately trained and knew how to recognise and raise safeguarding concerns. Peoples medicines were managed safely. People said they received their medicines when they needed them. There were policies and procedures in place for the safe administration of medicines, staff followed these policies and had been trained to administer medicines safely.

Staff knew how to keep people safe from risks. Risk assessments were up to date and staff had clear written guidance on what to do to keep risks to a minimum. Any incidents and accidents were recorded and steps were taken to prevent any re-occurrence. Staff understood how to prevent infection and wore protective equipment when necessary.

There were enough staff on duty to meet people's needs. A robust staff recruitment procedure and relevant checks ensured suitable staff were employed. Staff were trained and received regular supervision and appraisal.

People's needs were assessed before they started using the service. People were supported to express their views and make decisions about their care. People's care plans provided guidance for staff to ensure care and support was delivered as people wanted it and was responsive to their needs.

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff treated people with dignity and respect. Staff helped to maintain people's independence by encouraging them to care for themselves where possible. People were supported to do things they wanted to do.

People said they enjoyed the food and could have snacks and drinks when they wanted to. Staff supported people to maintain a balanced diet and monitor their nutritional health.

When people were unwell or needed extra support, they were referred to health care professionals and other external agencies. People's end of life wishes were recorded and people were supported at the end of their lives to be comfortable and pain free.

People knew how to complain or make comments and suggestions. People were asked their view about the service at meetings and by completing surveys, suggestions had been acted upon.

The service continued to be well led. Effective quality audits continued to be in place and continuous improvement and learning were embedded in the service.