Grimston Court

We identified 1 breach of the legal regulations under the safe key question. Medicines policies were not always adhered to, and we could not be assured that all staff were trained and assessed as competent in the management of medicines. More work was needed to evidence the Mental Capacity Act followed best practice guidance and was applied correctly. The environment was not always safe and there were unnecessary restrictions applied, however, the provider took immediate action to address the concerns raised. Opportunities to learn from incidents and reduce risk needed further work. People, their families and staff all told us there had been an improvement in the care, communication, and culture since the recent change in management.

Assessments of people’s needs were in place, but more work was needed to evidence how these were actioned in some areas. The service had started to work on the involvement of people and their families in care plans, but this needed further work. There were good working relationships between the home and other professionals and feedback from them was positive.

Whilst most interactions between staff and residents were positive and caring, more work was needed to ensure people’s dining experience was positive. People were supported to maintain relationships with those important to them and there were activities available at the home.

The service engaged with people and their families to seek feedback and involve them in decisions about the home such as food and activities. Staff told us they understood their role in ensuring people’s diverse needs were identified and respected. People able to engage told us their needs and preferences were met, however, it wasn’t always clear how the needs of those less able to engage were met. More work was needed to ensure people were provided the safeguards afforded to them by when they lacked capacity.

We identified 1 breach of the legal regulations under the well-led key question. Quality assurance systems were not robust or consistently used to drive improvement at the home. Issues we found at this inspection had not been identified or effectively addressed by the provider’s own systems. Processes, procedures and opportunities to learn from incidents needed further work. Managers told us they had identified a change of culture was needed and how they were working towards a number of improvements across the home, however there was no clear plan on how this was being actioned. Staff and family members spoke positively about the changes in management and improvements made over the past 6 months. We identified a breach in relation to good governance.