Granby Intermediate Care Hub

There is also an office on site which is registered to provide 'personal care' to people for a short-term period once they are discharged from either hospital or Granby into their own homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. At the time of our inspection 35 people were receiving support with personal care.

On day one of our inspection we found some aspects of the environment were unsafe and placed people at risk of avoidable harm. These issues were addressed immediately and by day two of our inspection we were assured about the safety of the environment.

The environment and equipment used by people for mobility was visibly clean and hygienic. However, cleaning records lacked information about which areas of the home had been cleaned and how often. Staff had access to enough supplies of PPE. However, some staff were seen not wearing masks correctly and clean aprons were stored in open areas next to waste bins.

People received their medicines safely and as prescribed. Medicines were stored safely and audited regularly to ensure good practice was maintained. However, records were not in place to ensure 'as required' medicines were administered when needed.

The provider's governance systems had failed to identify issues we found in relation to care records. Regular checks and reviews were completed by the registered managers to make sure people received the right care and support. However, records relating to checks completed on the environment had not been kept by the registered manager.

There were enough staff to meet people's needs and provide support in a timely manner. People who received care in their own homes told us staff arrived within the agreed times.

There were good working relationships between staff and other health professionals, such as physiotherapist and nurses, which ensured people achieved good outcomes. We received positive feedback from people and family members about the level of care and support both aspects of the service provided.

Family members told us people's mobility and independence had improved due to the support from staff and external health professionals.

People were safeguarded from the risk of abuse. Staff had received safeguarding training and understood their role in recognising and reporting safeguarding concerns. The provider had appropriate systems in place to manage safeguarding concerns.