# Granby Intermediate Care Hub

*Operated by Liverpool City Council.*

Granby Intermediate Care Hub is a CQC-regulated home-care agency in Liverpool.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Requires improvement |
| Safe | Requires improvement |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 13/12/2017

## Practical info

- Postcode: L8 1YQ
- Registered manager: Parsons, Nigel
- Local authority: Liverpool
- Region: North West
- City: Liverpool
- Last CQC check: 01/Jun/2022 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: Medicines stored safely and audited regularly; prescribed medicines administered at the right times.
  - Published: 2022-06-29
- Finding
  - Evidence: Staff received safeguarding training and understood their reporting responsibilities.
  - Published: 2022-06-29
- Finding
  - Evidence: Electronic care planning for domiciliary care enabled daily monitoring and immediate response to missed tasks or late calls.
  - Published: 2022-06-29
- Finding
  - Evidence: Safe recruitment processes with pre-employment checks in place.
  - Published: 2022-06-29
- Finding
  - Evidence: People felt safe and family members expressed confidence in the care provided.
  - Published: 2022-06-29
- Finding
  - Evidence: Positive working relationships with external health professionals including physiotherapists and nurses.
  - Published: 2022-06-29
- Finding
  - Evidence: Good outcomes achieved through reablement support; people showed significant improvements in mobility and independence.
  - Published: 2022-06-29
- Finding
  - Evidence: Sufficient staffing levels with timely visits; people reported staff arrived within agreed times and were never rushed.
  - Published: 2022-06-29
- **record_keeping** _(minor)_
  - Evidence: Detailed cleaning schedules were not maintained which meant we could not be clear which areas of the service were being cleaned and when.
  - Published: 2022-06-29
- **medication_management** _(minor)_
  - Evidence: Some people were prescribed 'as required' medicines (PRN). No plans had been put in place to detail when this medicine would be needed.
  - Published: 2022-06-29
- **infection_control** _(moderate)_
  - Evidence: Some staff were seen not wearing masks correctly and clean aprons were stored in open areas next to waste bins.
  - Published: 2022-06-29
- **record_keeping** _(moderate)_
  - Evidence: The registered manager told us they completed daily checks of the environment. However, records had not been maintained to evidence this.
  - Published: 2022-06-29
- **care_planning** _(moderate)_
  - Evidence: Whilst risks to people had been identified, person-centred plans were not always in place to show how these risks needed to be managed.
  - Published: 2022-06-29
- **governance** _(critical)_
  - Evidence: Governance systems were not always effective at identifying issues and driving improvement. This was a breach of regulation 17 (Good governance) of the Health and Social Care Act 2008.
  - Published: 2022-06-29
- Finding
  - Evidence: People's dignity, privacy and choices consistently respected; advocacy information accessible
  - Published: 2021-10-30
- Finding
  - Evidence: Registered manager approachable, well known to staff, with clear quality assurance audits and accident/incident analysis
  - Published: 2021-10-30
- Finding
  - Evidence: Clean, odour-free environment with hand sanitiser, locked sluice rooms and PPE use
  - Published: 2021-10-30
- Finding
  - Evidence: Exit surveys used to capture feedback and drive service improvements
  - Published: 2021-10-30
- Finding
  - Evidence: Daily 'huddle' multi-disciplinary meetings enabling seamless discharge planning and partnership working
  - Published: 2021-10-30
- Finding
  - Evidence: Person-centred, individualised care plans developed with input from OTs, social workers and district nurses focused on regaining independence
  - Published: 2021-10-30
- Finding
  - Evidence: Staff up to date with training including safeguarding, MCA, moving and handling; regular supervision and annual appraisals in place
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels with staff never feeling rushed or under pressure
  - Published: 2021-10-30
- Finding
  - Evidence: Medication well managed with temperature-controlled storage, trained senior staff only, annual competency assessments and accurate MAR charts
  - Published: 2021-10-30
- Finding
  - Evidence: Robust safeguarding processes with staff able to explain actions and past recommendations implemented to improve the service
  - Published: 2021-10-30
- Finding
  - Evidence: Plans for environmental refurbishment to accommodate wheelchairs and bariatric care, demonstrating forward-thinking service development.
  - Published: 2021-01-30
- Finding
  - Evidence: 100 compliments received in the past 12 months and proactive complaints and feedback handling.
  - Published: 2021-01-30
- Finding
  - Evidence: People's dignity, privacy and individual preferences were consistently respected and upheld by staff.
  - Published: 2021-01-30
- Finding
  - Evidence: Positive leadership with accessible registered manager, clear management structure, and senior staff on duty at all times.
  - Published: 2021-01-30
- Finding
  - Evidence: Less than 15% readmission rate to hospital, described as well above the national average.
  - Published: 2021-01-30
- Finding
  - Evidence: Culturally competent care including halal and kosher meals, multilingual staff communication, and a multi-cultural prayer room.
  - Published: 2021-01-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-136464229

HomeCare Compass is an independent guide and is not affiliated with the CQC.