Background to this inspection
Updated
10 March 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
We visited the service due to a number of previous outbreaks of Covid-19 within the home. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 18 February 2021 and was announced.
Updated
10 March 2021
About the service
Gracewell of Bookham is a ‘care home’ providing personal and nursing care for up to 70 people. The service is provided in one adapted building which is divided into three wings, each with their own lounge and dining area. At the time of our inspection 58 people were living at the service.
People’s experience of using this service and what we found
People said they were cared for by staff who were kind and caring. People told us here was enough going on at the service to keep them busy and they enjoyed the entertainment.
People were helped to stay safe as staff understood their responsibility to report any concerns and staff followed guidance in place in relation to people’s individual risks. Medicines were managed safely. Lessons were learned when things went wrong.
People and their relatives told us they were treated well. Staff understood equality and diversity. People
could express their views and be involved with choices around their care and treatment. People told us their
privacy and dignity were respected and their independence promoted.
People’s care plans were detailed, and staff used these to understand the care people required.
People lived in an environment that was maintained and cleaned to a good standard. People told us they could remain independent and the environment had some signage and communication aids for people living with dementia. People had access to healthcare professional involvement if they needed it and they received the medicines, food and hydration they required.
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 given privacy when they wished it, but also enabled to move around freely and independently in a safe way.
People were cared for by a sufficient number of staff and staff told us they felt they were trained and supported in a way that enabled them to carry out their role competently.
People told us they thought highly of the management team. The manager was responsive and
wanted to improve the service to the benefit of people who lived there. People held meetings and were
engaged with the service.
Quality assurance checks were carried out to help ensure people lived in a service that was safe. Actions identified from these checks were addressed. People were asked for their feedback and this was used to help improve the service. Staff worked with other agencies to help improve the service people received.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 23 October 2018).
At this inspection we found sufficient improvement had been made and the provider was no longer in breach of regulations.
Why we inspected:
This was a planned inspection based on the previous rating.
Follow up:
We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.