Gorseway Nursing Home

Updated 3 December 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

Three inspectors carried out the inspection. Two Expert by Experience’s supported the inspection by making calls to people and their relatives. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Gorseway Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Gorseway Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with eight people who used the service and fourteen relatives about their experience of the care provided. We spoke with 17 members of staff including the registered manager, the operations manager, deputy managers, team leaders, care workers, an activity coordinator, a maintenance person, a chef and a housekeeper. We reviewed a range of records. This included ten people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 3 December 2022

About the service

Gorseway Nursing Home is a nursing home providing personal and nursing care to up to 88 people. It is split into two areas of living. The Manor provides residential care and the Nursing Home provides nursing care for people. The nursing home additionally has a separate unit that specialises in dementia care. At the time of our inspection there were 21 people living in The Manor and 50 people living in the nursing home.

People’s experience of using this service and what we found

The provider’s quality assurance systems were not fully effective in identifying all concerns in the service, and records were not always accurate or detailed. We have made a recommendation about this. When the provider was made aware of any issues they acted promptly and effectively to address them.

Risks to people's health, safety and well-being had been assessed and staff understood how to keep people safe. People had assessments before admission to ensure their needs could be met and ongoing risk assessments to reduce any risks. People's health and nutritional needs were planned for and met. Any health concerns were raised with health professionals.

People were protected from the risk of abuse because the provider had effective safeguarding systems in place. People received their medicines as prescribed. There were enough staff to safely support people.

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 we spoke with were complimentary about the care they received and told us staff were kind, caring and treated them with respect.

People’s needs were met in a personalised way. People had been supported to maintain relationships and to take part in activities that they enjoyed. The provider took complaints seriously and used them to learn and improve the service.

The service had a positive, open culture. People told us they were happy living at Gorseway and staff enjoyed their work. The registered manager was keen to continually improve the service.

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 (report published 16 January 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This inspection was prompted in part, by concerns we received in relation to the caring nature of staff. As a result, we undertook an inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Recommendations

We have made a recommendation for the provider to improve their practice in relation to maintaining accurate and detailed records and governance.

The overall rating for the service has changed from requires improvement to good based on the findings of this inspection

We will continue to monitor information we receive about the service, which will help inform when we next inspect.