Gedling Village Care Home

Updated 10 June 2021

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 Care Act 2014.

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

This Inspection was carried out by two inspectors

Service and service type

Gedling Village Care Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager who has applied to become registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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 sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection.

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with three people who used the service about their experience of the care provided. We spoke with ten members of staff including the manager, deputy managers, senior care workers, care workers and cook. Some people were not able to fully share with us their experiences using the service. Therefore, we spent time observing interactions between people and the staff supporting them in communal areas.

We reviewed a range of records. This included 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 audits were reviewed.

After our inspection site visit, we contacted nine relatives to ask about their experience of the service. We contacted three staff to ask them about how they cared for people and their experience of working at Gedling Village Care Home. We reviewed further records this included five people’s care records, staff training information, staff rotas and policies.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We spoke with one professional who regularly visited the service.

Updated 10 June 2021

About the service

Gedling Village Care Home is a care home providing personal care for 36 people aged 65 and over, some of whom were living with dementia. The service can support up to 60 people in one adapted building over three floors.

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

Changes had been made to the management of medicines although we found there were still areas which required improvement. Storage of prescribed creams and medication competency training still required further development in order to ensure all prescribed medications were managed safely and reduce risk further.

Infection control practices had improved, and we were assured that government guidance was being followed. Some signposting in regard to monitoring the testing process for COVID-19 was given in relation to agency staff.

Action had been taken by the new manager to improve the culture within the home. People told us the manager had been open and transparent about issues within the home. Action plans were in place to learn from previous incidents and improve the quality of care people received. The service was undergoing several changes and the manager was well supported by the provider. The manager acknowledged that sustaining and embedding the changes would take time.

Improvements had been made to assessing risk and changes to the governance system had been made to ensure people were cared for safely. Changes to staffing levels improved the care people received and significantly reduced the times people waited for care. Appropriate action had been taken following several safeguarding concerns, although there were some inconsistencies with the level of investigation that had taken place.

People were offered choice in what activities they wanted to undertake, and we observed people to be happy and engaged with the staff. Staff treated people with kindness. Relatives felt when they raised concerns they were listened too.

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 inadequate (published 23 March 2021). 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.

This service has been in Special Measures since 23 March 2021. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

We carried out an unannounced focused inspection of this service on 19 January 2021. Breaches of legal requirements were found. Breaches were around safe care and treatment, good governance, staffing and person-centred care. We also received safeguarding concerns relating to how people were treated following our last inspection.

We undertook this focused inspection to check they now met legal requirements and to examine the safeguarding concerns raised. This report only covers our findings in relation to the Key Questions Safe, Caring, Responsive and Well-led which contain those requirements. 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.

The ratings from the previous comprehensive inspection for the key question not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from inadequate to requires improvement. This is based on the findings at this inspection.

Follow up

We will continue to monitor information 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.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gedling Village Care Home on our website at www.cqc.org.uk.