Archived: The Sandford Nursing and Residential Home

Updated 15 January 2020

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.

Inspection team

This inspection was completed by one inspector, one assistant inspector and one Expert by Experience. 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

The Sandford Nursing and Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 registered with the Care Quality Commission. This means that they 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 used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We took this into account when we inspected the service and made the judgements in this report.

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.

During the inspection

We spoke with five people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including senior care staff, care staff, the domestic supervisor, cook and registered manager.

We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at a variety of records relating to the management of the service, including policies and procedures.

Updated 15 January 2020

About the service

The Sandford Nursing and Residential Home is a residential nursing care home providing personal and nursing care to 27 people aged 65 and over at the time of the inspection. The service can support up to 35 older people.

People are accommodated in individual rooms across three floors, with access to each floor by passenger lift. Accessible bathrooms and toilet facilities are situated on each floor. People have access to communal areas and direct access to the garden.

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

Systems and processes were in place to help keep people safe and risks associated with their care needs had been assessed. People were supported by enough staff who had been recruited safely. People’s medicines were managed safely and they got them when they needed them. The home was clean and staff practice helped to reduce the risk of cross infection. Incidents were monitored to help reduce the likelihood of them happening again.

People continued to receive an effective service which met their care and support needs. Staff training ensured they had the relevant skills to meet people's care and support needs. People had enough to eat and drink to maintain their wellbeing and they had access to the healthcare support they needed.

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 treated well by staff and their privacy, dignity and independence was promoted and respected. Staff had formed positive relationships with people and involved them in making decisions about their care. People felt listened to and treated with kindness.

People received care which was personalised to meet their needs. They had access to activities which they enjoyed and were part of the local community. Complaints were responded to and investigated in a timely way.

The provider and registered manager had oversight of the home and the quality of care provided by staff. People were happy living at the home and enjoyed the positive culture. Staff worked well together as a team, and there was good partnership working with others to meet people's needs. Staff morale was good and staff felt well supported.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 22 June 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.