About the service Gower Gardens Residential Care Home provides personal care for up to 66 people. The service provides support to older people, people with physical disabilities, and people who are living with dementia. At the time of our inspection there were 39 people using the service.
The care home accommodates people in one adapted building over three floors. People had access to a lounge and dining area on each floor and a cinema room and garden were also available for people to use.
People’s experience of using this service and what we found
The registered manager knew of their responsibility to notify the Care Quality Commission (CQC) of incidents of concern however, there was a delay in notifying us of two incidents. People, staff and relatives spoke positively about the management team and felt able to raise concerns. The provider had systems in place to have oversight of the quality and safety of the care, although some improvements were required to ensure everyone had an application for a Deprivation of Liberty Safeguard (DoLs) in place.
People were supported to access healthcare professionals when their needs changed, however some people had not had their annual dental checks. Staff received training and competencies to ensure they were skilled to meet people’s needs. People were offered a choice of food and the environment was warm and welcoming with further refurbishments taking place.
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 mainly supported this practice. There was a delay in applying for one person’s DoLS application.
People and relatives told us care was provided safely. Staff had received safeguarding training and knew how to recognise and report any safeguarding concerns. Infection control measures were in place, and staff competencies were completed to ensure they administered medicines safely. The provider had effective recruitment processes in place and accidents and incidents were analysed to improve care and ensure lessons were learned.
People were supported by kind and caring staff. We observed people being treated with dignity and respect and encouraged to maintain their independence. Staff ensured personal information was kept confidential and people were involved in decisions about their care.
Different activities were available for people to get involved with. Care plans contained information about people’s preferences and staff knew people well. Complaints were responded to in a timely way and information about the support people wanted to receive at the end of their life was recorded.
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 the service under the previous provider was requires improvement (published on 30 July 2022).
Why we inspected
The inspection was prompted by a review of the information we held about this service.
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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.