Updated 5 October 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
This consisted of two inspectors, a nurse specialist professional advisor and an 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 service.
Service and service type
Garside House 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. Garside House 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.
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced. The provider knew we would be returning on the second day of the inspection.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. This included any significant incidents that occurred at the service. 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.
We reviewed the previous inspection report and actions plans submitted after the last inspection. We contacted the local authority commissioning and safeguarding teams to support our planning. We used all of this information to plan our inspection.
During the inspection
We met and had introductions with people who used the service and spoke with four of them in more detail. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We observed the care and support provided to people across different parts of the day, including mealtimes. We also spoke with two relatives who were visiting during the inspection.
We spoke with 13 staff members. This included the registered manager, a regional manager, the clinical lead, two nurses, five care assistants, the chef, a regional maintenance manager and the housekeeping supervisor.
We asked the manager to share a questionnaire with the staff team to give them an opportunity to give us feedback about their experience of working in the home and heard back from a further five staff members.
We reviewed a range of records. This included nine people’s care and medicines records and five staff files in relation to recruitment, training and supervision. We also reviewed records related to the management of the service, which included incident reports, complaints, quality assurance and health and safety checks and minutes of a range of meetings held across the service.
We sat in and observed the daily team meeting which included the registered ma