Background to this inspection
Updated
22 July 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 Care Act 2014.
Inspection team
The inspection was completed by two inspectors.
Service and service type
Gresham Lodge 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 registered with CQC. 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 reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and other professionals who work with the service. 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 used all this information to plan our inspection.
During the inspection
We spoke with four people who used the service, two relatives and observed how staff interacted with people, to ask about and understand their experience of the care provided. We spoke with five members of staff including the registered manager, head of care, care staff and the cook.
We reviewed a range of records about peoples care and how the service was managed. This included three peoples care records and six people’s medicines administration records. We looked at two staff files, meeting minutes and a range of records relating to the running of the service and quality assurance.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and assessments of people’s capacity to make decisions around their care. We spoke with one professional who regularly visits the service.
Updated
22 July 2022
About the service
Gresham Lodge is a residential care home providing personal care for up to 21 people, some of whom may be living with dementia. At the time of inspection, 21 people lived at the service.
Peoples experience of using this service and what we found
People were happy and felt well supported by staff who were kind, caring and had developed positive relationships with people. Staff treated people with respect and maintained their privacy and dignity. Staff considered people’s values, views and beliefs, and supported people in a person-centred manner.
The service held social events for people and their relatives to attend. However, staff did not always have time to support people with social activities daily. The registered manager told us they would address this and ensure that people did not become bored. We have made a recommendation about the provision of activities.
Quality assurance systems were in place to monitor the safety and quality of the service. Some areas of monitoring required further work. The management team constantly looked at ways to improve the service and sought the views and opinions of people and staff.
Staff were recruited safely and received appropriate training and support for their role. Staff worked well as a team and had a positive approach to their work. Staff were supported by the management team.
The home was clean, friendly and homely. Staff understood people’s needs and were aware of potential risks and how to keep them safe. Staff were knowledgeable about safeguarding and able to raise concerns. People received their medicines safely.
People had their needs assessed and had access to healthcare services. People received appropriate support to eat and drink and were offered a varied and balanced diet.
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.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last Inspection
The last inspection for this service was good (published 15 September 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.