Background to this inspection
Updated
22 February 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
The inspection was completed by one inspector.
Service and service type
Gregory House II 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 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 inspection
We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We contacted Healthwatch, this is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
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 used all of this information to plan our inspection.
During the inspection
We spent time with people who used the service talking with them and observing their support; this helped us understand their experience of using the service. We observed how staff interacted with people.
We spoke with six people who used the service and one relative about their experience of the care provided. We spoke with four members of staff including the registered manager, care manager, and two care workers.
We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including accidents and incidents, audits, policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
22 February 2020
About the service
Gregory House II is a Residential Home which can accommodate 12 people with mental health needs in two adapted buildings. Accommodation is provided on three floors. At the time of the inspection eleven people were living at the service. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.
People’s experience of using this service and what we found
People told us they felt safe living at Gregory House II. People were protected from abuse and harm by staff who had received training in safeguarding and knew how to recognise and report abuse. Risks associated with people’s care had been assessed and were regularly updated. Environmental safety checks were in place to ensure people and staff were safe from harm.
Staff received training in how to prevent the spread of infection. People’s nutritional needs were met, and people were involved in the choice of menu.
People were supported by sufficient numbers of staff who were skilled and knowledgeable, and people told us staff were kind and caring to them. People told us their privacy was maintained and their possessions were safe. Staff were recruited safely.
People’s medicines were stored and managed safely. Staff worked with other healthcare professionals to support peoples mental, physical and emotional needs.
People’s opinions of the service were gathered via meetings and surveys. People were treated with dignity and respect.
People were involved in planning their care and support and had access to advocacy services.
Peoples end of life wishes had been explored and staff knew people well.
The service was well-led, and the registered manager understood their regulatory requirements and there were systems in place to regularly monitor the service. Incidents and accidents were recorded, and the service learnt lessons by analysing these incidents.
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 supported to regain their independence.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 28/01/2019 and this is the first inspection.
The last rating for this service was Good (published 12 July 2016). Since this rating was awarded the provider has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
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.