Archived: Grey Gables Residential Home

Grey Gables Residential Home is a residential care home providing personal care for up to 40 older people who may be living with dementia. At the time of inspection 28 people were living in the home.

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

The service was able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture.

Right support

People were supported to have choice, staff supported people in the least restrictive way possible.

The provider supported people to make choices, and have control over their own lives, such as what time they got up and went to bed.

Right care

We saw that staff were caring and promoted the people they were supporting dignity.

Right culture

People told us they felt safe and staff had training on how to recognise and report abuse and they knew how to apply it. Staff told us how they would recognise pain, distress and discomfort in people who could not verbally communicate. Records showed the provider has systems in place to ensure staff had been recruited safely.

There was a system in place to monitor staff contact with people in the form of daily logs to ensure continuity of care after shift changes. Care plans and risk assessments identified people’s support needs and staff had a good understanding of the support people needed.

Infection Controls were not always in accordance with good hygiene practices. We found issues in the maintenance of the property that could pose infection risks.

Leadership decisions about encouraging independence meant that people were encouraged to do as much as possible for themselves to promote independence.

People were treated with kindness and compassion. People felt well supported. People’s privacy and dignity was maintained.

People received person centred care. People, relatives and staff expressed confidence in the registered manager. People, relatives and staff were given the opportunity to provide feedback. Audits took place to ensure the quality of the service was maintained.

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 10 July 2019. We completed a focussed inspection 12 April 2021 which only looked at the Safe and Well led key questions. The service was inspected but not rated due to the fact that this was a new provider, and the service required a full inspection to be rated.

Why we inspected

We undertook this inspection to assess that the service is applying the principles of Right support right care right culture. We inspected as the service had not been inspected in all areas since registration. We also followed up on concerns raised from the previous focussed inspection published on 12 April 2021.

The overall rating for the service is Good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Grey Gables Residential Home on our website at www.cqc.org.uk.

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.

Grey Gables is a residential care home providing personal care and accommodation for up to 40 older people some of whom may live with Dementia. The service was supporting 24 people at the time of the inspection.

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

The management of controlled drugs needed improving to ensure safe practices were being followed. Improvements were also needed to ensure all prescribed creams and eye drops were dated when opened to ensure they were not used after their expiry date. A person sustained an avoidable injury due to staff not following procedures in place. All required action has been taken in relation to this by the manager. Improvements were required in relation to completion of monitoring charts to ensure they were completed consistently and reflected the support provided to people. New electronic care planning systems have been implemented as planned to improve the completion of records.

Systems were in place to protect people from risk of abuse. Measures were in place to prevent the spread of infection. People told us, and we observed there were enough staff on duty to meet the needs of people.

Systems were in place to monitor the service provided. such as audits. These needed to be improved to ensure they were more detailed to enable the provider and management team to identity shortfalls. People’s needs were met, and arrangements were in place to support people to maintain contact with their loved ones. Staff enjoyed their role and were supported by the management team.

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 Good published on 31 October 2018.

Why we inspected

The inspection was prompted in part due to whistle blowing concerns we had received in relation to the management of medicines, staffing levels, infection control practices, people’s care, and the management of the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. As this was not a fully comprehensive inspection we are not able to provide an overall rating. We have rated each question we inspected.

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 coronavirus and other infection outbreaks effectively.

We have found evidence that the provider needs to make improvement. Please see the Safe and Well Led sections of this full report.

You can read the report from our last comprehensive inspection, undertaken before the change of provider by selecting the ‘all reports’ link for Grey Gables on our website at www.cqc.org.uk.

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.