Background to this inspection
Updated
29 October 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 14 October 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
29 October 2020
About the service
Knowle Gate Care Home is care home providing personal and nursing care to a maximum of 60 younger people, people aged 65 and over, people with mental health conditions and people with physical disabilities and sensory impairments. Some of those people lived with dementia. The home is purpose built and during our visit 53 people lived at the home.
People’s experience of using this service and what we found
People felt safe and the provider’s safeguarding procedures protected them from harm. Risks associated with people’s care had been assessed and were well managed. Staff understood the risks and knew how to care for people safely.
Staff were recruited safely, and enough staff were on duty during our visit to meet people's needs in a timely way. Recruiting new staff was one of the registered managers main priorities.
The environment continued to meet people's needs and plans were in place to ensure the home remained a pleasant place for people to live. The building was clean and infection prevention and control measures were effective. Staff completed infection control training and their practice protected people from the risks of infection.
People had confidence in the ability of staff to deliver their care effectively. New staff completed an induction in line with nationally recognised induction standards when they started work at the home. Staff spoke positively about their training and were encouraged to develop their skills to benefit people.
People enjoyed the food and were encouraged to eat nutritionally balanced meals to maintain their health. People had access to health professionals when needed and the staff team worked in partnership with health and social care professionals to ensure people received the care they needed to remain well.
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.
Staff demonstrated commitment to protecting people’s rights in relation to equality and diversity. People felt respected and confirmed their independence was promoted and care was provided in a dignified way.
People received personalised and responsive care from kind and caring staff. People and those closest to them had contributed to an assessment of their needs before they had moved into the home. Care records contained sufficient information about people to help staff provide person centred care. Good teamwork and information sharing ensured people received the care and support they needed.
People were happy with the range of social activities and events available to occupy their time. People had opportunities to maintain important relationships and develop links with their local community which enabled them to develop friendships and meet new people.
People and relatives knew how to make a complaint and felt comfortable to do so. Lessons were learnt when things went wrong, and accidents and incidents were recorded and monitored to minimise the risks of a reoccurrence.
The culture was friendly, and people and relatives spoke positively about the leadership of the service. They registered manager led by example and communicated a clear vision of how they expected people to be cared for. Quality assurance systems were effective to quickly identify and address any areas that fell below the provider’s expectation. The management were open and transparent during our inspection visit. They welcomed our feedback and showed dedication to their roles.
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 this service was Good (published 04 August 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 inspection programme. If we receive any concerning information we may inspect sooner.