Background to this inspection
Updated
26 May 2023
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 inspection was carried out by an inspector and a specialist advisor, whose area of expertise was nursing.
Service and service type
Sherwood Grange Care Centre 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. Sherwood Grange Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 2 May 2023 and ended on 12 May 2023. We visited the home on 2 and 10 May 2023.
What we did before the inspection
We reviewed information we had received about the home since the last inspection. We sought feedback from the local authority and professionals who work with the home. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 1 person during the inspection and observed how staff interacted with people who were less able to speak with us. We received feedback from 13 relatives of people who lived at the home. We spoke with 10 members of staff including the registered manager, nursing and care staff, a domestic and kitchen staff. We spoke with 2 healthcare professionals who worked with the home.
We reviewed medicine records, recruitment files and looked at 5 people’s care records. We also reviewed policies and documentation in relation to the running of the home, including any audits carried out by the provider.
Updated
26 May 2023
About the service
Sherwood Grange Care Centre is a residential care home providing personal and nursing care to up to 45 people. The service provides support to adults over 65years. At the time of our inspection there were 37 people using the service.
People’s experience of using this service and what we found
People were kept safe and supported by appropriately recruited and trained staff. Any risks associated to people’s individual health needs and the wider environment were assessed, monitored, and mitigated against. People were supported to take their medicines as prescribed, and medicines were stored and managed safely. The home was kept clean to prevent the spread of infection.
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’s individual needs were assessed, and care was delivered in line with current guidance. People were supported with all their eating and drinking needs. People were able to personalise their own rooms and the home had an ongoing redecorating and refurbishment plan. People’s healthcare needs were looked after, and input was sought from relevant professionals.
People had care plans in place that were regularly reviewed. An activity program was available for people to take part in if they wished. Regular events took place in the home to involve people and their relatives. Any concerns raised were addressed by the management team to improve the quality of care delivered.
The registered manager was committed to making sure everyone was happy and looked after. Quality of the care provided and of the environment was regularly monitored to ensure people were kept safe and cared for appropriately.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 26 July 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended that the provider consider current guidance on safe management of medicines. At this inspection we found the provider had acted on the recommendation and improvements had been made.
Why we inspected
We received concerns in relation to people’s care needs and the cleanliness of the home. As a result, we undertook a focused inspection to review the key questions of safe, effective, responsive and well-led only. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe, effective and responsive sections of this full report.
For the key question not inspected, we used the rating awarded at the last inspection to calculate the overall rating.
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 COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sherwood Grange Care Centre on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.