We carried out a review of the data available to us about Sherwood Grange Care Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Sherwood Grange Care Centre, you can give feedback on this 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.
People’s experience of using this service and what we found
We had some concerns around risk management in relation to people’s specific needs and the environment. Due to the staffing levels people did not always receive person centred support. People were supported by staff who knew how to protect people from abuse. People were supported with their medicines; however, we found some concerns around the management of medicines. We have made a recommendation about the management of medicines.
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 did not always support this practice. We found some people did not have the relevant legal paperwork in place. People’s needs had been assessed on admission, however some of these assessments lacked detail.
People were supported by staff who were trained to carry out their roles. People were supported with their eating and drinking needs, they were able to choose from a daily menu, however input into this menu was limited. People were able to express their wishes on how they preferred to have their bedrooms decorated and were able to access garden areas. People were supported to access healthcare services.
People’s plans of care were not always detailed enough to guide staff on how to provide personalised care. People did have access to some activities and were able to maintain important relationships. People and their relatives did not have any concerns or complaints about the service.
The auditing and quality monitoring of the service had not been effective at picking up concerns we had identified. The registered manager was spoken highly of by staff and relatives.
People were supported by staff who treated them kindly and supported them to make choices. We made a recommendation around the use of certain language.
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 19 October 2020 and this is the first inspection. The last rating for the service under the previous provider was good, published on 20 August 2019.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
Enforcement and Recommendations
We have identified breaches in relation to risk management, application of the Mental Capacity Act, care planning and quality monitoring of the service. We have also made recommendations in relation to medicines and use of language.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.
We found the following examples of good practice.
People were supported to receive visitors in a safe way and in line with current guidance. Alternative arrangements were put in place to ensure people could continue to receive visitors during an outbreak, this included visits that took place in a pod.
People were admitted following the current admissions guidance to reduce the risk of spreading infection.
Staff were trained in infection control and were observed to be wearing appropriate PPE effectively. The registered manager said they regular checked staff for effective handwashing using a light box.
The provider had utilised and repurposed different areas of the home to support effective infection control practices and to support visiting.
Positive changes had been taken to improve the infection control of the home since the most recent audit, this included changing of flooring.
We found the following examples of good practice:
• Safe visiting arrangements had been implemented to ensure compliance with social distancing within a safe environment. For example, a visiting pod had been constructed in a ground-floor room with its own external entrance doors to allow up to two visitors from one household to see people within a COVID-19 safe environment.
• If people could not attend the visiting pod staff supported them to speak with family and friends via the telephone or video calls.
• Since care home visiting guidance had been updated in England on 8 March each person had been assigned a designated visitor who could visit them in their own room.
• The care team liaised with their designated GP practice throughout the pandemic and undertook weekly virtual ward rounds.
• The home had a thorough testing process for staff and people living there.
• Staff were adhering to personal protective equipment (PPE) use and social distancing guidance.