• Care Home
  • Care home

Gardenia Court Nursing Home

Overall: Requires improvement read more about inspection ratings

21 Uphill Road North, Weston Super Mare, Somerset, BS23 4NG (01934) 632552

Provided and run by:
Charis House Limited

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 11 June 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

The inspection was carried out by one adult social care inspector, an expert by experience, a specialist advisor and an assistant inspector on the first day. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience’s area of expertise was older people. The specialist advisor was a nurse. On the second day one adult social care inspector completed the inspection.

Service and service type:

Gardenia Court is a nursing home. People in nursing homes receive accommodation and nursing or personal care. 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 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:

The inspection was unannounced on the first day.

What we did:

We reviewed information we had received about the service since the last inspection in July 2017. This included details about incidents the provider must notify us about. We also looked at information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. Following the inspection, we contacted three health care professionals. We managed to gain feedback from one.

During the inspection we spoke with nine people living at the service, six relatives and six members of staff, including the registered manager. During the inspection we reviewed four people’s care and support records and four staff files. We also looked at records relating to the management of the service such as incident and accident records, questionnaires, recruitment and training records, policies, audits and complaints. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us to understand the experience of people who cannot talk with us.

Overall inspection

Requires improvement

Updated 11 June 2019

About the service: Gardenia Court Nursing home is registered to provide up to 29 people who have nursing or personal care needs. At the time of the inspection 19 people were living at the service.

People’s experience of using this service:

¿ Systems to monitor and audit the safety and quality of the service was not effective and had not identified the improvements that were required.

¿ Some risk assessments required additional information relating to how staff should use people’s moving and handling equipment. Risk assessments were also required for people at risk of spilling hot or cold drinks.

¿ Some areas of the home required improvements such as carpets that needed straightening due to being lumpy and fraying. Thresholds were also fraying posing an additional trip hazard however the registered manager rectified this following the inspection. Water temperatures exceeded safety requirements and one person had a leaking toilet and broken toilet roll holder.

¿ Improvements were required in hand washing whilst administering medicines.

¿ People felt safe and able to summon help if required.

¿ People were supported by staff who had received training, supervision and an annual appraisal.

¿ People were supported to access health care professionals when required.

¿ Carers were kind and caring and people were supported with dignity and respect.

¿ Staff knew people well and encouraged independence.

¿ Care plans were personalised and individual. However, people who required support when they became anxious or upset required additional information on how staff should support them.

¿ Complaints were investigated, and outcomes recorded.

¿ Staff felt supported and that the service had a positive culture.

Rating at last inspection: Good (Published July 2017). At this inspection we found the service required improvement in Safe and Well-led and the overall rating had changed to Requires Improvement.

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.