Sherwood Grange

Updated 8 December 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 Care Act 2014.

Inspection team

This inspection was carried out by 1 inspector.

Service and service type

Sherwood Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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

Inspection activity started on 20 October and ended on 24 November 2023. The inspection visits took place on 23 October 2023 and was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and health professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke in person with the registered manager and deputy. We spoke with 4 people using the service, 3 relatives, 11 staff and 2 healthcare professionals to get their experience and views about the care provided. We reviewed a range of records. They included 6 people’s care plans and risk records. We looked at 6 staff files in relation to recruitment, training, and supervision. We checked a variety of records relating to the management of the service, including staff rotas, audits, quality assurance, policies, and procedures.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 8 December 2023

About the service

Sherwood Grange is a care home that provides nursing and personal care for up to 59 older people in one adapted building. At the time of our inspection there were 53 people using the service including those living with dementia.

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

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.

The home was safe for people to live in as there were sufficient staff numbers to attend to people’s needs during the day and at night. We did an early morning visit and we saw that people were getting up at a time that suited them, their activities, and routines. People had any risks to them regularly assessed, reviewed, and minimised with any required action taken to keep them safe. This meant people were able to take acceptable risks and enjoyed their lives in a safe way. Safeguarding concerns, accidents, and incidents were reported, investigated, and recorded. Staff were appropriately recruited, and trained including how to safely administer medicines. The home provided Personal Protection Equipment (PPE) and it was used safely, and effectively in accordance with current legislation. The infection prevention and control policy were up to date.

The home was well-led managed with an honest, open, positive, and transparent culture. The provider’s vision and values were clearly set out and staff understood and followed them. People and relatives told us communication between them, staff, and the management team worked well. The management and staff had clearly defined areas of responsibility, accountability and a good, regularly reviewed service was provided. Thorough audits were conducted. Community links were well-established, and working partnerships were maintained. The provider met Care Quality Commission (CQC) registration requirements. Healthcare professionals who responded told us that the service was well managed, and people’s needs were met in a professional, open, caring, and friendly way.

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 29 March 2023). The overall rating for the service has remained good. This is based on the findings at this inspection.

Why we inspected

We received concerns in relation to staffing levels, particularly at night and people being got out of bed before they wished. There was also an allegation of inappropriate sexual activity by a person using the service towards another person. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

We did not inspect the key questions of effective, responsive, and caring.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sherwood Grange 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.