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 36 people using the service including those living with dementia.
People’s experience of using this service and what we found
We recommended that the provider reviews the best areas of the home to provide busy activities and enhance the experience for people using the service.
The home was responsive to people’s needs including activities and was striving to reachieve the high standards at the previous inspection, although they weren’t quite there yet with the activities co-ordinator updating the activities needs of people. The registered manager and staff regularly assessed and reviewed people’s care needs and updated their care plans accordingly, although some relatives had concerns regarding recorded information about people being inaccurate. This was addressed during the inspection visit. Staff, who knew people and their preferences well, provided them with person-centred care. This included any communication needs. People were given choices, and encouraged to follow their routines, interests and maintain contact with friends and relatives to minimise social isolation. People and their relatives were given easy to understand information about the service to decide if they wanted to move in. Complaints were appropriately recorded, investigated and responded to.
People, their relatives and staff told us the home was a safe place for people to live and staff to work. Risks to people were regularly assessed, reviewed and minimised. This meant people were enabled to take acceptable risks, and enjoy their lives safely. Any safeguarding concerns, accidents, and incidents were reported, investigated and recorded. The home had enough staff to appropriately meet people’s needs and support them. Staff were suitably recruited and trained including how to safely administer medicines. The home provided Personal Protection Equipment (PPE) and it was used safely, and effectively. The infection prevention and control policy was up to date.
The home was well led and managed in an open, transparent and positive way, although some relatives felt communication could be improved between them and the home. This was acknowledged by the registered manager who was working to improve it. Other relatives were happy with it. The provider had a vision and values that were clearly set out and staff understood and followed them. There was also an honest culture. The management and staff had clearly defined areas of responsibility, accountability and a good, regularly reviewed service was provided. Thorough audits were conducted. There were well-established, community links and working partnerships that were maintained. The provider met Care Quality Commission (CQC) registration requirements. Healthcare professionals told us that the service was well managed and people’s needs were met in a professional, open, caring and friendly way.
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.
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 Outstanding (published 25 October 2019). The overall rating for the service has changed to Good. This is based on the findings at this inspection.
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.
We did not inspect the key questions of effective, 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.
Recommendations
We have made a recommendation regarding the activities provided for people. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the Responsive section of this full report.