GHC Nursing Home

Ratings

• Overall

  Requires improvement

• Safe

  Inadequate

• Effective

  Requires improvement

• Caring

  Good

• Responsive

  Requires improvement

• Well-led

  Requires improvement

Our view of the service

GHC Nursing Home is a residential care home providing personal and nursing care to older adults with physical healthcare needs and people living with dementia. At the time of the assessment the service supported 24 people. The last rating for GHC Nursing Home was requires improvement.

We assessed a small number of quality statements from the effective, and responsive key questions and found areas of concern. The scores for these areas have been combined with scores based on the key question ratings from the last inspection.

During this assessment we identified breaches in relation to person-centred care, safe care and treatment and governance systems. Staffing levels were not always sufficient to meets people’s care and support needs. Due to lack of staffing, people did not always receive their food and drink in a timely manner or ensure people had consumed enough food and drink. Safety risks to people were not always managed well and risks were not always assessed. Staff had not always followed their training when supporting people with moving and handling which could have put people at risk of harm. The provider did not have an effective process for safeguarding incidents, we found that staff had not always reported safeguarding incidents to the local authority safeguarding team as required. There were no processes or systems in place when incidents had occurred to review what had happened and prevent re-occurrence. Lessons were not learned from safety incidents or complaints. People did not receive person centred care; care was very task and staff focused. There was not a clear effective governance process or system in place.

In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and /or appeals have been concluded.
 

People's experience of this service

People did not always experience safe care. We found where people had known risks these had not always been managed safely. One person told us, “I have diabetes and i have not been asked my views on how I would like staff to support me with my diabetes.” People and those important to them had not been involved in their care planning to have the opportunity to discuss their, likes, wishes, preferences and routines. One person told us, “I have not been involved in any care plans and not sure what information staff have of me.” People did not always receive timely care due to insufficient staffing. One person told us, “When I ask to go to the toilet I can be waiting a long time, yesterday I waited for 20 minutes, and it was too late because I waited too long for the staff.” People did not always receive person centred care. We found there was a lack of meaningful activities for people to participate in. Whilst we found people’s experiences were not always positive, relatives spoke positively about the care and support their loved ones were receiving. They told us they felt their loved ones were well cared for and safe. One relative told us, “I think they treat [person] very well. [person] is well looked after.” Other comments were, “[person] is cared for, oh very well indeed. Caring and efficient as well.”