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Inspection Summary


Overall summary & rating

Good

Updated 19 August 2017

David Gresham House is a 29 bedded residential care home. It is registered for Accommodation for persons who require nursing or personal care. There were 28 people living at the home on the day of our inspection.

At the last inspection on 10 December 2014 the service was rated ‘Good.’ At this inspection we found the service remained ‘Good.’

People continued to be kept safe because staff were knowledgeable about the processes to follow when they suspected abuse. Safe recruitment practices continued to be followed by the provider that ensured only suitable staff worked at the home. Risk assessments were in place to enable people to remain safe and they continued to provide guidance to staff about the risks and how to maintain people’s safety. Records of accidents and incidents were maintained and actions to help to prevent the re-occurrence of these had been implemented. There were sufficient numbers of staff to attend to the assessed needs of people. Medicines were managed and stored safely and people received their medicines on time and as prescribed by their GP.

Staff continued to receive training, regular supervision (one to one meeting) and annual appraisals that helped them to perform their duties. Staff understood the Mental Capacity Act 2005 (MCA) principals. There were no restrictions in place. Staff supported people to eat a variety of freshly prepared foods. People had access to all external healthcare professionals and their involvement was sought by staff to help maintain good health.

Staff showed kindness and compassion and people’s privacy and dignity were upheld. People were able to choose how they spent their spend time, could freely access all communal areas of the home and their personal care needs were attended to in private. People’s relatives and visitors were welcomed and there were no restrictions of times of visits.

Documentation that enabled staff to support people and to record the care they had received was up to date and continued to be regularly reviewed. People and their relatives were involved in the reviewing of their care. People took part in a variety of activities that interested them. A complaints procedure was available to people, relatives and visitors. Complaints received had been resolved in accordance with provider’s complaints policy.

The provider had an effective system in place to monitor the quality of care and treatment provided at the home. Staff were asked for their views about how the home was run during staff and daily handover meetings.

Inspection areas

Safe

Good

Updated 19 August 2017

The service remains Good.

Staff were knowledgeable about their roles and the reporting process to follow if they suspected abuse.

There were sufficient staff deployed at the home to meet people’s needs.

Risks to individual people had been identified and written guidance for staff about how to manage risks was being followed.

Accidents and incidents were recorded and monitored by staff at the home to help minimise the risk of repeated events.

The provider had carried out full recruitment checks to ensure staff were safe to work at the service.

People’s medicines were managed, stored and administered safely.

Effective

Good

Updated 19 August 2017

The service remains Good.

People were supported by staff who had received training, supervisions and appraisals that enabled them to provide effective care for people.

When people’s liberty was to be restricted, or they were unable to make decisions for themselves, staff were knowledgeable about legal guidance to follow.

People received a choice of foods that were freshly cooked and special diets were catered for.

People’s healthcare needs were met through appointments with the appropriate professionals as and when needed.

Caring

Good

Updated 19 August 2017

The service remains Good.

Staff respected people and made them feel that they mattered.

Staff were caring, supportive and kind to people.

People were able to remain independent and make their own decisions. Staff were available to provide support if they needed it.

Relatives and visitors were welcomed and able to visit the home at any time.

Responsive

Good

Updated 19 August 2017

The service remains Good

Staff responded to people’s needs or changing needs and care plans were written with people and their relatives.

People had opportunities to take part in activities that interested them if they wished.

Information about how to make a complaint was available for people and their relatives.

Well-led

Good

Updated 19 August 2017

The service remains Good

People and their relatives had opportunities to give their views about the service.

Staff felt well supported by the registered manager.

Staff met regularly to discuss people’s needs, which ensured they provided care in a consistent way.

The provider had implemented effective systems of quality monitoring and auditing.