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Georgian House Nursing Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 16 November 2019

About the service

Georgian House Nursing Home is a nursing home providing personal and nursing care to 25 people aged 65 and over at the time of the inspection. Some people were living with dementia and two people were receiving end of life care. The service can support up to 26 people.

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

At our last inspection, we issued a recommendation because the environment was not developed to meet the needs of people who lived with dementia. Although the provider had taken some steps to improve the environment, such as painting some walls a different colour, they had not improved other areas and the environment still did not meet people’s needs.

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.

Staff were responsive to people’s individual needs and knew them well. They supported each person by spending time with them and listening to them. They ensured that each person felt included and valued as an individual. People were supported to engage in activities organised at the home. They were consulted in all aspects of their care and support and were listened to.

People who used the service and their relatives were happy with the service they received. Their needs were met in a personalised way and they had been involved in planning and reviewing their care. People said the staff were kind, caring and respectful and they had developed good relationships with them.

The provider worked closely with other professionals to make sure people had access to health care services. People received their medicines safely and as prescribed. People’s nutritional needs were assessed and met.

People's needs were assessed before they started using the service and care plans were developed from initial assessments. People and those important to them were involved in reviewing care plans. Risks to their safety and wellbeing were appropriately assessed and mitigated. There were systems for monitoring the quality of the service, gathering feedback from others and making continuous improvements.

Staff were happy and felt well supported. They enjoyed their work and spoke positively about the people they cared for. They received the training, support and information they needed to provide effective care. The provider had robust procedures for recruiting and inducting staff to help ensure only suitable staff were employed.

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 6 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvement.

Enforcement

We have identified a breach in relation to person-centred care.

Please see the action we have told the provider to take at the end of this report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Georgian House Nursing Home on our website at www.cqc.org.uk.

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 16 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 16 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 16 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 16 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 16 November 2019

The service was not always well-led.

Details are in our well-led findings below.