Background to this inspection
Updated
11 August 2021
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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by two inspectors, a medicines inspector, and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Ghyll Royd Nursing Home 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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This was an unannounced inspection.
Inspection activity started on 13 July 2021 and ended 29 July 2021. We visited the service on 13 July 2021.
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 Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all of this information to plan our inspection.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with six people and two relatives who used the service about their experience of the care provided. We spoke with 13 members of staff including the nominated individual, deputy manager, group quality assessment manager, nurse, housekeeping, chef and care staff. We reviewed a range of records during and after our visit to the home. This included three people’s care records and multiple medication records.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at risk assessments and quality assurance records including policies and procedures.
Updated
11 August 2021
Ghyll Royd Nursing Home is a care home providing personal and nursing care to 45 people aged 65 and over at the time of the inspection. The home is divided into three units; Yew and Rowan units provide general nursing care and the Beech unit provides specialist dementia care. Each unit has a designated unit manager. The service can support up to 76 people.
People’s experience of using this service and what we found
The provider had systems in place to safeguard people from the risk of abuse and staff knew how to respond to safeguarding concerns. People and their relatives told us they or their family member were safe at the service. We found people received their medicines as prescribed because medicines were managed safely. There were systems in place to identify, manage and reduce risks for people. We found improvements had been made in relation to recent admissions into the home through lessons learnt.
The provider had an infection prevention and control procedure, updated to reflect COVID-19 guidance. Staff attended training to help protect people from the risk of infection. The service was clean and uncluttered. Safe recruitment procedures were in place and there were enough staff to meet people's needs.
We found peoples hydration and nutritional needs were being met. 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 provided with training and support to help ensure people's needs were met.
People, relatives and staff felt the service was well-led and that staff were kind, chatty and caring. Staff told us the management was good, and they felt supported.
The provider and manager had systems in place to monitor, manage and improve service delivery and support provided to people. Regular audits were carried out to monitor the service provided.
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 24 February 2021).
Why we inspected
The inspection was prompted due to concerns about potential risks around admissions, hydration and nutritional needs, medicines, response to COVID-19 and lack of management oversight. We therefore carried out a focused inspection to review the key questions of safe well-led only.
We found no evidence during this inspection to show people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Ghyll Royd Nursing Home on our website at www.cqc.org.uk
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 coronavirus and other infection outbreaks effectively.
Follow up
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.