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Gorsefield Residential Home Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 8 May 2019

About the service: Gorsefield is a residential care home providing personal and nursing care for up to 17 people. At the time of the inspection there were 15 people using the service some of whom were living with dementia.

People’s experience of using this service:

People were not consistently supported by enough staff. People were not consistently receiving responsive care and support.

The systems in place to monitor the quality of care were not always effective and actions were not consistently driving improvements.

People felt safe and they were protected from the risk of abuse. Peoples risk assessments were followed and risks associated to the environment had been mitigated. Staff were safely recruited. Staff were trained and able to support people’s needs.

People were treated with kindness by staff who knew them well. People’s privacy and dignity was respected and their independence was encouraged. People could choose for themselves.

People were listened to and had their views sought about the care they received. There was a positive culture and learning and partnership working were encouraged.

The service met the characteristics of Requires Improvement in most areas.

We identified a breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 governance. Details of action we have asked the provider to take can be found at the end of this report.

For more details, please see the full report which is on the CQC website at

Rating at last inspection: At the last inspection the service was rated Requires Improvement (report published 7 February 2018).

Why we inspected: This was a planned inspection based on the rating at the last inspection. The location has previously been rated as Requires Improvement. At this inspection the provider had made improvements to those areas, but other areas were found to require improvement. We may consider enforcement action if there is a continued lack of improvement at our next inspection.

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

Inspection areas


Requires improvement

Updated 8 May 2019

The service was not always safe.

Details are in our Safe findings below.



Updated 8 May 2019

The service was effective.

Details are in our Effective findings below.



Updated 8 May 2019

The service was caring.

Details are in our Caring findings below.


Requires improvement

Updated 8 May 2019

The service was not always responsive.

Details are in our Responsive findings below.


Requires improvement

Updated 8 May 2019

The service was not always Well-Led.

Details are in our Well-Led findings below.