• Care Home
  • Care home

Guys Cross Nursing Home

Overall: Good read more about inspection ratings

120-122 Coventry Road, Warwick, Warwickshire, CV34 5HL (01926) 776922

Provided and run by:
Travid Enterprises Limited

All Inspections

26 January 2023

During an inspection looking at part of the service

About the service

Guys Cross Nursing Home is a residential care home providing personal and nursing care to up to 34 people. The service provides support to people with a mental health condition. At the time of our inspection there were 30 people using the service. Care and support is provided on 4 units which are split across 3 floors. People had their own bedroom with its own en-suite. Each unit has its own dining area, lounge and kitchen.

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

People received safe, effective care which achieved good outcomes. There were enough suitably trained and skilled staff to meet people's needs safely and effectively. People told us they felt safe and were comfortable in the presence of staff who interacted with people in a relaxed and friendly manner.

People were protected from the risk of abuse. Where safeguarding concerns had been raised, these had been dealt with appropriately.

Risks to people’s health and well-being had been identified, assessed and managed well. Where people experienced episodes of distress, care records contained detailed guidance for staff to follow to enable them to support people safely and mitigate risks of further distress. This included strategies to distract or re-direct the person to improve their emotional well-being.

Some people had physical healthcare conditions, for example, diabetes or conditions that impacted on their mobility. Detailed risk management plans informed staff how to support the person and identify any changes which could indicate a deterioration in their health.

People were involved in decisions about their care. People were asked every day for feedback about the way in which their care had been delivered and people felt able to make their own decisions. 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.

Systems and processes ensured medicines were managed safely. This included how they were ordered, stored, administered, recorded and disposed of.

People told us they enjoyed the food and had a choice of when and what they ate. Where people had risks around their eating and drinking, staff were provided with clear guidance about what support the person required to minimise those risks. Input from other healthcare professionals such as the speech and language team had been sought.

Staff worked collaboratively with other healthcare professionals to ensure a successful transition between services. People were encouraged and supported to engage with other healthcare professionals to ensure their mental and physical health was maintained. This included the GP, physiotherapists and psychiatric services.

People and relatives consistently told us the home was well-led. There was a positive culture within the home and staff understood the ethos and values the provider promoted. Staff worked in partnership with people to ensure they could have the best possible outcomes in line with their personal wishes and preferences. Systems and processes were in place to ensure people received high quality care. A range of quality checks were in place to ensure any issues could be identified and acted upon quickly.

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 25 November 2017).

Why we inspected

The inspection was prompted in part due to the length of time since the last inspection. We also received concerns about the management of people’s finances. A decision was made for us to inspect and examine this risk.

We undertook a focused inspection to review the key questions of safe, effective and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

We found no evidence during this inspection that people were at risk from this concern. Please see safe and well-led sections of this full report.

The overall rating for the service has remained the same based on the findings of this inspection.

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 COVID-19 and other infection outbreaks effectively.

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

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

25 October 2017

During a routine inspection

This inspection took place on 25 October 2017 and was unannounced.

Guys Cross Nursing Home is a nursing home providing accommodation and rehabilitation for up to 34 people with severe mental health disorders. The home consisted of four units over three floors. There were 32 people living in the home at the time of our inspection.

A requirement of the service’s registration is that they have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. At the time of our inspection there was a registered manager working at the service.

At the last inspection on 2 November 2015 the service was rated Good. At this inspection we found there was a real sense of integration and companionship between the staff and the people who lived at the home which was outstanding. Overall the service remained Good.

Staff were very motivated and enthusiastic to provide people with a homely environment where they felt valued. They had built good, supportive relationships with people and had a clear understanding of people's needs, wishes and expectations. Staff promoted people’s privacy and dignity by being aware of their moods and emotional wellbeing and supported people's diverse needs.

People had ownership of their care plans which were developed with them and built around what they wanted to achieve in their lives. Staff worked within the principles of the Mental Capacity Act 2005 because people were encouraged to be as independent as possible and empowered to take responsibility for their own lives and make their own decisions.

There were enough staff on duty to provide safe and effective care and respond to people’s requests for assistance. Staff understood their responsibilities to protect people from the risk of abuse and the provider checked staff’s suitability before they started working at the home. Staff received training, support and supervision to enable them to effectively carry out their role and responsibilities. Staff were positive about their role in supporting people and had a clear understanding of the provider's values in care.

Staff supported people to maintain their health. Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks to people, whilst continuing to promote people’s independence. People received their medicines in line with nationally recognised standards for safe medicines management.

People were encouraged to participate in activities in the home and in the wider community. This ensured people were given support to maintain interests and friendships that were important to them and which promoted their emotional wellbeing.

Quality monitoring and auditing systems were in place, where each month regular checks were made to ensure a safe, effective, responsive and well-led service was provided.

2 November 2015

During a routine inspection

This inspection took place on 2 November 2015 and was unannounced.

Guys Cross Nursing Home is a mental health nursing home providing accommodation and rehabilitation for up to 34 people with severe mental health needs. Some people could display behaviours that caused distress or anxiety to themselves or others. The home consisted of four units over three floors. There were 31 people living in the home at the time of our inspection.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

There was a calm and relaxed atmosphere in the home. Both staff and the people who lived there were very welcoming and happy to spend time talking with us about the care provided. Staff were caring and respectful in their approach to people. Staff had a good understanding of the importance of respecting people’s privacy and the environment promoted people’s dignity.

There were enough qualified and experienced staff to meet people’s care and support needs to keep them safe. Staff had a good understanding of their responsibilities to safeguard people and knew what actions to take if they believed people were at risk of abuse. There was a recruitment process which included checks which helped ensure staff were safe to work with people living in the home.

There was a procedure in place to identify and manage risks associated with people’s care and support. However, these did not prevent people from maintaining their independence and taking considered risks. Staff understood people and knew how to manage risks around behaviours that could place them or others at risk. Staff had been trained to de-escalate situations when people became anxious to help them remain calm.

Medicines were managed safely and records demonstrated people received their medicines as prescribed.

Staff were well supported by the managers and had received appropriate training to meet people’s individual needs effectively. Staff understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The registered manager understood their legal obligations under the DoLS and had made appropriate referrals to the authorising authority when deprivations of people’s liberty had been identified.

People were supported to eat healthy food of their choice and received care and treatment from other health care professionals such as the GP and psychiatrist.

People were involved in planning and reviewing their care and recovery programmes. These contained information for staff to provide appropriate levels of support to people. People were supported to maintain their individual hobbies and interests and continued to see people who were important to them. People told us there was always something for them to do and appreciated opportunities to go on outings and trips locally and further afield.

There was an open culture at the home and this was promoted by the registered manager and the rest of the management team who were visible and approachable. People and staff appreciated the commitment shown by the registered manager and provider to ensure people received a high standard of person centred care.

9 October 2013

During a routine inspection

We spoke with four people who lived at Guys Cross Nursing Home about their experiences of the service. We observed the care that was given to people during our inspection. We also spoke with a range of staff including the registered manager and the unit managers.

People we spoke with told us that the care that was discussed with them matched the care that was provided to them. We saw that regular reviews of people's support plans described their progress towards their goals. We saw staff listened to people's input about their care needs and their wishes.

We observed people's independence was promoted throughout our inspection and people were involved with the running of the home.

We found that the support plans were person centred and reflected people's individual needs. We noted that members of staff supported people as detailed within their care plans. We saw staff were compassionate and caring when supporting people.

We saw the home was clean and tidy. We found the home had a cleaning schedule in place and was checked on a regular basis.

People we spoke with told us that staff were friendly and supported their needs well. We saw staff understood people's care needs and how they needed to be supported.

We found the service was well led and had systems in place to monitor the quality of service being provided.

16 May 2012

During a routine inspection

During the inspection we spoke with five people using the service and nine staff. All the people we spoke with said they liked living at the home. Four people described the home as 'a nice place to live', 'alright living here' and 'ok, living here'. People said they liked the staff, felt safe and had been able to express their views.

People's needs were assessed; care and treatment had been planned and delivered in line with their individual care plans. People said care and treatment options had been agreed with them and ongoing health needs met, for example: visits to dentists, opticians and hospital appointments.

Staff told us people's independence had been supported. People said they had accessed a variety of activities, as well as requesting specific activities and going out into the local community.

We were told that people's food and drink options met their religious or cultural needs and people had snacks and drinks when they chose to. People said they had been offered one meal choice at each meal sitting; whilst, alternative options were given if requested by the person.

The staff we spoke to and people using the service said there was enough qualified, skilled and experienced staff to meet peoples' needs. Staff said they could access good support mechanisms. They told us about their supervision sessions, monthly unit meetings and two-monthly training meetings. Discussions with staff confirmed they received appropriate professional development and they were happy working at the home.