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Archived: Gotton Manor Care Home Good

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All reports

Inspection report

Date of Inspection: 31 January 2012
Date of Publication: 8 March 2012
Inspection Report published 8 March 2012 PDF


Inspection carried out on 31 January 2012

During an inspection looking at part of the service

We carried out an unannounced inspection to review the nursing home service and to check whether improvements had been made since our last inspection on 1 and 6 September 2011.

At the inspection in September 2011 we found that the residential home service (The Coach House) was meeting the essential standards of quality and safety. However, we had concerns about the nursing home service which was not compliant with four of the essential standards. Improvements were also needed to maintain compliance with two other essential standards.

At our last inspection we found that there were some inconsistencies in staff practices. Previously we were told that some of the male care staff were impolite and not very friendly. At this inspection we were told that this had improved. People told us, �I am happy for the male carers to look after me� and �I get on fine with the male carers�.

Throughout the day we observed that the staff were polite and respectful. We observed and heard much improved communications between staff and people who lived in the home. Staff regularly greeted people and engaged them in friendly conversations. For example, while supporting people with their lunch the staff engaged well with everyone including people who had difficulty communicating verbally. The staff were more visible and available when people needed assistance. The general atmosphere throughout the home was sociable, friendly and personal.

At our last inspection some people told us they had concerns about the time taken by staff to respond to call bells and a lack of activities for people to do. We also found that the needs of people with mental health issues were not sufficiently well understood. At this inspection we observed that the call bell rang much less frequently and when it did ring it was responded to quickly. One person told us, �It is a bit intermittent, sometimes the bells all go off together but mostly I don�t notice them. At night they dim the noise to make it less disturbing�.

A new activities coordinator had been appointed since our last visit. Several people told us that they had regular one to one discussions with the activities coordinator. Group activities were also taking place on the day of our inspection. We spoke with three people who sometimes displayed challenging behaviours. They were calm and relaxed and appeared to be a lot happier than when we last met them.

People�s bedrooms and communal areas, such as the dining room and the lounge, were all clean and tidy. A lot of refurbishment work had taken place since our last inspection. These works had improved the environment for people in the home and had aided the prevention and control of infection. However, some of the internal corridors as well as the outside fabric of the nursing home remained in poor decorative order. Management informed us that funding had already been earmarked by the company for further refurbishment works.

The home had recently appointed a new full-time manager. At this inspection we observed that they had an open management style. The new manager was visible throughout the home and was observed speaking with people and enquiring about their well being and their experiences of the service. One person said �The new manager is very friendly and down to earth. He�s the kind of person you could say anything you want to�. The new manager told us that they planned to have quarterly residents and relatives meetings as a forum to discuss issues and obtain people�s views on the service.