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Gardenia Court Nursing Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary

Overall summary & rating

Requires improvement

Updated 11 June 2019

About the service: Gardenia Court Nursing home is registered to provide up to 29 people who have nursing or personal care needs. At the time of the inspection 19 people were living at the service.

People’s experience of using this service:

¿ Systems to monitor and audit the safety and quality of the service was not effective and had not identified the improvements that were required.

¿ Some risk assessments required additional information relating to how staff should use people’s moving and handling equipment. Risk assessments were also required for people at risk of spilling hot or cold drinks.

¿ Some areas of the home required improvements such as carpets that needed straightening due to being lumpy and fraying. Thresholds were also fraying posing an additional trip hazard however the registered manager rectified this following the inspection. Water temperatures exceeded safety requirements and one person had a leaking toilet and broken toilet roll holder.

¿ Improvements were required in hand washing whilst administering medicines.

¿ People felt safe and able to summon help if required.

¿ People were supported by staff who had received training, supervision and an annual appraisal.

¿ People were supported to access health care professionals when required.

¿ Carers were kind and caring and people were supported with dignity and respect.

¿ Staff knew people well and encouraged independence.

¿ Care plans were personalised and individual. However, people who required support when they became anxious or upset required additional information on how staff should support them.

¿ Complaints were investigated, and outcomes recorded.

¿ Staff felt supported and that the service had a positive culture.

Rating at last inspection: Good (Published July 2017). At this inspection we found the service required improvement in Safe and Well-led and the overall rating had changed to Requires Improvement.

Why we inspected: This was a planned inspection based on the previous rating.

Enforcement: We found two breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

Inspection areas


Requires improvement

Updated 11 June 2019

The service was not always safe

Details are in our Safe findings below.



Updated 11 June 2019

The service was effective

Details are in our Effective findings below.



Updated 11 June 2019

The service was caring

Details are in our Caring findings below.



Updated 11 June 2019

The service was responsive

Details are in our Responsive findings below.


Requires improvement

Updated 11 June 2019

The service was well-led

Details are in our Well-Led findings below.