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This care home is run by two companies: Gracewell Healthcare 3 Limited and Gracewell Healthcare Limited. These two companies have a dual registration and are jointly responsible for the services at the home.

Inspection Summary


Overall summary & rating

Good

Updated 4 March 2020

About the service

Gracewell of Sutton is a nursing care home which can support up to 83 people in one adapted building. The services specialises in supporting older people living with dementia. At the time of this inspection 55 people were using the service.

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

People said they were safe at the service. Staff had been trained to safeguard people from abuse. They knew how to manage and minimise identified risks to people. The provider carried out health and safety checks of the premises and equipment to make sure they were safe. The premises were clean and tidy. Staff followed current practice which helped reduce infection and hygiene risks at the service.

There were enough staff to support people safely. Managers checked that staffing levels were meeting people’s needs at all times. Staff told us they would benefit from extra support at busy times. Managers were reviewing current arrangements to check these were continuing to support staff to provide high quality care to people at these times.

People preferred to receive care and support from permanent members of staff. The provider was recruiting more new permanent staff which would help reduce the use of agency staff at the service. The provider carried out checks on new staff, prior to them starting work, to make sure they were suitable to support people.

People and their representatives were involved in planning and making decisions about the care and support they needed. People’s records gave staff information about the care they required. This helped staff deliver support which met people’s needs. Staff knew people well and understood how their needs should be met.

Staff were kind, caring and enthusiastic about supporting people to achieve positive outcomes. Interactions between people and staff were warm and friendly. Staff provided comfort and support when people needed this. However, during the lunchtime service some staff had not been as attentive as they could have been to people’s needs. Managers undertook regular observations of mealtimes and no concerns had been identified from their most recent checks. They agreed to undertake further checks and remind staff of the standards expected during mealtimes.

Staff supported people in a dignified way which maintained their privacy and independence. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were encouraged to be healthy and keep well. People were helped to eat and drink enough to meet their needs and to take their prescribed medicines. People had mixed views about the quality of meals they ate. Managers told us a new chef had been appointed for the service and hoped this would address some of the concerns people had. People were able to access healthcare services when needed. Staff worked well with other healthcare professionals and acted on their recommendations to make sure people achieved positive outcomes in relation to their health and medical conditions. When people became unwell, staff sought help for them promptly.

People participated in a wide range of activities and events at the service. They were supported to build and maintain social relationships with others and the people that mattered to them. There were a range of comfortable spaces around the premises where people could spend time in, when not in their room. Since our last inspection the provider had redesigned some areas of the service to encourage people to come together and take part in social activities. This helped people feel more socially included.

People and their representatives knew how to make a complaint if they needed to. Managers made sure any accidents, incidents and complaints were fully investigated and people informed of the outcome. Learning from investigations was acted on and shared with staff

Inspection areas

Safe

Good

Updated 4 March 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 March 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 4 March 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 March 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 March 2020

The service was well-led.

Details are in our well-led findings below.