Background to this inspection
Updated
16 November 2019
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection team consisted of one inspector, one assistant inspector, one specialist advisor (who was a qualified nurse) and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Gracewell of Sutton Coldfield is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
This is a dual registered service and Gracewell Healthcare 3 Limited and Gracewell Healthcare Limited are both jointly responsible for service delivery at the location.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the clinical commissioning group who work with this service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with eight people who used the service and nine relatives about their experience of the care provided. We spoke with eleven members of staff including the area manager, registered manager, deputy manager, nurse, senior carers, carers, and maintenance manager. We spoke with one health care professional who regularly visited the service. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included seven people’s care records and multiple medication records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed.
Updated
16 November 2019
About the service
Gracewell of Sutton Coldfield is a care home providing personal and nursing care to 65 people aged 65 some of who are living with dementia. At the time of inspection 63 people lived at the service. The accommodation is organised into three floors, each with its own communal areas. One of the floors is a memory care floor, specialising in providing care to people living with dementia.
People’s experience of using this service and what we found
People told us they felt safe and received their medicines as prescribed. The provider had a robust recruitment process in place and there were enough staff on duty to meet people's needs. Accidents and incidents were recorded and followed through with appropriate action to minimise the risk of re-occurrence.
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. Staff had the skills and knowledge to meet people's needs and referred to healthcare professionals when required. People were involved in choosing their meals and mealtimes were a pleasant social event. The home was decorated to a high standard with some excellent facilities. The memory care floor had been carefully designed to support and engage people living with dementia.
Staff were caring. The registered manager and staff had a strong ethos of person-centred care and placed
people's wellbeing at the heart of their work. There was a positive caring culture and staff were patient and kind. People's privacy, dignity and independence were respected by staff. Relatives and friends were
made to feel welcome in the home and people were involved in decisions about their care.
Support was individualised and staff knew people’s life histories and preferences very well. People were supported to take part in many different activities which were tailored towards their preferences and individual needs. End of life care wishes were discussed with people and their relatives. The provider had a complaint process which people and their relatives were aware of to share any concerns.
Oversight of safeguarding systems and practices were in place, however there were two incidents which had not been referred to the local authority at the time of occurrence. People and staff were happy with the way the service was led and the registered manager made themselves available to people. People and relatives were involved in decisions about the service and there was good involvement from the local community. Audits were carried out to ensure the quality of the service was
maintained.
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 27 December 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.