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Old Gates Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 7 December 2019

About the service:

Old Gates Care Home is a nursing and residential care home which provides nursing and personal care to up to 90 people, including older people, people with a physical disability and people living with dementia. Accommodation is provided over three units, with one unit specifically for people living with dementia. At the time of the inspection, 63 people were living at the home.

People’s experience of using this service:

Some improvements were needed to how people’s medicines were managed to ensure they were safe. Shortly after the inspection, the manager provided evidence that these had been addressed. People felt safe at the home and were happy with staffing levels. Staff understood how to protect people from the risk of abuse or avoidable harm. The provider followed safe processes when recruiting staff to ensure they were suitable to support people living at the home. Staff followed appropriate infection control procedures and we found the home clean. The provider ensured safety checks of the home environment were completed regularly.

Staff supported people in a way which met their needs. People felt staff were skilled and knowledgeable. Staff were happy with the induction they received when they joined the service and received regular supervision. Some staff training updates were overdue and the manager addressed this shortly after the inspection. We have made a recommendation about this. 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 completed capacity assessments in line with the Mental Capacity Act 2005 and applied to the local authority for authorisation when people needed to be deprived of their liberty to keep them safe. Staff supported people with their dietary and healthcare needs and contacted community professionals when they needed extra support. The environment was suitable for people’s needs.

People liked the staff who supported them and told us staff were kind and respectful. Staff considered people’s diversity and respected their right to privacy and dignity. They encouraged people to be as independent as they could be and involved them in decisions about their care. The service provided people with information about local advocacy services, to ensure they could access support to express their views if they needed to.

Staff provided people with care that reflected their needs and preferences. They reviewed people’s care needs regularly and updated documentation when people’s needs changed. People told us staff knew how they liked to be supported and offered them choices. The provider managed people's concerns and complaints appropriately. Most people were happy with the activities and entertainment provided at the home.

The manager and senior staff completed a variety of audits to check appropriate levels of safety and quality were maintained at the home. The manager told us medicines practices would be monitored more closely in the future to ensure they remained safe. The provider had effective oversight of the service. Staff worked in partnership with a variety of community agencies to ensure people received the support they needed. People and relatives were happy with the management of the service. Staff felt well supported and told us care standards and the management of the home had improved since the last inspection.

Rating at last inspection:

At the last inspection the service was rated requires improvement (published 25 April 2019) and there were three breaches of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found improvements had been made. However, the service remains requires improvement, as further improvements were needed to medicines processes and practices at the home.

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Inspection areas

Safe

Requires improvement

Updated 7 December 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 7 December 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 7 December 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 7 December 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 7 December 2019

The service was not always well-led.

Details are in our Well-Led findings below.