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Old Gates Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Old Gates Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 25 April 2019

About the service: Old Gates Care Home provides accommodation in three units, for up to 90 people who need either nursing or personal care and support. These units are Cherry, Holly and Rowan. Care and support for people living with a dementia is provided in Rowan. There were a total of 75 people using the service on the days of our inspection.

People’s experience of using this service: People’s experience of Old Gates varied depending on the unit on which they lived.

We were unable to visit Rowan unit due to an outbreak of diarrhoea and vomiting. However, staff who had recently worked on this unit told us improvements had been made since the last inspection and the quality of care people received was good. One staff member commented, “It’s fun on Rowan. You go home smiling.”

People on Cherry unit, which provided care for people who did not require nursing care, was generally good. However, people on this unit told us there were not always enough staff to respond to their needs in a timely manner. During the inspection, we observed a lively atmosphere on Cherry unit with people engaged in conversation and activities.

Our observations, discussions with staff and review of records on Holly unit showed people’s quality of life was adversely affected by staffing levels. People on this unit had complex nursing needs and required two staff to meet their needs. Many people who lived in this unit remained in bed during both days of the inspection and we saw limited positive interactions between staff and people they were caring for. Staff told us they did not have the time to provide people with the care they needed. People’s medicines on this unit were not always safely managed.

Rating at last inspection: This was the first inspection since a new provider had taken over the running of the service on 15 December 2017.

Why we inspected: This comprehensive inspection was prompted by information of concern we had received from the local authority quality team and local clinical commission group following their visits to the service in January 2019.

Enforcement: We identified three breaches of the Health and Social Care Act (Regulated Activities) Regulations 2014; these related to staffing levels and the support and training staff received, the unsafe handling of medicines and the lack of robust systems to monitor the quality and safety of the service. Information relating to the action the provider needs to take can be found at the end of this report. Full information about the Care Quality Commission's regulatory response to the more serious concerns found at inspections and appeals is added to reports after any representations or appeals have been concluded.

Follow up: We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates. We will follow up on the breach of regulations at our next inspection.

Inspection areas

Safe

Inadequate

Updated 25 April 2019

The service was not safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 25 April 2019

The service was not always effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 25 April 2019

The service was not always caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 25 April 2019

The service was not always responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 25 April 2019

The service was not always well-led.

Details are in our Well-Led findings below.