• Care Home
  • Care home

Drayton Village Care Centre

Overall: Requires improvement read more about inspection ratings

1 Spring Promenade, West Drayton, Middlesex, UB7 9GL (01895) 430955

Provided and run by:
GCH (North London) Ltd

Important: The provider of this service changed. See old profile

Latest inspection summary

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Background to this inspection

Updated 13 April 2023

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 Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 3 inspectors and a nurse specialist advisor. An Expert by Experience carried out interviews with people living at the home and a second Expert by Experience carried out telephone interviews with relatives following the inspection. 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

Drayton Village Care Centre is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Drayton Village Care Centre is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection a registered manager was not in post but the regional manager confirmed the provider was in the process of appointing a new manager for the home.

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 used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 14 people who used the service and 3 relatives. We also spoke with 15 staff members which included the interim, deputy manager, regional manager, care workers and nurses. We reviewed a range of records which included 14 people’s care plans, various medicines records and the recruitment records for 5 staff members. After the visit to the service we carried out telephone interviews with 11 relatives and we continued to seek clarification from the provider to validate the evidence we reviewed.

Overall inspection

Requires improvement

Updated 13 April 2023

About the service

Drayton Village Care Centre is a residential care home providing personal and nursing care to up to 91 people aged 65 and over with general nursing needs and end of life care. At the time of the inspection there were 78 people living at the home.

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

The provider had a process for recording and investigating incidents and accidents, but this was not always followed. The processes the provider had in place for monitoring care plans and the records of care written by staff did not always identify issues or where action was required.

Relatives felt care was provided in a safe manner. Medicines were managed and administered in a safe and appropriate manner. The provider had a robust recruitment process to ensure new staff had the required skills and knowledge for their role. Infection prevention and control systems were followed. Risks associated with people’s care were assessed and actions identified.

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.

Care plans were written in a person centred way and identified people’s wishes and preferences. Complaints were responded to in a timely manner. The provider had a range of quality assurance processes used to monitor the service provided. Relatives were happy with the care their family members received.

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 6 June 2018).

Why we inspected

We received concerns in relation to the care and support people received. As a result, we undertook a focused inspection to review the key questions of safe, responsive and well-led only.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Drayton Village Care Centre on our website at www.cqc.org.uk.

Enforcement and Recommendations

We have identified breaches in relation to good governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.