Drayton Village Care Centre

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.

We found the following examples of good practice.

Appropriate procedures were in place to reduce the risk of people visiting the home, including relatives and professionals, catching or spreading the infection. These included designated entrance and exit for visitors and staff, all visitors wearing appropriate Personal Protective Equipment (PPE) and a specific room for visits with a plastic screen which could be cleaned.

Whenever possible social distancing was complied with but where this was not possible for example when providing personal care staff wore appropriate PPE including masks, visors, gloves, aprons as well as sleeve and shoe covers when required.

The provider had a process in place for admissions from hospital which included ensuring the person had a negative Covid 19 test before discharge to the home. All new admissions were isolated for 14 days following admission and included in the home’s Covid 19 testing process.

Processes were in place to ensure PPE was used appropriately by staff including additional training, ongoing monitoring of the use of PPE and hand washing. The provider had adequate stock of PPE. Regular Covid 19 testing was carried out for both people using the service and all staff.

We were assured that this service met good infection prevention and control guidelines as a designated care setting.

Drayton Village Care Centre is a nursing home and is part of GCH (North London) Limited. It provides accommodation for up to 91 older people in single rooms. The home is situated within a residential area of the London Borough of Hillingdon. At the time of our visit there were 66 people using the service.

The provider transferred and re-registered Drayton Village Care Centre under a new limited company in May 2017. The location had previously been inspected and was rated Good overall, but this is the first rating for the service since the change in registration.

A registered manager was in post at the time of the inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The provider reviewed incidents and accidents and identified actions with guidance for staff to help reduce a possible reoccurrence. Risk management plans had been developed providing staff with information as to how to help reduce risks to people who use the service. Care plans had been updated if a change to a person’s support needs had occurred including copies of any referrals to healthcare professionals for further assessment.

Medicines were managed and administered safely with clear processes and procedures in place. People told us they felt safe when receiving care. The provider had procedures developed to respond to any concerns relating to the quality of care provided.

There was a robust recruitment process in place and staff received the training and supervision they required to provide them with the knowledge and skills to provide care to people in a safe and effective way.

We saw there were enough staff on duty to provide meaningful care and support to people in a timely manner to meet their needs but some people and staff felt the service could do with more staff on the first floor unit.

Staff carried out comprehensive assessments of people’s support needs before the person moved into the home to make sure they could meet the person’s needs. People were supported to eat healthy meals that met their dietary, cultural and religious needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and the policies and systems in the service supported this practice.

Staff supported people in a kind and caring manner, with positive and respectful interactions between staff and people using the service and relatives.

The care plans identified the person’s wishes as to how their care was provided and were up to date. A range of activities were organised and we saw people enjoyed taking part in these.

The provider had a complaints process and people were aware of how to raise concerns. We saw complaints were investigated and responded to in line with the provider’s procedure.

The provider had a range of quality monitoring systems including audits which were used effectively to help improve the quality of the service people received. People told us they felt the home was well led. All staff we spoke with told us that the senior management team was approachable and supportive.

Further information is in the detailed findings in the main body of the report.