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This care home is run by two companies: Gracewell Healthcare 3 Limited and Gracewell Healthcare Limited. These two companies have a dual registration and are jointly responsible for the services at the home.

Inspection Summary


Overall summary & rating

Good

Updated 25 December 2020

About the service

Gracewell of Adderbury is a care home providing accommodation for up to 60 older people, including people living with dementia. At the time of the inspection there were 53 people living at the home.

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

We received information raising concerns about staffing levels, increased number of falls and poor management of the home. We wrote to the provider and asked for information around their systems and processes. This included policies, staffing rota’s, falls risk assessments and quality assurance systems.

We inspected the home, which included visiting the home and speaking with people. We also spoke with staff and relatives virtually. We found the service had enough staff to meet people’s needs. People told us they did not have to wait to be attended to. During the inspection, call bells were answered in a timely manner and staff did not look rushed. Relatives told us they had never had any reason to think there were not enough staff to care for people. Staff told us they were enough staff to meet people’s needs.

We found risks in relation to falls had been identified and there were management plans in place. Equipment was used to prevent falls including beam sensor mats. A lot of work had been completed to ensure falls were managed and reduced throughout the home. This had included staff training around falls management.

We found people were protected from the risk of acquiring infections and the service was clean. Personal protective equipment was readily available to staff and all staff were following the latest guidance.

Prior to the inspection we received anonymous concerns that the service was poorly managed. There was a registered manager who had been in post for 6 months and had made significant positive improvements. People and relatives told us the home was well managed. Staff told us the manager was very supportive and included them in decisions about the changes. The provider had effective quality assurance systems in place which were used to drive improvement.

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 24 May 2018)

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in response to concerns received about staffing levels, increased falls and poor management of the service. A decision was made for us to inspect and examine those risks.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question.

We found no evidence during this inspection that people were at risk of harm from these concerns.

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 Gracewell of Adderbury on our website at www.cqc.org.uk.

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.

Inspection areas

Safe

Good

Updated 25 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 25 December 2020

Caring

Good

Updated 25 December 2020

Responsive

Good

Updated 25 December 2020

Well-led

Good

Updated 25 December 2020

At our last inspection we rated this key question good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.