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Gracewell of High Wycombe Good

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 15 January 2021

Gracewell of High Wycombe is a nursing home which can accommodate up to 72 people. Fifty three people were using the service at the time of this visit. People were accommodated in single, en-suite bedrooms.

This service has a dual registration which means there are two registered providers jointly managing the regulated activities at this single location. This means the service is subject to one inspection visit, however, the report is published on our website twice, under each provider.

We found the following examples of good practice.

Visitors were restricted during the current outbreak of Covid-19. Lateral flow tests were carried out before visitors could access the building. A separate area had been created to carry out these tests and for the visitor to wait in. Full personal protective equipment (PPE) was then provided to keep the person and those living and working at the service safe. Families were able to visit to see people receiving end of life care, using these processes.

Staff were tested before they came on duty, using lateral flow tests. They also received regular weekly testing. Anyone who tested positive followed isolation procedures and remained off work until there was no risk of transmission. Agency workers had been used to help support the home where several staff needed to be off work. These workers were block-booked and only worked at this service, to reduce the risk of transmission from home to home.

The risk of transmission around the building by staff had been assessed and reduced. For example, staff rest rooms had been created in the part of the home they worked in, to reduce movement from floor to floor. Staff had completed training on infection control practices. The risks of potential exposure to the virus had been assessed for all staff, taking into account health conditions and high risks associated with people from black, Asian and other ethnic minority backgrounds.

The service had good supplies of PPE. This was readily available at the entrance and around the building. There were clearly marked areas for donning and doffing PPE and clinical waste bins were provided for disposal. Hand sanitiser was available throughout the building.

People were tested prior to admission to the home and isolated in their room. Managers had been able to use vacant rooms to create isolation areas for people who had tested positive. Risk of transmission had been reduced through numerous practices, such as removal of table cloths and using disposable crockery and cutlery for people who were isolating. Regular testing was carried out for people who used the service.

The premises were kept in a clean and hygienic condition throughout by a team of housekeeping staff. Fumigation had been undertaken by external contractors the day before this visit.

The home had liaised with appropriate external bodies for advice and guidance, such as Public Health England. Managers were also undertaking a root cause analysis, to help prevent further occurrence. A business contingency plan was in place, to reduce the effects of potential disruption to people’s care. There were policies and procedures to provide guidance for staff on safe working practices during the pandemic. Auditing and observation of care practice took place to ensure these were adhered to.

Inspection areas

Safe

Good

Updated 15 January 2021

Further information is in the detailed findings below.

Effective

Good

Updated 15 January 2021

Caring

Good

Updated 15 January 2021

Responsive

Outstanding

Updated 15 January 2021

Well-led

Requires improvement

Updated 15 January 2021