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This care home is run by two companies: Gracewell Healthcare Ltd and Gracewell Healthcare 3 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 11 October 2017

We carried out an unannounced inspection of this home on 13 and 14 September 2017.

Gracewell of Fareham is registered to provide accommodation, nursing and personal care services for up to 89 older people and people who may be living with dementia or a physical disability. At the time of our inspection 68 people lived at the home. They were accommodated in a purpose built building consisting of three floors and six bungalows for people with greater independence. The ground floor accommodation was intended for people with less complex needs, people living with dementia were supported on the first floor and the second floor accommodated people with other, more complex nursing needs. Each floor was divided into two named wings. Each wing had a shared sitting and dining area and each floor had a larger, central shared area. The ground floor had a hair dressing salon and cafeteria.

There was a registered manager in post. 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.

At the last inspection in October 2016 we identified one breach of the Care Quality Commission (Registration) Regulations 2009 and two continuing breaches and one new breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We issued requirement notices and a warning notice. At this inspection we found there had been improvements and the regulations had been met.

People and visitors felt the service was safe. People looked comfortable, relaxed and happy in their home and with the people they lived with.

People were supported by staff who had a good understanding of how to keep them safe. All staff had undertaken training on safeguarding adults from abuse and displayed good knowledge on how to report any concerns. Staff were able to describe what action they would take to protect people from harm.

Staff had a good understanding of people's needs and spoke in a caring way about the people they supported.

There were sufficient numbers of staff to meet people's needs and to keep them safe. The provider had effective recruitment and selection procedures in place and carried out checks when they employed staff to help ensure people were safe. Staff were well trained and aspects of training were used regularly when planning care and supporting people with their needs and lifestyle choices.

Staff encouraged people to be independent and promoted people's choice and freedom.

The registered manager and staff demonstrated a good understanding of the Mental Capacity Act 2005. People were supported where possible to make everyday choices such as what they wanted to wear, eat and how to spend their time. The manager was aware of the correct procedures to follow when people did not have the capacity to make decisions for themselves and if safeguards were required, which could restrict them of their freedom and liberty.

Care records contained detailed information about how individuals wished to be supported. People's risks were well managed, monitored and regularly reviewed to help keep people safe.

People were supported to take part in a range of activities inside the home and they reflected people's interests and hobbies.

People were supported to maintain good health through regular access to health and social care professionals, such as GPs and speech and language therapists. People's dietary needs and any risks were understood and met by the staff team.

Staff described the management as supportive and approachable. Staff were well supported through induction and on-going training.

There were systems in place to monitor the quality and safety of the service provided and to manage the maintenance of the buildings and equipment.

Inspection areas

Safe

Good

Updated 11 October 2017

The service was safe.

People were safe from harm because staff were aware of their responsibilities and able to report any concerns.

Risk assessments were in place to keep people safe.

Medicines were well managed.

Systems had been put in place to keep people, visitors and staff safe.

Effective

Good

Updated 11 October 2017

The service was effective.

The service was compliant with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS).

People were supported to make choices about their daily lives. People�s fluid and nutritional intake was monitored where required.

People�s healthcare needs were met and staff worked with health and social care professionals to help people access relevant services.

Caring

Good

Updated 11 October 2017

The service was caring.

Staff provided the care and support people needed and treated people with dignity and respect.

People�s views were actively sought and they were involved in making decisions about their care and support.

Staff recognised and promoted the role of family and friends in people�s lives.

Responsive

Good

Updated 11 October 2017

The service was responsive

People received person centred care and support.

People, were encouraged to make their views known and the service responded by making changes.

Well-led

Good

Updated 11 October 2017

The service was well led.

The manager and provider demonstrated good management. They had an open, honest and transparent management style with staff and people who used the service.

The provider had systems in place to check on the quality of service people received and any shortfalls identified were acted upon.