Gainsborough Hall is registered to provide accommodation, nursing and personal care for up to 74 people, including younger people, older people, people living with dementia and people with a physical disability.
At the time of our inspection visit there were 33 people living at the home. Care is provided across 3 floors that include a residential and nursing unit. A communal lounge and dining area are located on each floor. People’s bedrooms are ensuite and there are further communal bathroom facilities located on each floor.
People's experience of using this service and what we found
Relatives felt involved in care planning for their family member. Relatives told us their family members choices were accommodated and considered.
Relatives told us staff knew what to do and staff were trained which gave them confidence their relatives received the right level of support. Training refreshers were held to make sure staff received training to maintain staff skill and knowledge.
People and relatives were pleased with their meal choices, and they could have additional choices if requested. People received their food and fluids in line with personal preferences. People who were at risk of weight loss were regularly checked by staff to ensure any further support was provided to help maintain their health and welfare.
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.
The management team and provider completed regular audits and checks, including clinical and checks that supported a quality service.
There was no registered manager at the time of our visit but the senior management team remained consistent and they supported temporary managers at the home. A new manager was being appointed and would make an application to be registered with us.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 07 October 2022).
Why we inspected
The inspection was prompted in part due to concerns received about a lack of important health information being known by and available to staff. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of effective and well-led only.
We found no evidence during this inspection that people were at risk of harm from this concern.
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 COVID-19 and other infection outbreaks effectively. In Safe, we did not look at the entire key question, only the part of the key question related to infection prevention and control. This does not change the rating from the previous inspection.
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 stayed the same. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gainsborough Hall on our website at www.cqc.org.uk.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.