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Gorton Parks Care Home Requires improvement

The provider of this service changed - see old profile

We are carrying out a review of quality at Gorton Parks Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 23 July 2019

About the service

Gorton Parks is registered to accommodate up to 148 people across five separate units. At the time of our inspection there were 133 people living at the service.

Three units specialise in either nursing or residential care (Sunnybrow, Abbey Hey and Melland). Delamere and part of Debdale are ‘intermediate’ care beds which provide reablement services for people discharged from hospital. The care staff were employed by Advinia, with the NHS providing the nurses, physiotherapists and occupational therapists. The other half of Debdale is a nursing unit run by Advinia.

Each unit has a lounge, dining area, a conservatory, and a kitchenette. All bedrooms are single with no ensuite facilities. Accessible toilets and bathrooms are located near to bedrooms and living rooms.

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

People living in Abbey Hey did not always receive their medicines as prescribed. Written guidance for medicines not routinely administered were not in place for the NHS units and did not explain when the medicine should be administered. Medicines records were not always fully completed.

Staff received training to support them in their role and were positive about the training they had. However, staff supporting people living with dementia had not completed training in dementia awareness or managing challenging behaviours.

The quality management system was better organised than at our last inspection, with audits being completed as scheduled. However, the medicines audits for Abbey Hey had consistently shown 80% compliance until June 2019 when the audit was 64%. Audits had not picked up the other medicines issues we identified. Training audits had not identified the gaps in training for staff working with people living with dementia.

Incidents and accidents were recorded and reviewed by the registered and clinical services managers. We have made a recommendation about ensuring all incidents are reported.

People and relatives said they felt safe living at Gorton Parks and were positive about the care staff. Staff knew people and their needs and explained how they maintained people’s privacy and independence.

There were sufficient staff on duty to meet people’s assessed needs, although they were seen to be busy. An activity coordinator team arranged activities for people or engaged in individual chats with people. Two of the five coordinators had started work on the first day of our inspection. We did not observe staff having the time to engage people in activities on the households as they were busy supporting people.

Staff were positive about working at Gorton Parks. They felt supported and that the management team were approachable and would listen to their concerns or ideas.

The home was visibly clean, however there was an odour in the lounge area of Abbey Hey. Equipment was checked, maintained and serviced in line with regulations and guidelines.

Risk assessments and care plans were in place and reflected people’s needs. The majority of care plans had been re-written on Advinia paperwork. The remaining care plans were on track to be transferred. People and their relatives had been involved in agreeing their care plans.

People’s end of life wishes were recorded.

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.

People were supported to maintain their health. Referrals were made to medical professionals appropriately.

People received support to maintain their food and fluid intake. People’s weights were monitored, and fortified foods offered to those at risk of losing weight.

People’s cultural needs were recorded and were being met. A range of culturally appropriate meals were available. People’s communication needs were recorded, and staff knew how they communicated and made decisions.

The servic

Inspection areas

Safe

Requires improvement

Updated 23 July 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 23 July 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 23 July 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 23 July 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 23 July 2019

The service was not always well-led.

Details are in our well-Led findings below.