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Gainsborough Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 July 2019

About the service:

Gainsborough Care Home is a care home without nursing. It was providing personal care to 37 people aged 65 and over at the time of the inspection, many of whom were living with dementia.

Gainsborough Care Home accommodates up to 48 people in one building, which is adapted for the needs of people with mobility difficulties.

People’s experience of using this service:

People received the care they needed. Individual people’s risks were assessed and managed.

There was one instance of a person being lifted in a different sling to that specified in their care plan. The registered manager ensured the person’s care plan was updated. However, we have made a recommendation regarding always having people’s correct slings available.

Staff treated people with dignity and respect, promptly assisting people who showed signs of distress. People told us they liked the staff. A person commented, “If you’re worried, they [staff] will help you.”

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People and where appropriate their relatives were involved in decisions about their care.

Safety certification for gas, electricity and the fire warning system was up to date. Precautions were taken against legionella (bacteria that can cause serious illness) colonising the water system.

Improvements had been made to cleanliness around the building. However, there were some localised instances of unpleasant smells and staining, which staff attended to when we highlighted these.

The building was overall accessible to people with impaired mobility. Some aspects of the décor did not follow recognised guidance on dementia-friendly design.

Activities were provided.

There were enough safely recruited and trained staff to provide for people’s essential needs, but additional responsibilities for laundry and washing up made it hard for staff to spend time with people other than during care. The provider was in the process of recruiting further domestic staff who would be able to cover additional kitchen and laundry duties.

For four nights a week, there were no staff on duty who were trained to administer medicines. The provider was in the process of addressing this.

Staff worked in a confident and organised manner. They were supported through training and supervision to perform their roles effectively.

Medicines were managed safely and stored securely, apart from some prescribed skin creams that were loose in some people’s rooms.

The provider’s quality assurance system had not identified or remedied shortfalls we found, such as unsecured furniture and denture cleaning tablets that had not been stowed away. You can see what action we told the provider to take at the back of the full version of the report.

Staff had up-to-date training in safeguarding adults and knew how to report suspected abuse.

The registered manager and provider had worked openly and cooperatively with health and social care professionals who were investigating safeguarding concerns. Accidents and incidents were reviewed to ensure necessary action had been taken to keep people safe.

Concerns about people’s health were referred to the appropriate health professionals.

Dietary needs and preferences were catered for. Staff discreetly and attentively assisted people who needed support with eating and drinking.

Rating at the last inspection:

At the last inspection the service was rated requires improvement (15 January 2019).

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to meet the regulations in relation to safe care and treatment and good governance.

Why we inspected:

This inspection was brought forward due to information of concern relating to people’s care and safety. There was an ongoing safeguarding enquiry overseen by the local

Inspection areas

Safe

Requires improvement

Updated 26 July 2019

The service was not always safe.

Details are in our Safe findings below.

Effective

Good

Updated 26 July 2019

The service was effective.

Details are in our Effective findings below.

Caring

Good

Updated 26 July 2019

The service was caring.

Details are in our Caring findings below.

Responsive

Good

Updated 26 July 2019

The service was responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 26 July 2019

The service was not always well-led.

Details are in our Well-Led findings below.