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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 26 January 2021

About the service

Gracewell of Salisbury is a nursing home for up to 63 older people some of whom live with dementia. Accommodation is provided on three floors which are accessed by stairs or a lift. All rooms are en-suite and there are communal rooms such as lounges, dining rooms and bathrooms for people to use. People have access to landscaped gardens. At the time of our inspection there were 41 people living at the home.

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

Prior to this inspection CQC received concerns about food hygiene and lack of action taken by the registered manager in response to those concerns. We checked food storage and found no evidence to substantiate the concerns raised. Staff we spoke with told us they had confidence the registered manager would look into any concerns they raised.

People were living in a home that was cleaned daily and smelt fresh. Domestic staff were employed who followed cleaning schedules to make sure all areas of the home were covered. High contact areas, such as door handles were cleaned more often.

Visiting was planned and booked so staff could make sure the visiting room was clean and available. The provider had installed a visiting ‘pod’ on the lower ground floor for family members and people to use. Visitors were screened and provided with personal protective equipment (PPE) to wear. In addition to these safety measures the provider had also accessed ‘lateral flow’ tests which provide a rapid result for COVID-19. Visitors could be tested on the day of their visit to make sure they were COVID free.

The provider had supplied the home with electronic tablets so people could keep in touch with family members during the pandemic. Staff told us they supported people to call relatives and use video calls to keep in touch. The service facilitated ‘enhanced compassionate visits’ for families when people were nearing the end of their lives.

Staff had supplies of PPE available in cupboards around the home and told us this had been available throughout the pandemic. Staff had been given training on how to use PPE safely and had areas available so they could change their clothes on arrival and departure. There was a member of staff identified as the lead for infection prevention and control. They were responsible for areas such as audits and support for staff. Staff were also provided with training and guidance on infection prevention and control good practice such as handwashing, and had their competence checked regularly.

People and staff were being tested for COVID-19 as per the government guidance. The registered manager had identified a member of staff to be a ‘COVID Co-ordinator’. Their role was to organise the testing in the home and liaise with people and families for visiting. The registered manager told us this ensured there was a point of contact for all administration duties for activities relating to COVID.

The provider had contingency plans in place to manage an outbreak of COVID-19 and any other infections. Weekly meetings and briefings were provided so staff and management could be updated on changes to any guidance or new methods of safe working. The provider had a free and confidential staff helpline they could call if they needed to talk about their wellbeing, in addition to free counselling sessions to support mental health. One member of staff said, “The provider has been kind and helpful and provided me with transport to come to work.”

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was Good (published 5 September 2018).

Why we inspected

This targeted inspection was prompted in part due to concerns received about food hygiene. A decision was made for us to inspect and review those concerns.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key que

Inspection areas

Safe

Good

Updated 26 January 2021

At our last inspection we rated this key question Good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.

Effective

Good

Updated 26 January 2021

Caring

Good

Updated 26 January 2021

Responsive

Good

Updated 26 January 2021

Well-led

Good

Updated 26 January 2021

At our last inspection we rated this key question Good. We have not reviewed the rating at this inspection. This is because we only looked at the parts of this key question we had specific concerns about.