Gosberton House Care Home

Updated 6 July 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by one inspector

Service and service type

Gosberton House Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager and the nurse on duty. We spent time observing care. We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We spoke with three members of staff and three relatives about their experience of the care provided. We did this after the inspection to minimise our time in the home due to the risks associated with COVID-19.

Updated 6 July 2021

About the service

Gosberton House Care Home is a residential care home providing personal and nursing care to 38 people aged 65 and over at the time of the inspection. The service can support up to 48 people.

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

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.

Staff identified risks to people and took action to keep people safe. Staff had received training in managing medicines and administered them safely to people in line with their prescriptions. However, 'as required medicines did not have their reason for administration recorded.

We have made a recommendation about the management of 'as required' medicines.

The home was clean and people were protected from the risk of infection. Staff were working in line with government guidance in regard to the COVID-19 pandemic.

The registered manager ensured there were enough staff to support people safely and systems were in place to ensure staff received training in the skills needed to provide safe care.

People were supported to access food which supported their needs. Staff were kind and caring and they had good relationships with the people living at the home. People’s choices were respected and staff supported people to maintain their dignity.

The registered manager and provider had effective systems in place to monitor the quality of care provided and to drive improvements.

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

Rating at last inspection

This service was registered with us on 23 July 2020 and this is the first inspection. The last rating for the service under the previous provider was requires improvement, published on 12 December 2019.

Why we inspected

The inspection was prompted in part due to concerns about infection control due to a COVID-19 outbreak. A decision was made for us to inspect and examine those risks. 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.