Background to this inspection
Updated
16 April 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.
This inspection took place on 19 March 2021 and was announced.
Updated
16 April 2021
Sandhurst Residential Home is a residential care home providing personal care to 23 people aged 65 and over at the time of the inspection. On the first day of inspection, 19 people were living at the home. On the second day there were 17 people as one person had been admitted to hospital and another had returned to their own home.
People’s experience of using this service:
People were positive about their experience of living at the home. For example, they said about their relationship with staff as being “more like friends.”
People said they felt safe; there was a stable caring staff group. People continued to be supported by staff who respected their privacy and dignity. Staff relationships with the people they supported continued to be caring and supportive. People's nutritional needs were met; people praised the quality of the food. Care plans for each person held information about their dietary needs and their likes/ dislikes.
Risk assessments identified when people could be at risk and covered people's physical and mental health needs and the environment they lived in. The registered manager recruited staff who suited the caring values of the service and recognised the importance of team work to provide consistent and safe care. People were protected from abuse because staff understood their safeguarding responsibilities.
People were supported by staff who completed appropriate training and understood their needs. Staff spoke confidently about the care they delivered and affectionately about the people they supported. They understood how they contributed to both people’s physical health and mental wellbeing.
Referrals were appropriately made to health care services when people’s needs changed. People were supported to maintain good health and had access to appropriate services, which ensured they received on-going healthcare support. Medicine administration, recording and auditing had improved and was safe.
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. Information was in place to ensure people’s legal rights were protected.
Improvements to how the quality and safety of the service was monitored meant the service was well led. There were clearer lines of responsibility and with records of actions taken to address identified issues, such as maintenance actions.
The management team, through regular reviews, unannounced spot check visits and observations of staff practice ensured people received a good quality service. Feedback from people using the service and quality assurance records showed this had been achieved.
Rating at last inspection (and update):
The last rating for this service was requires improvement (published June 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected: This inspection was scheduled for follow up based on the last report rating.
Follow up: We will continue to monitor the intelligence we receive about the service. If any concerning information is received, we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk