Little Gaynes Rest Home

Updated 26 July 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by an inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Little Gaynes Rest Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Little Gaynes Rest Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

During the inspection we spoke with 9 people using the service and 2 visiting relatives. We spoke with a further 4 relatives by telephone. We reviewed care and medicines records relating to multiple people. We observed how staff interacted with people. We reviewed a variety of records relating to the running of the service, including a sample of policies and procedures.

Updated 26 July 2023

About the service

Little Gaynes Rest Home is a residential care home providing the regulated activity of personal care to up to a maximum of 20 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 18 people using the service. The service is a residential property that has been adapted into a care home, based over two floors.

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

Pre-admission assessments were carried out of people’s needs. However, these were not comprehensive as they did not fully cover people’s needs in relation to equality and diversity. Quality assurance and monitoring systems were in place, but these were not always effective. We have made a recommendation about the safe management of medicines.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. This was because conditions included in DoLS Authorisations were not always met by the provider.

People were supported to maintain a balanced diet and to have enough to eat and drink. People had access to healthcare professionals as required Staff received training and support relevant to their roles. The physical environment was suitable for people who used the service.

People and staff told us there was an open and positive culture at the service. People were supported to express their views. The provider was aware of their legal obligations and worked with other agencies to develop best practice and share knowledge.

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 27 March 2019).

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 6 February 2019. At that inspection we made a recommendation about the physical layout of the building. We undertook this focused inspection to check this had now been addressed. This report only covers our findings in relation to the Key Questions of effective and well-led and the medicines part of safe.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Little Gaynes Rest Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to pre-admission assessments of people’s needs and care plans, the management of DoLS authorisations and quality assurance systems at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.