We carried out a review of the data available to us about The Gardens Residential Home on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about The Gardens Residential Home, you can give feedback on this service.
The Gardens Residential Home is a residential care home providing personal care to 39 people aged 65 and over at the time of the inspection. The service can support up to 47 people.
People’s experience of using this service and what we found
There were systems in place to reduce the risk of harm to people. Accidents and incidents were monitored effectively. Risks to people had been identified and measures were in place to support people safely. Medicines were managed safely by trained staff. Infection control measures were used to reduce the risk of infection.
People’s needs were assessed prior to admission. Staff received on-going training and support. People’s dietary needs were met. The premises and design were fit for purpose and met people’s needs. People’s capacity had been assessed.
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 showed caring interactions with people and they were passionate about supporting people. People were involved in their care and active discussions around their experiences. Staff supported people to ensure their dignity was protected.
People had comprehensive care plans in place which considered their likes, dislikes and preferences. Information was accessible to people in different ways to enable them to make a decision. Activities were available to people and their life stories were sought. Complaints were managed in line with the registered providers policy. People's end of life wishes, and preferences were recorded.
There was an open culture in the service and, people and staff spoke highly of the registered manager. Robust quality assurance systems were in place to monitor quality of the service. The registered manager understood their legal responsibilities and continuously found ways to improve care provided.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update)
The last rating for this service was requires improvement (published 7 March 2019) and there was a breach of regulation. 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 was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
People’s experience of using this service: People were not supported to have maximum choice and control of their lives and were not supported in the least restrictive way possible. Mental capacity assessments and best interest decisions had not always been completed or recorded.
Audits had been completed however governance systems had not been effectively implemented to identify concerns and drive improvements. After the inspection we received an improvement plan which included some of the concerns identified during the inspection however, the provider’s systems had not been operated effectively to identify issues.
People received their medicines safely however we have made a recommendation about ‘as required’ medicines as protocols for administration were not always detailed.
People were supported to access healthcare professionals and short term care plans were developed when specific support or treatment was required for a fixed period of time, such as a course of antibiotics for a chest infection.
People and relatives said they were treated with kindness and respect. One relative said, “It’s as good as it could be, all smiles, all pleasant, always have time to talk and say hello, it couldn’t be better.”
Concerns, allegations and incidents were investigated and analysed for lessons learnt. An external professional confirmed there were positive relationships and partnership working to achieve outcomes for people.
The overall rating for the service after this inspection is requires improvement.
More information is in the full report below.
Why we inspected: This is the first inspection of the service.
Action we told provider to take: We identified one breach of the Health and Social Care Act (Regulated Activities) Regulations 2014 around governance.
Follow up: We have asked the provider to submit an action plan in relation to governance. We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. Further inspections will be planned for future dates in line with our inspection programme.