Goodwood Orchard Care Home

Updated 30 October 2020

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 carried out by two inspectors. A third inspector made telephone calls to relatives and staff.

Goodwood Orchard 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. The manager was also the owner of the service, and they 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 announced shortly before it took place. This was to obtain information around COVID- 19 within the service before entering the premises.

What we did before the inspection

We reviewed information we had received about the service since its last inspection. We sought feedback from a local authority. We used all this information to plan our inspection.

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 four people who used the service. We spoke with three members of care staff, and the registered manager. After the inspection we spoke by telephone with five relatives of people using the service and four care staff about their experience of the care being provided.

We reviewed a range of records. This included three people's care records and medication records. We looked at three staff recruitment and supervision records. A variety of records relating to the management of the service, including policies and procedures were also reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate the evidence found. We looked at training records, the business continuity plan and policies the registered manager sent to us following our site visit.

Updated 30 October 2020

About the service

Goodwood Orchard Care Home is a residential care home providing personal and nursing care for up to 21 people. The service supports older people, including those living with dementia. At the time of the inspection visit, 20 people were living in the service.

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

Arrangements for assessing risk and safety monitoring were not always robust, as a number of issues with the environment were identified during the inspection visit. The registered manager took action immediately following the inspection to rectify all of these issues.

People who used the service told us they felt safe and happy. They told us staff treated them well and they knew who the manager was. Staff had a good understanding of safeguarding, and how and who to report concerns to. Staff had a good level of knowledge of people's needs, and how they cared and supported people.

Infection control measures had been increased since COVID-19 and the registered manager had worked hard to ensure people remained safe. However, some hygiene issues were identified during the inspection, which were rectified swiftly by the registered manager.

People and relatives' spoke positively of the care and communication they had received during COVID-19.

The registered manager had quality monitoring systems in place which reviewed incidents and looked at patterns. This was helpful to identify trends, or key times when people may need additional support.

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 12 December 2019). At this inspection we found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this report.

Why we inspected

We received concerns in relation to restrictive practices when supporting people who become distressed. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.

The registered manager took immediate action following the inspection to mitigate the concerns found by the inspectors at this inspection.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Goodwood Orchard Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return. If we receive any concerning information we may inspect sooner.