Background to this inspection
Updated
4 September 2019
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.
Inspection team
There was one inspector and a specialist nurse adviser who undertook this inspection over a period of one day. We were accompanied by 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
Sherwood Grange is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 CQC. 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 the inspection
We reviewed information we had about the service prior to our inspection. This included previous inspection reports, details about incidents the provider must notify us about, such as abuse and accidents. We spoke with the local authority quality monitoring team who work with the service.
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We used all this information to plan our inspection.
During the inspection
We spoke with 10 people at the service and two relatives to ask about their experience of the care provided. We used the Short Observational Framework for inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We spoke with the nurse on duty, two members of care staff, a kitchen assistant, and a housekeeper, the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with a visiting health professional.
We reviewed a range of records. This included four care records, medication records and four staff files. We also looked at the training matrix, audits, accident records and records relating to the management of the home.
After the inspection
We reviewed further information sent by the service for the report.
Updated
4 September 2019
About the service
Sherwood Grange is a residential care home providing personal and nursing care for people at the time of the inspection 32 people were using the service. The service can support up to 45 people.
People’s experience of using this service and what we found
At our previous inspection the service was rated as requires improvement at this inspection. At this inspection there had been improvements made to the service in relation to the management of medicines and improvements in the assessments of people mental capacity. These improvements had a positive effective on the care people received.
People were provided with safe care, staff understood their responsibilities in relation to protecting them from potential abuse, and the risks to people safety were assessed with measures in place to mitigate the risk. People were supported by adequate numbers of staff, and safe recruitment practices were in place to ensure people were supported by suitable staff. People’s medicines were well managed, and they were protected from the risks of infection through safe staff practices.
People were supported by staff who had received appropriate training for their roles. Their nutritional and health needs were supported. The environment people lived in was in the process of a refurbishment plan and we were able to see the improvements made since our last visit. 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.
People were supported by staff who were caring, people trusted and liked the staff who supported them and felt their views on their care were considered. Staff worked to maintain people’s privacy, dignity and independence.
People received personalised care from staff who knew their needs. They were supported to undertake a range of social activities and there was an activities program in place. People told us the provider listened to their concerns or complaints and dealt with any issues of concern quickly.
People at end of life received personalised and compassionate care, and there was information in people’s care plans about their wishes in relation to their end of life care.
We were told the management team were open and approachable. Governance systems and audits were in place and used regularly to maintain good standards of care for people. There was engagement with people through questionnaires and individual meetings, and people felt listened to. Staff were supported with regular supervisions and staff meetings. The management team worked with external professionals to improve the quality of the service.
Rating at last inspection
The last rating for this service was requires improvement (17 April 2018). At this inspection we found improvements had been made and the provider had improved their rating to good.
Why we inspected
This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk