13 July 2021
During an inspection looking at part of the service
People’s experience of using this service and what we found
The provider had systems in place to safeguard people from the risk of abuse and staff knew how to respond to safeguarding concerns. People and their relatives told us they or their family member were safe at the service. We found people received their medicines as prescribed because medicines were managed safely. There were systems in place to identify, manage and reduce risks for people. We found improvements had been made in relation to recent admissions into the home through lessons learnt.
The provider had an infection prevention and control procedure, updated to reflect COVID-19 guidance. Staff attended training to help protect people from the risk of infection. The service was clean and uncluttered. Safe recruitment procedures were in place and there were enough staff to meet people's needs.
We found peoples hydration and nutritional needs were being met. 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 were provided with training and support to help ensure people's needs were met.
People, relatives and staff felt the service was well-led and that staff were kind, chatty and caring. Staff told us the management was good, and they felt supported.
The provider and manager had systems in place to monitor, manage and improve service delivery and support provided to people. Regular audits were carried out to monitor the service provided.
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 24 February 2021).
Why we inspected
The inspection was prompted due to concerns about potential risks around admissions, hydration and nutritional needs, medicines, response to COVID-19 and lack of management oversight. We therefore carried out a focused inspection to review the key questions of safe well-led only.
We found no evidence during this inspection to show people were at risk of harm from these concerns. Please see the safe and well-led sections of this full report.
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.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Ghyll Royd Nursing Home on our website at www.cqc.org.uk
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.
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.