Gorselands Nursing Home

Updated 29 April 2021

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 completed by one inspector. An Expert by Experience contacted relatives by telephone after the inspection to obtain their feedback.

Service and service type

Gorselands Nursing Home 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. 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

We gave the service 24 hours’ notice of the inspection. We wanted to be sure the small team were able to accommodate our inspection.

What we did before the inspection

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 reviewed other information we held about the service including notifications. Notifications are sent to the Care Quality Commission, (CQC) by the provider to tell us about significant events in the service.

We used all of this information to plan our inspection.

During the inspection

We spoke with six staff members including the registered manager, a registered nurse and four care staff. We reviewed a range of records. This included care records and multiple medicines records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We telephoned relatives and emailed staff members for feedback about the service.

Updated 29 April 2021

About the service

Gorselands Nursing Home is a residential care home providing personal and nursing care to 39 people aged 65 and over at the time of the inspection. The service can support up to 40 people. The service provides nursing care for people in an adapted country house.

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

There were robust systems in place to protect people from the risk of abuse and staff would report concerns should they have any. Risks were assessed and mitigated to minimise the possibility of harm. The premises were safely maintained, and equipment was serviced as needed. There had been an improvement to recruitment processes and staff were safely recruited. Medicines were safely managed and should errors occur, these were reported and reflected upon. Infection prevention and control practice was strong and in line with current guidance. Learning was taken from accidents and incidents and shared among the team to minimise the possibility of repeat events.

Most feedback about the management of the service was positive and the registered manager had frequently supported the team by working alongside them when there was a staff shortage. The management team were open and honest and understood their responsibilities under the duty of candour. Audits were completed and used to make improvements to service provision. Steps were being taken to improve the integration of the service into the local community.

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 1 November 2019). At this inspection we found improvements had been made.

Why we inspected

This was a planned inspection based on the previous rating.

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 COVID-19 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.

The overall rating for the service has changed from requires improvement to good. 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 Gorselands Nursing 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 to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.