Background to this inspection
Updated
19 February 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 08 February 2022 and was announced. We gave the service 2 days notice of the inspection.
Updated
19 February 2022
Goatacre Manor Care Centre is a nursing and residential care home for up to 48 older people. At the time of the inspection, there were 31 people living at the service.
At our last inspection we rated the service as good overall, however the service required improvement in Safe. At this inspection we found the service continued to require improvement in Safe. The service requires improvement in safe because of issues with the documentation for the administration of medicines. In all other domains the service remained good and therefore is rated good overall.
This inspection report is written in a shorter format where the domain remains good.
Two recommendations have been made in safe. The recommendations are regarding the information recorded in protocols for medicines administered on an 'as and when required' (PRN) basis. Also, for the consistency in recordings of administration for prescribed topical medicines, such as creams and lotions.
One recommendation has been made in effective. The recommendation is regarding the recoding of best interest decisions.
One recommendation has been made in responsive. The recommendation is regarding the quality of information recorded in behavioural support plans.
People and their relatives spoke positively about the staff and management. Relatives praised the staff for the support they received while their loved ones received end of life care at the service.
Staff had a good understanding of the Mental Capacity Act (MCA) and applied the principles of the act to the care they provided. However, the assessments for the MCA lacked detail and did not include details of a best interest decision.
There was a friendly and relaxed atmosphere and people were comfortable in the environment. People and staff spoke with one another as though they were good friends.
The registered manager was passionate about continuing to improve the service and had long term development plans for this. This included building a cinema room.
Further information is in the detailed findings below.