Archived: Signature at Camberley

Updated 15 June 2018

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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014. This was the first inspection the home had received since it moved to a new building with a new registration.

The inspection took place on 18 and 19 January 2018 and was unannounced. The inspection team consisted of two inspectors and 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.

Before the inspection the provider completed a Provider Information Return. This is a form that the provider submits which gives us key information about the service, what it does well and what improvements they plan to make. We reviewed this along with any statutory notifications and other information we had received from or about the service. A notification is information about important events which the service is required to send us by law.

We spoke with 11 people living at Gracewell of Camberley and seven visiting relations. We spoke with visiting healthcare professionals, including a registered nurse and a GP. We also contacted professionals who commissioned services on behalf of local authorities and clinical commissioning groups.

We spoke with the registered manager, heads of department and other senior and management staff. We spoke with eight staff, including care workers, nurses, activities coordinators, housekeeping, catering and maintenance staff. We reviewed five staff personnel files and training records. We looked at care plans of nine people, including medicines records.

We reviewed other records including policies and procedures, the home’s community development plan, quality audit records, activities programmes, and records of meetings.

Updated 15 June 2018

This inspection took place on 18 and 19 January 2018. It was an unannounced visit. This was the first inspection for the service since a change in its registration when it moved into a new building.

Gracewell of Camberley is a care home for people who require nursing and personal care. 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.

Gracewell of Camberley can accommodate up to 91 people on four floors in a new, purpose built environment. Shared areas included dining areas, individually decorated lounges, a cinema room, family room, conservatory and a multi-faith prayer room. There were terraces and an enclosed garden to provide access to the open air.

The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People living at Gracewell of Camberley received a service which was outstandingly responsive. The provider found imaginative and creative ways to make sure people’s care and support met their needs and reflected their preferences and cultural background. People near the end of their life received care and treatment of a high standard which was recognised by external professionals. Where people had concerns, the provider listened to identify ways to improve the service.

People living at Gracewell of Camberley were put at the centre of processes to monitor and improve the quality of the service. People received a service which was outstandingly well led. There was a very open, inclusive atmosphere in the home with a strong sense of team working and ethos of continuous improvement. There was a very effective system of governance, and thorough and sustained systems of quality assurance. The provider paid particular attention to developing the leadership skills of senior staff.

The provider had systems in place to protect people from risks to their safety and welfare, including the risks of avoidable harm and abuse. Staffing levels were sufficient to support people safely. Recruitment processes were in place to make sure people were supported by staff who were suitable to work in a care setting. There were arrangements in place to store medicines safely and administer them safely and in line with people’s preferences. Arrangements to control and manage the risk of infection were established in line with national guidance.

People’s care and support needs were assessed and care plans developed based on evidence based guidance. Staff received appropriate training and supervision to maintain and develop their skills and knowledge to support people according to their needs. Staff put into practice the principles of the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People were positive about the food choices and quality. People were supported to access healthcare services, such as GPs and specialist nurses and therapists.

Staff had developed caring relationships with people they supported. People were encouraged to take part in decisions about their care and support and their views were listened to. Staff respected people’s independence, privacy, and dignity.