Archived: Gotton Manor Care Home

Updated 22 May 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 checked whether the provider is 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 inspection took place on 11 and 12 April 2018 and was unannounced. It was carried out by two adult social care 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 (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at the information in the PIR and also looked at other information we held about the service.

During the inspection we spoke with 12 people who lived at the home, four visitors, and 19 members of staff including the manager, care staff, nurses, the cook, the maintenance team and domestic staff. The regional manager was also available throughout both days the inspection.

During the day we were able to view the premises and observe care practices and interactions in communal areas. We observed lunch being served. We looked at a selection of records which related to individual care and the running of the home. These included six care and support plans, medication administration records, four staff files, training records and records relating to the quality monitoring within the home.

Updated 22 May 2018

Gotton Manor Care Home is a care home for up to 60 people. The home provides nursing and personal care. It specialises in the care of older people, including people living with dementia. At the time of the inspection there were 38 people living at the home.

At the last inspection in January 2016, the service was rated Good.

At this inspection we found the service remained Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good;

Although people raised concerns about the staffing arrangements in the home, the provider was taking action to ensure vacant staff shifts were covered. There were systems in place to ensure suitable staff were recruited.

People were supported by staff who knew how to recognise and report abuse. Risks to people were identified and risk management plans were in place. Medicines were managed safely. Measures were in place to prevent the risk of the spread of infection. There were systems in place to record and review any accidents or incidents that occurred.

On the first day of the inspection our observations of the mealtime experience were mixed. People received a diet to meet their individual needs and we saw systems were in place to enable people to give their feedback regarding the menus.

People received effective care from staff who had the skills and knowledge to meet their needs. Although some staff in The Coach House had not received supervision in line with the providers policy, staff spoken with felt supported by their managers.

Staff monitored people’s health and well-being and made sure they had access to other healthcare professionals according to their individual needs.

People’s rights were protected because the correct procedures were followed where people lacked capacity to make specific decisions for themselves.

People were supported by staff who were kind and caring. Staff spoke positively about people; they demonstrated empathy and were able to tell us about people’s likes, dislikes and what was important to them.

People received care that was responsive to their needs and personalised to their wishes and preferences. People had access to a range of organised and informal activities which provided them with mental and social stimulation.

People could be confident that at the end of their lives they would be cared for with kindness and compassion and their comfort would be maintained.

There were procedures in place to manage complaints. Where complaints had been raised these were responded to and action was taken where required. The manager and provider treated complaints as an opportunity to learn and improve.

The provider had systems in place to monitor the quality of the service, seek people’s views and make on-going improvements.

Further information is in the detailed findings below.