Background to this inspection
Updated
3 June 2023
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 Health and Social Care Act 2008.
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 undertaken by an inspector.
Service and service type
Garrett House Residential Home Limited is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Garrett House Residential Home Limited is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
Inspection activity started on 9 May 2023 and ended on 16 May 2023. We visited the service on 9 May 2023.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since registration. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We spoke with 8 people who used the service, we also observed staff interaction, such as during lunchtime. We spoke with 5 staff including the registered manager, senior, care and catering staff, we met and spoke briefly with the deputy manager, maintenance, reception, and laundry staff.
We reviewed 4 people’s care plans and risk assessments, multiple records relating to medicines, 3 staff recruitment files and staff training records. We also looked at records relating to health and safety and governance, which included audits.
Following our inspection visit we received electronic feedback from 10 relatives and 3 members of staff and spoke with a staff member on the telephone.
Updated
3 June 2023
About the service
Garrett House Residential Home Limited is a residential care home providing accommodation and personal care to up to 45 people in one adapted building. The service provides support to older people and people living with dementia. At the time of our inspection there were 30 people using the service.
People’s experience of using this service and what we found
There was an ongoing plan of refurbishment, redecoration and remedial action taken in the environment. There were some areas which had required urgent action. Not all of the improvements had been made in the environment. We were assured the improvements were being implemented and ongoing to reduce any impact on people using the service.
There were systems in place to reduce the risks of avoidable harm and abuse. Where incidents and accidents had happened, these were reviewed, and systems implemented to reduce future risks. People received their medicines when they needed them. The service was visibly clean throughout.
Staff were available to provide care and support when needed and they were recruited safely. Staff had received the training they needed to meet people’s needs. We received positive feedback about how the staff were caring and respected people’s rights, which was confirmed in our observations.
People’s care plans included care plans and risk assessments which guided staff in how people’s assessed needs and preferences were to be met. People’s end of life decisions were documented. There was a programme of activities in place and people were supported to have visitors, which reduced the risks of boredom and isolation.
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.
The registered manager had plans in place for the ongoing improvement of the service. We received positive feedback about how the service was led. There was a complaints procedure in place and people were asked for their views about the service. Comments received were used to drive improvement.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 13 December 2022, and this is the first inspection.
The last rating for the service under the previous provider was requires improvement, published on 10 July 2021.
Why we inspected
We undertook this comprehensive inspection because the newly registered service under the current provider has not yet received a 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.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.