About the service Sandringham Care Home is a residential care home providing personal and nursing care to up to 92 people. At the time of our inspection there were 88 people using the service. The service supports a range of people including older people and people living with a dementia. People are supported in a specially adapted building across 3 floors.
People’s experience of using this service and what we found
Medicines were managed safely, and people received their medicines as prescribed. Some medicine records and processes were not always robust, and we have made a recommendation about this. People were kept safe and protected from the risk of abuse. Risks to people were assessed, monitored and managed. Staff were knowledgeable about people’s needs. The environment was safe, and health and safety checks were up to date. The service was clean, and staff had access to appropriate PPE. There were enough staff to safely support people and staff were recruited safely.
The service was well-led and there was a positive and person-centred culture. There were clear governance and quality assurance systems in place. Regular audits were carried out and the registered manager and provider understood their regulatory requirements. Some medicine issues had not been identified within the audits, but the registered manager responded immediately to our feedback. People and their relatives were regularly involved, and their feedback sought. The management team was approachable. The registered manager was pro-active and committed to working with other professionals and developing positive and innovative ways of working.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 13 March 2020).
Why we inspected
The inspection was prompted in part by notification of an incident following which a person using the service died. This incident is subject to further investigation by CQC as to whether any regulatory action should be taken. As a result, this inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of risk. We also received concerns around the management of falls and the general standard of care provided. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
During the inspection we found no evidence people were at risk of harm from these concerns.
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.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sandringham Care Home on our website at www.cqc.org.uk.
Recommendations
We have made a recommendation around the record keeping for medicines and ensuring medicines systems and processes are fully robust.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.