23 October 2023
During an inspection looking at part of the service
Sherwood Grange is a care home that provides nursing and personal care for up to 59 older people in one adapted building. At the time of our inspection there were 53 people using the service including those living with dementia.
People’s experience of using this service and what we found
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 home was safe for people to live in as there were sufficient staff numbers to attend to people’s needs during the day and at night. We did an early morning visit and we saw that people were getting up at a time that suited them, their activities, and routines. People had any risks to them regularly assessed, reviewed, and minimised with any required action taken to keep them safe. This meant people were able to take acceptable risks and enjoyed their lives in a safe way. Safeguarding concerns, accidents, and incidents were reported, investigated, and recorded. Staff were appropriately recruited, and trained including how to safely administer medicines. The home provided Personal Protection Equipment (PPE) and it was used safely, and effectively in accordance with current legislation. The infection prevention and control policy were up to date.
The home was well-led managed with an honest, open, positive, and transparent culture. The provider’s vision and values were clearly set out and staff understood and followed them. People and relatives told us communication between them, staff, and the management team worked well. The management and staff had clearly defined areas of responsibility, accountability and a good, regularly reviewed service was provided. Thorough audits were conducted. Community links were well-established, and working partnerships were maintained. The provider met Care Quality Commission (CQC) registration requirements. Healthcare professionals who responded told us that the service was well managed, and people’s needs were met in a professional, open, caring, and friendly way.
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 29 March 2023). The overall rating for the service has remained good. This is based on the findings at this inspection.
Why we inspected
We received concerns in relation to staffing levels, particularly at night and people being got out of bed before they wished. There was also an allegation of inappropriate sexual activity by a person using the service towards another person. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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.
We did not inspect the key questions of effective, responsive, and caring.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Sherwood Grange on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.