Guide Lane Nursing Home

Updated 25 September 2020

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 is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 25 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 25 September 2020

Guide Lane Nursing Home is a purpose built care home for up to 38 people in Audenshaw. At the time of the inspection the home was full, with 13 people receiving residential support and 25 receiving nursing care.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going 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.

People said they felt safe at the service. Recruitment was robust at the service, there was a low turnover of staff and staffing levels were appropriate

There were appropriate safeguarding and whistle blowing policies, staff had undertaken training and were confident of the reporting procedures.

There were individual and general risk assessments which were complete and up to date and all required health and safety measures were in place. Medicines systems were safe and infection prevention and control measures were in evidence.

Care files included thorough assessments and relevant health and support information was complete and up to date. There was a thorough induction for new staff and the training matrix evidenced that mandatory and supplementary training was undertaken regularly.

The service offered a good choice of nutritious food and people were kept well hydrated with plenty of drinks throughout the day. The environment was clean and tidy, well-lit with both natural and with appropriate signage.

The service was working within the legal requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).

People told us staff were kind and caring and we observed staff delivering support with patience, kindness and compassion. People’s dignity and privacy was respected at all times

People, where appropriate, were involved in all aspects of their care planning and reviews.

There was information available for people who were considering using the service, and their relatives.

Care plans were person-centred and were audited on a monthly basis. There were processes in place to listen to people who used the service, relatives and staff, and respond appropriately.

There was an activities coordinator who organised and monitored a range of activities, events and trips out at the home.

Staff at the home were working to completed Six steps end of life training. This would help them to support people in line with their wishes at the end of their lives.

We saw compliments received by the home. There was a complaints policy and procedure in place, which was appropriate and up to date and was displayed prominently within the home.

Staff told us they were well supported by the management team. The registered manager held a surgery on a weekly basis that helped ensure people could come and talk to her with any concerns or suggestions.

Care staff had at least two formal supervisions per year as well as annual appraisals to evaluate their roles and look at their training and development needs. Team meetings were held on a regular basis, for different sections of staff.

The service encouraged community links and enjoyed good relationships with the local schools, nursery and church.

There were regular checks and audits undertaken at the service. All audits and checks had clearly recorded action plans and dates for completion of actions. These were signed off when completed and helped ensure the home was continually improving.