27 September 2022
During an inspection looking at part of the service
Gorton Parks is a nursing home registered to accommodate up to 120 people across four separate bungalows. At the time of our inspection there were 112 people living at the service.
Each bungalow specialises in either nursing or residential care, Sunnybrow, Abbey Hey, Melland and Debdale. Some of the people living at Gorton Park live with dementia. Each of the bungalows has a lounge, dining area, a conservatory, and a kitchenette. All bedrooms are single with no en-suite facilities. Accessible toilets and bathrooms are located near to bedrooms and living rooms.
People’s experience of using this service and what we found
The management team were committed to making improvements across the service. Current priorities focused on staff recruitment and retention, with increased pay incentives, and medication management, working in partnership with the GP and supplying pharmacist.
Additional management appointments had been made, offering better support for the registered manager and across the service. Each had delegated responsibilities including audits and checks providing oversight of the service. A comprehensive action plan was in place to help drive improvement.
Suitable arrangements were in place for the management of people’s prescribed medicines. Regular audits were carried out to check a safe system was in place. Recent issues in the ordering and supplies of medication had been addressed with the GP and supplying pharmacist.
Areas of risk, such as behaviours, pressure care or poor nutrition, were identified and planned for. Additional records were completed to help monitor people’s changing needs and behaviours. Gaps in some records were noted. These shortfalls had been identified and acted upon following internal audits carried out the management team.
We found areas within the home were tired and needed enhancing, for example, carpets, redecoration and replacement of worn furniture. A comprehensive plan had been drawn up to address the work required. Relevant internal and external safety checks were carried out to help keep the premises and equipment safe.
Sufficient numbers of staff were available to meet the needs of people. Relevant information and checks were carried out to ensure new staff were safely recruited. Opportunities for staff training and development were made available. Following feedback from staff, leadership training was to be introduced helping to further enhance staff skills.
Systems were in place with regards to consent and capacity. 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.
People told us they were happy living at Gorton Park. People were engaged in activities and interaction between people and staff were kind and respectful.
Suitable arrangements were in place with regards to infection control procedures and safeguarding, to help keep people safe.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 15 June 2021).
The provider completed an action plan after the last inspection to show what they would do and by when to improve.
At this inspection we found improvements had been made and the provider was no longer in breach of regulations. At our last inspection we also recommended improvements in medication records, improvements to risk management plans and the introduction of staff supervisions. At this inspection we found action had been taken, further improvements were being made in relation to the frequency of supervision.
Why we inspected
We carried out an unannounced focused inspection of this service in May 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve good governance and safe care and treatment.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Gorton Park Care Home 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.