8 September 2020
During an inspection looking at part of the service
Goodwood Orchard Care Home is a residential care home providing personal and nursing care for up to 21 people. The service supports older people, including those living with dementia. At the time of the inspection visit, 20 people were living in the service.
People's experience of using this service and what we found
Arrangements for assessing risk and safety monitoring were not always robust, as a number of issues with the environment were identified during the inspection visit. The registered manager took action immediately following the inspection to rectify all of these issues.
People who used the service told us they felt safe and happy. They told us staff treated them well and they knew who the manager was. Staff had a good understanding of safeguarding, and how and who to report concerns to. Staff had a good level of knowledge of people's needs, and how they cared and supported people.
Infection control measures had been increased since COVID-19 and the registered manager had worked hard to ensure people remained safe. However, some hygiene issues were identified during the inspection, which were rectified swiftly by the registered manager.
People and relatives' spoke positively of the care and communication they had received during COVID-19.
The registered manager had quality monitoring systems in place which reviewed incidents and looked at patterns. This was helpful to identify trends, or key times when people may need additional support.
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 12 December 2019). At this inspection we found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this report.
Why we inspected
We received concerns in relation to restrictive practices when supporting people who become distressed. A decision was made for us to inspect and examine those risks. 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 coronavirus and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection. We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report.
The registered manager took immediate action following the inspection to mitigate the concerns found by the inspectors at this inspection.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Goodwood Orchard Care Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return. If we receive any concerning information we may inspect sooner.