Gotton Manor

Updated 13 May 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by two inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Gotton Manor Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Gotton Manor Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed the information we had received from and about the service since it was registered to Harbour Healthcare Ltd.

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

We used all this information to plan our inspection.

During the inspection

We spoke with 13 people who were living at the home and one visitor. We also spoke with seven staff which included a registered nurse, care staff and ancillary staff. The registered manager and operations manager were available throughout the inspection. We also spent time observing the care and support provided to people.

We reviewed a range of records. This included four people’s care records, multiple medication records, three staff recruitment files, minutes of staff meetings, health and safety records and the home’s service improvement plan.

Updated 13 May 2022

About the service

Gotton Manor Home is a care home providing personal and nursing care. It is registered to provide care to up to 60 people in two buildings, The Manor House and The Coach House.

At the time of the inspection only The Manor House was occupied. The Coach House was being fully refurbished. Within the Manor House there was a small six bedded area which cared for people living with dementia.

The home specialises in the care of older people. At the time of the inspection there were 26 people living at the home.

People’s experience of using this service and what we found

People were happy with the care and support they received. Comments included, “They look after me very well” and "It is lovely here. Everyone is very nice here."

People were happy with the food and the drink served at the home. Most people received the support they needed with meals. However, some people who were cared for in their rooms, did not receive good staff support to eat well. We have recommended that the provider reviews the deployment of staff at meal-times to ensure everyone has the support and encouragement needed.

People who were living with dementia had limited access to meaningful occupation and social stimulation. We have recommended that the provider ensures staff have suitable training to support them to provide this.

People looked comfortable and relaxed with the staff who cared for them. Staff knew how to recognise, and report concerns about possible abuse. Staff told us they were confident that any concerns would be listened to and action would be taken to keep people safe.

People were cared for by adequate numbers of staff to maintain their safety. Staff were safely recruited which helped to minimise risks to people.

Staff were kind and caring and we saw friendly and respectful interactions throughout the day of inspection. People praised the permanent staff at the home and felt well cared for.

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 were supported to maintain contact with friends and family. During the COVID-19 pandemic the staff had followed all government guidelines to enable people to keep in touch with people who were important to them.

People had access to some social activities, but some people thought this could be improved. There was a weekly programme of activities and some individual activities. The registered manager told us that now restrictions had been lifted, opportunities for social stimulation would be increased.

People benefitted from a registered manager who was committed to providing high quality person-centred care. They were supported by a provider who had good oversight of audits and action plans. This helped to drive on going improvements to the service people received.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

Harbour Healthcare Ltd registered this service with us on 7 September 2020 and this is the first inspection.

The last rating for the service, under the previous provider, was Good, published on 22 May 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service since the date of registration to Harbour Healthcare Ltd.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.