Gorsefield Residential Home

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

Date of Assessment: 08 October 2024 to 10 October 2024. The service is a residential care home providing support to older people including those living with dementia. We found two breaches of the legal regulations in relation to safe care and governance. People were not always kept safe from avoidable harm. People had open access to hot water systems and some radiators were not covered presenting a risk of burns. Not all areas of the home or furnishings were maintained to promote effective infection prevention and control practices. Not all areas of the home were adapted to support those living with dementia. Although the provider had quality monitoring systems in place they were ineffective in identifying and driving consistently good care for people. People were supported promptly as there were enough staff. People were supported by staff who were trained and received regular supervisions. People received their medicines as prescribed. People had care plans which were individual to them and took account of their communication and personal needs. People had enough to eat and drink to stay healthy. People were referred to other health agencies to promote their wellbeing. People understood their care and treatment to enable them to give informed consent. Where people did not have the capacity to consent to care, staff involved those important to them to assist in making decisions in the person’s best interests. People were treated with kindness and compassion. People had their privacy and dignity protected and were treated as individuals with their preferences supported. People were provided with information they could understand. People knew how to give feedback and were confident the service acted on it. Managers were visible and supportive. Staff felt supported to give feedback and were treated equally. Staff understood their roles and responsibilities. We have asked the provider for an action plan in response to the concerns found at this assessment.

People's experience of this service

People and those close to them were positive about the quality of their care. They felt safe and were involved in planning their care. One person described how they felt safer living here than they did in their own home. They felt staff responded to them in a timely way and supported them to move around safely. A relative said, “I am involved in developing the care plan which I think reflects (relatives name) very well.” People said staff and the management team were kind, compassionate and treated them with respect. People told us their personal care was provided discreetly and sensitively and in a way that preserved their privacy. One person said the staff would always help them decide what to wear especially if it was cold or wet outside. People had activities which kept them interested and mentally active. Some people could not directly tell us about their experience. We used a structured observation tool to assess the level of care. This approach showed people were positively interacted with by staff. One relative described how staff positively promoted their relatives eating and helped them return to a healthy weight. One person said, “I was very underweight when I came in, I’ve put on some weight now.” People felt able to comment on the care they received and were confident positive action would be taken. People knew staff and leaders well. One relative said, “I can raise anything I need with the manager. I have never made a complaint, but I know if there was an issue it would be resolved immediately.”