Guysfield Residential Home

Updated 10 June 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 one inspector.

Service and service type

Guysfield Residential 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. Guysfield Residential Home is a care home without 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 not a registered manager in post. However, the manager had applied to be registered.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 17 May 2022 and ended on 25 May 2022. We visited the location’s service on 17 May 2022.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with four people who used the service and received feedback from six relatives about their experience of the care provided. We spoke with the manager, the regional manager, a supporting manager from another of the provider’s locations and four staff members. We received feedback from a further three staff following our visit. We reviewed a range of records. This included four people’s care plans and daily notes for an additional people. A variety of records relating to the management of the service were reviewed.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at quality assurance records.

Updated 10 June 2022

About the service

Guysfield Residential Home is a residential care home providing personal and nursing care to up to 51 people. The service provides support to older people, some of whom are living with dementia. At the time of our inspection there were 34 people using the service.

Guysfield Residential Home provides care and support in one adapted building over two floors. There are shared communal spaces such as lounges, dining room and gardens for people to use.

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

People told us staff were kind and their needs were met. Relatives were also very complimentary about the care people received and the staff team.

Staff received appropriate training for their role and people felt they had good knowledge and skills. Staff felt supported by the provider and management team. They were positive about the new manager.

People felt they were safe and most felt well supported by the service. Individual risks were assessed, and staff were aware of these. Reviews of events and accidents was completed, and any actions needed were carried out. There were elements of moving and handling practice that were being addressed. Additional training and supervision were ongoing.

Staff enjoyed working for the service and told us the culture was to ensure care was person-centred. They stated they would be happy to have a relative of theirs living there. Care plans were in place and were reviewed regularly. At times staff completed records retrospectively, however we noted needs had been met and the service was about to move to electronic care planning.

People’s medicines were managed safely. Staff knew how to report any concerns about a person’s safety or welfare.

People and relatives were asked for their views about the service and were positive about the management team. Staff were also asked for their views and felt the management team were approachable. There were monitoring processes in place to help monitor the standard of service and address the shortfalls. Additional management support and training had been implemented to help drive the changes needed.

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.

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 27 September 2017).

Why we inspected

We received concerns in relation to people’s care needs not being met, safeguarding people from harm and the overall management of the home. 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 COVID-19 and other infection outbreaks effectively.

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 remained the same based on the findings of this inspection.

We have found evidence that the provider needs to make some improvements. Please see the safe section of this full report.

The provider took action to mitigate risks to people prior to and during our inspection process. This included additional training, management checks and amendments to monitoring tools. This action had been effective in addressing these areas.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Guysfield Residential 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.