Gresley House Residential Home

Updated 4 October 2023

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.

Inspection team

This inspection was carried out by 2 inspectors at the location and 1 Expert by Experience who made calls to people’s relatives. 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

Gresley House 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. Gresley House 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations. 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 information we had received about the service since the last inspection. We sought feedback from commissioners who are involved 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 3 people who used the service and 7 relatives of people who used the service about their experiences of care at the home. We spoke with 9 members of staff including members of the provider management team, the nominated individual, members of the housekeeping and kitchen teams and care staff. The nominated individual is responsible for supervising the management of the service on behalf of the provider.

We reviewed a range of records; this included 4 care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service were reviewed. After the inspection we looked at a variety of records relating to the management of the service, training data and quality assurance records.

Updated 4 October 2023

About the service

Gresley House Residential Home is a residential care home providing personal care to up to 37 people. The service provides support to older people, younger adults, people living with dementia and people with physical disabilities. At the time of this inspection there were 25 people using the service. Accommodation is provided in one adapted building. There are a range of communal facilities including space to eat and socialise both inside and outdoors.

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

The inspection identified refurbishments in the home had been completed to a good standard. The home was clean throughout and had a homely atmosphere.

Staff were available to support people to meet their needs, including in activities of their choosing. Areas of risk in people's lives were identified and managed effectively. People's care records contained up to date and consistent information.

People received care that was person centred to meet their needs. Staff knew people well and how best to support them in line with their individual preferences.

People and their relatives were very complimentary about the home. One relative told us, “When I’m walking through the home everyone looks happy, I feel the staff are there for their love of the residents, it’s not just a job to them.”

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.

Staff were engaged and involved in the service and supported by the registered manager. People, their relatives and staff gave consistently positive feedback about the registered manager. Staff told us they were proud to work at the home.

The provider had implemented systems and processes to improve the oversight at the service. More time was required to provide assurance that recent changes to systems were effective and fully embedded.

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 inadequate, published 18 January 2023. Another inspection took place on 6 February 2023, published 21 April 2023. This inspection was not rated.

At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

This service has been in Special Measures since the inspection in November 2022, report published 18 January 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

The overall rating for the service has changed from inadequate to good based on the findings of this inspection.

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.