CQC report explained · a nursing home
What the CQC found at Gorsey Clough Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found that risks were assessed and managed, staffing levels were sufficient and medicines were handled safely. Infection prevention arrangements were also judged effective.
- Effective?
- Outstanding
- Staff had strong training and development opportunities. People received good support with nutrition, healthcare, communication, mental capacity and dementia-related needs.
- Caring?
- Outstanding
- People were treated with exceptional kindness, dignity and respect. Staff involved people and families in decisions and supported independence.
- Responsive?
- Good
- Care plans reflected people's interests, preferences and communication needs. People had a wide range of activities and received a high standard of end of life care.
- Well-led?
- Outstanding
- Inspectors found strong leadership, open communication and a clear focus on learning and improvement. Quality checks were used to monitor care and act on areas for improvement.
What inspectors found, June 2022
Gorsey Clough Nursing Home is rated Outstanding overall, with safe and responsive care rated Good.
Inspectors visited on 28 April 2022 without announcing the visit. They spoke with people, relatives, staff and health professionals. They observed care and checked care plans, medicines, training, recruitment and management records.
They found people received excellent care from a highly committed staff team. Care was kind and personal. People had activities, good food and support to stay in contact with relatives. End of life care was described as especially strong.
The home had been refurbished to a high standard, with features designed to support people living with dementia. Inspectors also found enough experienced staff, safe medicines systems, good infection control and effective risk management.
The overall Outstanding rating means inspectors found care that was consistently better than expected. Effective, caring and well-led were rated Outstanding. Safe and responsive were rated Good. The overall rating improved from Good at the previous inspection in 2019.
Kind and personal care
People and relatives consistently described staff as kind, compassionate and willing to do more to support them.
“People were treated with exceptional care and kindness.” from the report
Strong staff development
The home invested heavily in training and encouraged staff to gain further qualifications. Inspectors linked this to better care and outcomes.
“The enhanced development of staff had changed the culture at the home ensuring staffs knowledge and capabilities provided people with high quality care, reflective of current best practice.” from the report
Good food and mealtimes
People had varied food choices, regular snacks and calm mealtimes. Staff supported people to eat and drink enough and respected cultural and religious preferences.
“The standard of catering and mealtime experiences was excellent.” from the report
Meaningful activities
Activities were planned around people's interests and abilities. There were dedicated wellbeing coordinators and activities were available throughout the week.
“People were given plenty of opportunities to take part in a wide range of activities, which contributed positively to their well-being.” from the report
Excellent leadership
The management team promoted an open culture, encouraged learning and used quality checks to improve care.
“There was a strong emphasis on continually striving to improve.” from the report
End of life support
Staff were trained to provide end of life care and supported relatives as well as the person receiving care. Inspectors found this care to be exceptionally high standard.
“The home provided an exceptionally high standard of care to people with palliative and end of life care needs.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular dementia, nursing and complex care needs?
- 02What activities would be suitable for my relative's interests, abilities and communication needs?
- 03How are relatives involved in developing and reviewing care plans?
- 04What support is available for relatives during end of life care, including visiting arrangements?
- 05What progress has been made with the planned dementia-friendly garden since the inspection?
This was an unannounced planned inspection covering all five key questions; the previous overall rating was Good, published on 1 May 2019. This explanation was written from the published report of 9 June 2022 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were good.
This was an announced, targeted inspection on 21 October 2020. It looked only at infection prevention and control measures because the home was being used for people discharged from hospital with Covid-19.
Inspectors found a separate unit for people needing isolation and for some people receiving end of life care who were Covid-19 positive. It had separate entrances and exits, a dedicated team, clear zones for putting on and removing protective equipment, and arrangements for waste and laundry.
Inspectors were assured about visitors, social distancing, admissions, protective equipment, testing, cleaning, outbreak management and the infection control policy. The home was not given an overall quality rating, and Safe was recorded as inspected but not rated.
Separate isolation arrangements
The home had a designated unit for people needing isolation after hospital discharge and for some Covid-19 positive people receiving end of life care.
“The home had a designated unit for up to 11 people who were medically fit for discharge from hospital and required a period of isolation” from the report
Dedicated infection control team
A separate team supported the designated unit. The home also had clear areas for putting on and removing protective equipment.
“To minimise the risk of cross infection, the unit was supported by a designated team.” from the report
Safe transfers
The home had admission and discharge processes and worked with a wider health and care team to support transfers.
“A clear admission and discharge processes had been implemented.” from the report
Broad infection control measures
Inspectors were assured across several areas, including testing, protective equipment, cleaning, visitor arrangements and outbreak management.
“We were assured that this service met good infection prevention and control guidelines as a designated care setting.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the separate isolation areas and dedicated staff team being used now?
- 02How do you manage admissions and discharges when someone may have an infection?
- 03How often are staff and residents tested, and what happens after a positive result?
- 04How are visits arranged, including visits at the end of life?
- 05What ratings or information are available about caring, effective, responsive and well-led care, which this inspection did not assess?
This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 3 November 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Gorsey Clough Nursing Home
6 rated inspections over 7 years: the service has improved, from Requires improvement to Outstanding.
- June 2022Outstandingcurrent ratingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding
- November 2020Inspected but not ratedSafe: Inspected but not rated
- May 2019Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2018Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- December 2016Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2015Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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