CQC report explained · a residential care home
What the CQC found at Gracelands Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2023
Gracelands Care Home rated Good; inspectors found safe care, enough staff, well-managed medicines and strong management systems.
This was an unannounced, focused inspection. Inspectors visited on 12 June 2023, reviewed records, observed care and medicines administration, and spoke with people, relatives and staff. Inspection activity continued until 19 June 2023.
The home was rated Good for Safe and Well-led. People said they felt safe. Inspectors found suitable recruitment checks, enough staff, safe medicines systems, good infection control and thorough reviews of accidents and incidents.
Inspectors found an open culture where people’s and staff views were listened to. Quality checks were described as robust, and managers were focused on learning and improving the service.
Only Safe and Well-led were inspected during this visit. The overall Good rating used the previous ratings for the other areas, from the last inspection published in 2018.
Enough staff
Inspectors found enough staff to meet people’s needs. Staff had time to talk with people and respond promptly to call bells.
“There is enough staff. They are always very attentive and have time to chat whenever I visit” from the report
Medicines checks
Medicines were stored, given and recorded appropriately. Regular audits helped identify and deal with errors or recording problems quickly.
“Thorough medicines audits were in place which meant any error or recording issues were quickly identified and actioned.” from the report
Open management
People, relatives and staff described an open culture. Managers sought feedback and acted on people’s views.
“People were at the centre of the service and their views were fully considered and acted upon.” from the report
Quality oversight
The provider and managers used quality checks to monitor safety and compliance. They also reviewed accidents and incidents for patterns and took action where needed.
“Robust quality assurances processes were in place to monitor the quality and safety of the service provided and ensure compliance with regulations.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently check that staffing levels remain enough for people’s changing needs?
- 02What do your medicines audits look for, and what action is taken if an error or recording problem is found?
- 03How do you prevent and manage infection outbreaks, and how are visitors kept informed?
- 04Can you give examples of feedback from people or relatives that led to a change in the home?
- 05What is the current evidence for the Effective, Caring and Responsive areas, which were not reassessed during this inspection?
This was an unannounced focused inspection of Safe and Well-led; the other ratings carried over from the last inspection published in 2018. This explanation was written from the published report of 7 July 2023 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, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was an announced, targeted inspection on 23 November 2020. It checked infection prevention and control arrangements during the coronavirus outbreak.
Inspectors found detailed outbreak plans, enough personal protective equipment, staff training and competency checks, and changes to communal areas to support social distancing.
The home supported people to keep in touch with relatives. Staff worked flexibly during the outbreak, and managers acted quickly when changes were needed.
The home was inspected but not rated. This means the visit did not provide a full overall rating or ratings for all five areas of care.
Outbreak planning
The home had plans for dealing with future outbreaks and an up-to-date infection prevention and control policy.
“The home had detailed contingency plans in place to deal with future outbreaks.” from the report
PPE and staff training
Staff had specific training and checks to make sure they used PPE correctly. Inspectors also found enough PPE for staff and visitors.
“Bespoke training and competency checks had been developed for staff to ensure they were using personal protective equipment (PPE) correctly.” from the report
Social contact
Communal areas had been changed to support social distancing, and people were helped to stay in contact with relatives.
“People had been supported to keep in touch with their relatives.” from the report
Management response
Managers provided good oversight and acted quickly when improvements or changes were needed. Staff also worked flexibly during the outbreak.
“There was good oversight of the home from the registered managers. They acted quickly when any improvements or changes were needed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the outbreak contingency plans kept up to date, and when were they last tested?
- 02How do you check that staff remain competent in using PPE safely?
- 03How often are people and staff tested, and how are the results managed?
- 04How do people keep in touch with relatives if visiting is restricted?
- 05How do you make sure staffing levels remain sufficient during an outbreak?
This was a targeted inspection of infection prevention and control practices during the coronavirus outbreak; it did not provide a full service rating. This explanation was written from the published report of 4 December 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 Gracelands Care Home
2 rated inspections over 5 years: the service has held its Good rating throughout.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- August 2018GoodSafe: GoodWell-led: Good
- May 2017
Registered with the Care Quality Commission on 26 May 2017.
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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