Random inspection report
Care homes for older people
Name: Address: Gorsey Clough Nursing Home Limited Harwood Road Tottington Bury Lancashire BL8 3PT two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Michael Murphy Date: 2 2 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Gorsey Clough Nursing Home Limited Harwood Road Tottington Bury Lancashire BL8 3PT 01204882976 01204886824 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Gorsey Clough Nursing Home Limited care home 61 Number of places (if applicable): Under 65 Over 65 24 0 31 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 0 5 0 3 The home is registered for a maximum of 61 service users, to include: up to 31 service users in the category of (OP) Older People, up to 24 service users in the catrgory of DE(E) Dementia (over 65 years of age), up to 3 service users in the category of PD Physical Disabilities (under 65 years of age), up to 5 service users (one of whom is named) in the category of (MD) Mental Disorder (under 65 years of age). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home Gorsey Clough is a large detached extended property situated in a very pleasant rural area of Tottington Bury. The house is set in its own very large beautifully kept gardens. There is a very large terrace to the rear of the house that has plenty of garden furniture for residents use. There is plenty of parking within the grounds of the home. Gorsey Clough is not easily accessible by public transport but it is approximately 2 miles from the centre of Tottington Village. The doors at the front and back of the home allow a level access for wheelchair users and people who have problems climbing steps. The home provides accommodation in single and double bedrooms on the ground and first floor. The bedrooms on the first floor are reached either by stairs or a passenger lift. The home is divided into 2 areas, Windermere and Kendal. The Windermere Unit is a designated supervised combined lounge/dining area. The Kendal unit has a combined lounge and dining area plus 2 other lounges. Some of the toilets and bathrooms have aids to assist any resident with a disability or mobility problem. The home is registered to provide general nursing, dementia or social care for up to 61 residents. 24-hour nursing care is provided by suitably qualified nurses supported by care assistants. Care Homes for Older People Page 3 of 8 What we found:
We undertook this random inspection following a complaint being made to the registered manager that centred around how healthcare issues were dealt with before and after admission to Gorsey Clough. We therefore looked at the pre-admission assessment process and how the healthcare care and support needs of residents were being addressed by staff at the home. All prospective residents are only admitted to the home after a full pre-admission assessment is undertaken by a person who is trained to do so. At Gorsey Clough this person is an experienced qualified nurse (with a general and psychiatric nursing background). The pre-admission assessment process considers the physical and mental health care and support needs of prospective residents. Problems are identified, medications are detailed and assessment is made in respect of their suitability for admission to the home if their needs can be met there. The pre-admission assessment conducted by the home is supported where appropriate by the detailed and specialist assessments that have been undertaken by medical, social and other professionals. The pre-admission assessments of three residents who were admitted to the home since January 2009 were looked at during this random inspection. All had undergone a suitable pre-admission assessment. We looked at the health care records of the three residents referred to above. We also discussed with the registered manager and her deputy (both qualified nurses) how residents were assisted to access health care services when they needed to. Care records contained care plans that were initially based on the needs identified during the preadmission assessment described above. Care plans described the action that staff needed to take to ensure all aspects of the health, personal and social care needs of residents were met. The care records looked at also contained written risk assessments that identified issues where action needed to be taken to maintain residents safety - for example in respect of the risk of pressure sores, moving and handling needs and nutritional needs. Care plans and risk assessments were being reviewed regularly. All residents were registered with a local GP. Care records looked at reflected that residents were being enabled to access their GP and other specialist health care services where necessary. This included access to the services of opticians, dentists and chiropodists. The medication needs of residents were formally assessed. Medication records indicated that medicines were being administered as prescribed by a medical practitioner. The need to review one residents medicines was highlighted in their care records and the outcome of that review was also detailed. At the time of our unannounced visit residents were suitably and appropriately dressed, appeared to be well groomed and content in their environment. Staff were seen to interact well with residents and support them appropriately and sensitively. In particular more dependent residents were seen to be appropriately supported with their food and drink. Lunch was observed - this was a a hot, substantial and well presented meal. Residents were seen to be served and assisted appropriately by staff those totally dependant were being helped by staff appropriately. staffing levels were seen to enable this at the time of this unannounced inspection and staff on duty said they felt that they had the time to support residents properly and that staffing levels were satisfactory. The registered manager acknowledged there had been a residents dignity issue relating to the management of incontinence. This concerned the occasional use of
Care Homes for Older People Page 4 of 8 nightwear being used by some staff following a resident experiencing incontinence. The registered manager informed us (and the person who raised the issue) that this practice is unacceptable and was stopped as soon as the manager became aware that it had occurred. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
