About the service: Garside House Nursing Home is a care home that provides accommodation and respite care for up to 40 people on three separate floors, caring respectively for people with general nursing needs, dementia and palliative care needs. At the time of our inspection there were 33 people living at the home.

People’s experience of using this service:

¿ People using the service told us they felt safe and trusted the staff caring for them.

¿ People's needs were assessed before care and treatment was delivered. Risk assessments and guidance were in place and staff were aware of how risks to people’s health and well-being could be minimised.

¿ Systems were in place to safeguard people from the risk of possible abuse.

¿ Following a recent safeguarding incident involving the disposal of controlled drugs, medicines policies and procedures had been revisited and staff training refreshed.

¿ Staff demonstrated some understanding of consent and capacity issues in relation to mental health legislation.

¿ People were supported to eat and drink enough but meals were not always prepared and served in an appetising way.

¿ Staff completed an induction period that included shadowing more experienced members of staff before working with people on their own. However, some core staff training had not been refreshed and delivery was currently behind schedule.

¿ The service was working in partnership with other agencies and healthcare providers. People were supported to access healthcare services as required.

Rating at last inspection: At the last inspection the service was rated Good (12 April 2017). At this inspection the overall rating had deteriorated to Requires Improvement.

Why we inspected: This was a planned inspection based on the previous rating.

We made one recommendation about staff records.

Follow up: We will continue to monitor intelligence we receive about this service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

We carried out an unannounced comprehensive inspection of this service on 13 and 14 June 2016. At this inspection we found a breach of legal requirements. This was because staff did not receive regular supervision to ensure they were supported in their roles. We also made a recommendation about the storing medicines at an appropriate temperature.

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breach. We undertook a focused inspection on 14 February 2017 to check that they had followed their plan and to confirm that they now met legal requirements.

This report only covers our findings in relation to this topic. You can read the report from our last comprehensive inspection by selecting the 'all reports' link for ‘Garside House Nursing Home’ on our website at www.cqc.org.uk’

Garside House Nursing Home provides accommodation and respite care for up to 40 people on three separate floors, caring respectively for people with general nursing needs, dementia and palliative care. At the time of our inspection, there were 40 people living in the home.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our focused inspection on 14 February 2017, we found that the provider had followed their plan and improvements had been made.

Temperature checks were monitored to ensure the safe storage of medicines. Staff were reminded about the requirements of best practice in relation to medicines management. People were supported with their medicines at the appropriate times.

Staff had received regular supervision and support to further develop their training, skills and knowledge. Systems were in place to ensure senior staff were allocated to support individual teams and check their progress. People were cared for by staff who had acquired the necessary experience and skills to do so.

Records were kept of quality audits and improvements made to ensure that the required standards were monitored and maintained.

We inspected Garside House Nursing Home on 13 and 14 June 2016, the inspection was unannounced. Our last inspection took place on 7 August 2014 and we found that the provider was meeting all of the regulations that we checked.

Garside House Nursing Home provides accommodation and respite care for up to 40 people on three separate floors, caring respectively for people with general nursing needs, dementia and palliative care. The home is situated in the town of Pimlico and close to community facilities. At the time of our inspection there were 30 people living at the home.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported to have a choice of enough suitable food and fluids to meet their needs. There were arrangements in place to identify and support people who had specific dietary requirements.

Staff provided compassionate care and were committed to ensuring people felt valued. Staff interacted with people in a caring manner and respected their privacy, dignity and independence. The service was accredited for providing end of life care to ensure better experiences for people.

People and their relatives had positive relationships with staff. People were given information on how to make a complaint and said they felt comfortable raising any concerns or giving feedback to staff.

Staff did not receive regular supervision to ensure they received adequate support to carry out their roles effectively.

People had individual risk assessments detailing the risks to their health and safety, based on assessments of their needs. Staff were familiar with risks relating to people’s wellbeing and what measures were put in place to keep them safe.

Staff received training that was reflective of the needs of the people who used the service. Thorough recruitment checks were completed to assess the suitability of the staff employed.

Staff had an understanding of Deprivation of Liberty Safeguards (DoLS) and what may constitute a deprivation of liberty and followed correct procedures to protect people’s rights.

Specialist healthcare professionals were available to meet the wide range of health care needs of the people in the home. Prompt action was taken in response to illness or changes in people’s health.

People participated in different activities and their involvement was central to their health and well -being. The registered manager was nominated for the provider’s kindness awards by a member of the team. Staff felt valued and respected by the registered manager.

We have made a recommendation about the safe storage of medicines and we found one breach of regulations relating to staffing. You can see what action we asked the provider to take at the back of the full version of this report.