About the service:

Gorseway Nursing Home provides personal and nursing care for up to 88 people. At the time of our inspection 47 people were using the service. Some people using the service were living with dementia or had physical support needs.

People’s experience of using the service:

People were not provided with sufficient and meaningful activities. Engagement between staff and people was poor because the provider failed to deploy sufficient numbers of skilled and experienced staff at all times. Records relating to risk management and the Mental Capacity Act 2005 (MCA) were not always completed, which meant decisions made in people’s best interest were not consistently sought in line with legislative requirements. Feedback from healthcare professionals, relatives and people was mixed and the culture within the home was not person-centred. Staff were task focused, did not always respect people’s dignity and people’s preferences and wishes were not always known or detailed in care plans. The providers governance systems had not been fully implemented and they required time to develop. There was a lack of confidence in the leadership and staff felt unsupported in their role.

The provider had acknowledged there were areas that required improvement such as dementia care, activities, staffing, leadership and the culture. There were some plans in place and additional work that had started after our visit to begin developing the home. The provider was in the process of implementing a new IT system which we were told would drive significant improvement in relation to recording information.

Why we inspected: This inspection was planned as the location was newly registered under a new provider. The new provider took over the registration of the service on 23 October 2018.

Rating at the last inspection: This was the locations first inspection since registering with the Care Quality Commission (CQC).

Follow up: We identified five breaches of the Health and Social Care Act 2008. An action plan will be requested to ensure improvements are made. We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.