Gorselands Residential Home

People who were able to, had consented to their care. However, records relating to people who did not have capacity to do this, required further review to ensure they were fully in line with best practice. Following our inspection, the provider confirmed that they had carried out a comprehensive review of these records to make sure they accurately reflected how people's rights were being protected.

Risks had been reviewed since the last inspection, but some risks posed by the environment had not been fully assessed and mitigated. The environment was not always suitable for people living with dementia, especially if their condition was likely to deteriorate. We have made a recommendation about creating a suitable dementia friendly environment.

There were enough staff and they were safely recruited. Staff understood their safeguarding responsibilities and knew how to reduce the risk and spread of infection. Medicines continued to be very well managed.

Staff received training and support to carry out their roles and worked well with other healthcare professionals. People's needs were assessed before they were admitted to the service and their healthcare, eating and drinking needs were well managed.

Staff demonstrated a kind and caring attitude and relationships between staff and those they were caring for were good. There was a warm and homely atmosphere within the service and people told us they felt well cared for. People's privacy and dignity were maintained.

Care was person centred and care plans contained information about people's needs and preferences. Activities were varied and people enjoyed them. People's care needs and preferences for the end of their life had been discussed with them and recorded.

Rating at last inspection and update The service was rated Inadequate at the last inspection (published 16 August 2019.) At that inspection we found three breaches of regulation. This was because the provider did not have systems set up to safely assess and manage risk and had not ensured people had consented to their care. The inspection before this had also identified the same concerns about safety and risk management. The service remained in Special Measures following that inspection, having been previously placed in Special Measures on 28 September 2018. Services that are in Special Measures are kept under review and inspected again within six months. We expect services to make significant improvements within this timeframe.

The rating for this service has now improved to Requires Improvement. During this inspection the service demonstrated to us that sufficient improvements have now been made and the service is no longer rated as Inadequate overall or in any of the key questions. Therefore, this service is now out of Special Measures.