Gorsefield Residential Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last inspection we rated this key question requires improvement. At this inspection the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care. At our last inspection the provider was in breach of legal regulation in relation to their quality checks and overall governance. At this inspection enough had been done and the provider was no longer breach of this regulation.

This service scored 71 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The service had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities. People, relatives and staff all told us they felt supported by the management team and treated as individuals. A staff member told us they could go to the manager at any time and felt valued as an employee.

The service had inclusive leaders who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. The management team had developed their skills in the appropriate legislation, informing safe care provision. This included an increased knowledge of health and safety in care homes. They applied this increased knowledge to adapting and improving the physical environment where people lived. Everyone we spoke with told us they felt valued and supported by the management team. One person told us they always have a chat with the registered manager and they got on very well.

The service fostered a positive culture where people felt they could speak up and their voice would be heard. People and relatives stated they felt able to raise anything they felt was important. People were supported with regular reviews of their care and support plans and with residents meeting. People felt their views were welcomed and valued by the management team. One person said, “I do have some specific preferences with food. I can always say something if I want, and I know they (managers) will make the changes for me.”

The service valued diversity in their workforce. They work towards an inclusive and fair culture by improving equality and equity for people who work for them. All staff we spoke with told us they were treated fairly and respectfully by the management team and the provider.

The service now had clearer responsibilities, roles, and good governance systems in place. The provider and managers now had effective quality checks in place to ensure people received the care they consented to in a safe environment. The register manager undertook regular quality checks, and these were now overseen by a nominated individual to ensure action had been taken. For example, 1 check identified an area of plaster which needed repairing. This was added to a continuous improvement plan and scheduled for completion. However, these improvements needed to be embedded in the practices of the management team and demonstrated as effective over time.

The service understood their duty to collaborate and work in partnership, so services work seamlessly for people. They share information and learning with partners and collaborate for improvement. People benefited from the providers partnership working with other health care provision in the local area. For example, there was good contact from the service with GP’s, District Nurses and physiotherapy services.

The service now focused on continuous learning and improvement. They now actively contributed to safe and effective practice. The management team reviewed incidents, accidents or dangerous occurrences to see if anything could be done differently. They had made improvements required as part of the warning notice issued to them and not only had they met the requirements, but they developed a plan of continues improvement to minimise the potential for standards to fall in the future.