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CQC report explained · a residential care home

What the CQC found at Ghyllside

Goodpublished 2 November 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found safe recruitment, enough staff, suitable risk assessments and safe medicine systems. Staff understood safeguarding procedures and building safety checks were completed.
Effective?
Good
Staff had relevant training, supervision and appraisals. People had access to healthcare professionals, support with food and drink, and care that followed mental capacity principles.
Caring?
Good
People described staff as kind, attentive and easy to talk to. Inspectors saw respectful interactions and found that privacy, dignity and independence were supported.
Responsive?
Good
Care records were detailed, clear and reviewed monthly. People received support based on their preferences, including community access, education, employment, cooking and other activities.
Well-led?
Good
The registered manager was described as approachable and supportive. Audits, meetings and feedback systems were used to monitor care and make improvements.
The latest report, explained

What inspectors found, November 2018

Rated Good; inspectors found safe, kind and personalised care, with no breaches reported.

Inspectors visited on 4 October 2018. The inspection was announced and included speaking with both people living at the home, staff and the registered manager. They looked at the building, care records, medicine records, staff recruitment files and management records.

The home supported up to four people with mental health needs who no longer needed hospital care. There were two people living there during the inspection. Inspectors found enough suitably recruited staff, safe medicine management, detailed care plans and appropriate risk assessments.

People said staff were helpful, attentive and caring. Inspectors saw kind and respectful interactions. People were supported to make choices, stay independent, access the community, take part in activities and maintain relationships.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the provider changed in October 2016. The report does not identify any breached regulations or enforcement action.

What inspectors praised
  • Kind and respectful staff

    People spoke positively about staff, and inspectors saw staff being patient, attentive and compassionate. Staff knew people's personalities, routines and preferences well.

    “From our observations staff were kind, attentive and patient with people.” from the report
  • Safe staffing and recruitment

    The home had enough staff to meet people's needs and keep the home clean. Recruitment checks, including references and DBS checks, were completed before staff started.

    “We found there were sufficient staff to meet people's needs.” from the report
  • Personalised care and independence

    Care plans included people's likes, dislikes, goals and triggers. Staff supported people to make choices, build skills and live as independently as possible.

    “People were supported to be as independent as they wanted.” from the report
  • Good management and oversight

    The manager was seen as approachable and supportive. Regular audits and meetings helped the home review care, listen to people and act on improvements.

    “Effective quality assurance systems were in place to assess, monitor and improve the quality of the service.” from the report
  • Activities and community access

    People were supported to access the community, education and employment, as well as activities such as art, cooking and household tasks.

    “People were also actively supported and encouraged by staff to access education and employment.” from the report
What inspectors were concerned about
  • End-of-life wishes not recorded

    minor

    Inspectors did not see records about people's wishes at the end of life. The manager said this was because most people were younger adults and that records would be discussed if the need arose.

    “Although we did not see care records in place about people's wishes at the end of their life” from the report
Questions to ask them, based on this report
  1. 01How would you record and review my relative's wishes about end-of-life care if their needs changed?
  2. 02How many staff would be on duty for my relative, and how would staffing increase if their needs changed?
  3. 03What activities, education, employment or community opportunities would be available for my relative?
  4. 04How are low-level concerns recorded, investigated and used to improve care?
  5. 05How often would my relative and family be invited to discuss care plans and give feedback?

This was an announced inspection covering all five CQC questions and the overall rating; it was the first inspection since the provider changed in October 2016. This explanation was written from the published report of 2 November 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ghyllside

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. November 2018Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ghyllside →

  2. October 2016

    Registered with the Care Quality Commission on 7 October 2016.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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