CQC report explained · a nursing home
What the CQC found at Gloucestershire House - Care Home with Nursing Physical Disabilities
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. Staff were trained in safeguarding, risks were assessed, equipment was checked and medicines were stored and given safely.
- Effective?
- Good
- Staff had relevant training and worked with health professionals, including physiotherapists. People were supported with their health, eating and drinking, communication and decisions about their care.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors saw staff respecting privacy, dignity, choices and independence.
- Responsive?
- Outstanding
- Care was highly individualised and flexible. People had many opportunities to take part in activities, therapy, community life and decisions about their support.
- Well-led?
- Outstanding
- Leaders created a positive, inclusive and person-centred culture. People were involved in quality checks and decisions about the home's services, while audits and learning from incidents were used to improve care.
What inspectors found, March 2020
Rated Outstanding; inspectors found highly personalised care, strong independence and excellent leadership, with all five areas rated Good or Outstanding.
This was an unannounced inspection carried out over four days in December 2019. The inspector spoke with people, relatives, staff and a social care professional. They also reviewed care records, medicines records, staff recruitment files and quality checks.
The inspectors found that people were safe, received effective care and were treated with kindness and respect. Staff supported people to make choices, manage risks and become more independent. Care was adapted to people's communication needs, health needs, interests and goals.
Responsive care and leadership were rated Outstanding. The home offered many meaningful activities, therapy opportunities and ways for people to influence how it was run. The overall rating improved from Good at the previous inspection in 2017. Safe, Effective and Caring stayed Good, while Well-led improved from Good to Outstanding.
Building independence
Support focused on helping people gain skills, make choices and take positive risks. Inspectors found evidence that people's confidence and independence had improved.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Activities and community life
People had a wide range of activities, therapy programmes and accessible trips. The home also supported people to challenge negative views about disability and take part in community life.
“Meaningful activities formed part of day to day life at Gloucestershire House.” from the report
Kind and respectful care
Staff knew people's communication needs and preferences. Inspectors saw kind interactions and respect for privacy and dignity.
“We observed staff interacting with people and found they were supportive, kind and caring.” from the report
People shape the service
People helped decide who might move in, how areas were improved and what activities were offered. They also took part in checks of safety, infection control and the lodges.
“People were empowered to take an active part in assessing the quality and performance of the service.” from the report
Learning and improvement
The home used audits, incident reviews and new technology to improve support. Inspectors found that leaders and staff were committed to achieving better outcomes.
“Effective quality assurance checks were carried out by key staff members, the registered manager, the provider and people who used the service.” from the report
Larger than current guidance
minorThe home supports up to 30 people, which is larger than current best practice guidance for this type of service. Inspectors said the five separate lodges, community setting and focus on independence reduced any negative impact.
“This is larger than current best practice guidance.” from the report
- 01How would you assess whether my relative's nursing, physical disability and communication needs can be met?
- 02How would my relative be involved in decisions about their care, risks and daily routines?
- 03What activities, therapy and accessible transport would be available for my relative?
- 04How do people living in the five lodges influence decisions about the home and raise concerns?
- 05How do you use medicines audits and incident reviews to prevent problems happening again?
This was an unannounced inspection of the whole care home, including the premises and care provided, and it assessed all five CQC questions. This explanation was written from the published report of 12 March 2020 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.
What inspectors found, July 2017
Gloucestershire House was rated Good overall, with Outstanding support for people's goals, activities and independence.
This was an unannounced inspection on 6 and 7 April 2017. One inspector and an expert by experience spoke with 15 people, two relatives and five staff. They also reviewed care records, risk assessments, support plans and mental capacity paperwork.
Inspectors found the home safe, effective and caring, and said it was well-led. People told them they felt safe, listened to and respected. Staff supported people with complex physical disabilities, medicines, health care, eating and drinking, and personal choices.
The Responsive rating was Outstanding. Inspectors found that people were central to planning their care and were supported to achieve personal goals, take part in activities, work and use the wider community. The overall Good rating means inspectors found a positive service across all five areas, with Responsive judged stronger than the other areas.
Personal goals and independence
Staff helped people identify what they wanted from life and supported them to build skills, work towards independence and live in the wider community if they wished.
“Staff were exceptionally good at helping people to identify their goals and aspirations.” from the report
Activities and community links
People had access to a wide range of activities and opportunities, including cycling, hydrotherapy, work, volunteering, holidays and evening or weekend trips.
“Long-term and well developed links had been made in the wider community in order to provide people with exceptional opportunities for activities and support their work aspirations.” from the report
Respectful care
People said staff treated them as individuals. Inspectors saw friendly interactions and found that privacy, dignity, choices and family relationships were respected.
“People were cared for by staff who were kind and who delivered care in a compassionate way.” from the report
Safety and staffing
Inspectors found enough staff, safe medicines processes, appropriate recruitment checks and systems to manage risks and keep the environment clean and safe.
“People had access to help and care when they needed it because there were enough staff on duty to provide this.” from the report
Listening and improvement
The management team sought views from people, relatives and staff, used audits to monitor the home and acted on feedback to improve support.
“People's feedback and suggestions were actively sought, listened to and then acted on.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you record and review my relative's personal goals, preferences and plans for greater independence?
- 02What activities, work or volunteering opportunities could be matched to my relative's interests and abilities?
- 03What progress has been made with the plans to replace the paved areas and refurbish five shower rooms?
- 04What progress has been made with replacing the boiler mentioned in the report?
- 05How will positive risk-taking training affect the support offered to people who want to try new activities?
This was an unannounced comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led, with the previous inspection noted as October 2014. This explanation was written from the published report of 5 July 2017 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.
Every inspection of Gloucestershire House - Care Home with Nursing Physical Disabilities
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- March 2020Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Gloucestershire House - Care Home with Nursing Physical Disabilities →
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
Read what inspectors found at Gloucestershire House - Care Home with Nursing Physical Disabilities →
- December 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 January 2011.
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.
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38 live-in carers within about an hour of Gloucestershire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.