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What the CQC found at Godfrey Robinson - Care Home Physical Disabilities

Goodpublished 14 November 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Medicines, recruitment, safeguarding, infection control and accident monitoring were found to be managed safely. Some risk assessments had not been reviewed on time, but inspectors found no impact on people.
Effective?
Good
The home was well maintained and care plans recorded people's health and support needs. Inspectors identified poor interaction and delays during one mealtime, and the manager said immediate action would be taken.
Caring?
Good
People were generally treated with dignity and respect, and staff promoted independence and relationships. One person said staff did not understand their condition, and low staff morale had affected person-centred care at times.
Responsive?
Good
Care plans were personalised and people were involved in planning their care. Activities were available, but some people and relatives felt they were not regular or varied enough.
Well-led?
Good
The manager was registered with the CQC and quality checks were carried out regularly. Staff morale had been low and some staff felt issues between staff had not been dealt with promptly, although improvements were reported.
The latest report, explained

What inspectors found, November 2018

Godfrey Robinson - Care Home Physical Disabilities was rated Good; care was safe and kind, but activities had reduced and meal-time support needed improvement.

This was an unannounced inspection on 2 October 2018. Inspectors spoke with people living in the home, a relative, staff and other people involved in the service. They also reviewed care records, recruitment and training files, medicines, audits and complaints information.

Inspectors found that medicines were managed safely, staff were recruited and trained properly, and people were protected from abuse and infection. The home was clean and well maintained. People were supported with their health, nutrition, communication and independence.

People were generally treated with kindness, dignity and respect. However, inspectors found limited interaction at mealtimes, including one person waiting 45 minutes for their meal. They also found that some people did not have enough activities, especially when the activities coordinator was away.

The overall rating was Good, as were all five areas: Safe, Effective, Caring, Responsive and Well-led. The Responsive rating fell from Outstanding at the previous inspection in October 2015 to Good, but the overall rating stayed Good.

What inspectors praised
  • Safe medicines

    Inspectors found that medicines were managed consistently and safely. Staff understood the electronic medicines systems and procedures.

    “Medicines were managed safely and staff had a good knowledge of the medicine systems and procedures in place to support this.” from the report
  • Well-maintained home

    The home had been refurbished, including communal areas, bathrooms and bedrooms. Inspectors found it pleasant and suitable for people's needs.

    “The premises were well-maintained and pleasant throughout and people's bedrooms were personalised.” from the report
  • Kind and respectful care

    Most people and relatives described staff as kind and caring. Inspectors saw people being treated with dignity and respect.

    “People felt that staff treated them with dignity and respect.” from the report
  • Personalised care

    Care plans included people's needs, communication methods, cultural and religious needs, and end of life wishes. People and relatives were involved in reviewing them.

    “People and their relatives were involved in the development of their care plans.” from the report
What inspectors were concerned about
  • Meal-time delays

    needs fixing

    One person waited 45 minutes for their meal. Inspectors also saw limited communication during meals and found that dessert was not always offered.

    “We observed one person sat at the dining table waiting for their meal for 45 minutes.” from the report
  • Not enough activities

    needs fixing

    Some people and relatives wanted more regular activities. On the inspection day, most people were watching television and there was little to do.

    “We observed that people had very little to do.” from the report
  • Staff morale

    needs fixing

    Staff morale had been low and this had sometimes affected person-centred care. Some staff also felt issues between staff had not been dealt with promptly.

    “Staff moral and atmosphere has been at an all-time low” from the report
  • Risk assessment reviews

    minor

    Some risk assessments had not been reviewed in line with the home's policy. The manager had already identified this and inspectors found no impact on people.

    “We identified some risk assessments that had not been reviewed in line with the provider's policy.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to ensure people are not left waiting for meals?
  2. 02How are staff expected to communicate with and support people during mealtimes?
  3. 03What activities are available when the activities coordinator is not working?
  4. 04How are you monitoring staff morale and dealing with disagreements between staff?
  5. 05How often are risk assessments reviewed, and how do you check that reviews are completed on time?

This was an unannounced inspection covering the home and care provided across all five CQC areas, with the overall rating unchanged from the previous inspection. This explanation was written from the published report of 14 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 Godfrey Robinson - Care Home Physical Disabilities

2 rated inspections over 3 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Godfrey Robinson - Care Home Physical Disabilities →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. 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.

Next steps

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