CQC report explained · a nursing home
What the CQC found at Godswell Park
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- Inspectors found strong systems for managing risks, high staffing levels, good infection control and safe medicine administration. They noted that written protocols were missing for some medicines taken when needed, but the home addressed this immediately.
- Effective?
- Outstanding
- Staff were highly trained and understood people's individual needs. People received good support with food, drink, health care, independence and decision-making.
- Caring?
- Outstanding
- Inspectors saw exceptionally kind and compassionate care. People were treated with dignity and respect, encouraged to remain independent and involved in decisions about their care.
- Responsive?
- Outstanding
- Care was personalised around people's routines, interests, communication needs and relationships. The home offered varied activities, individual support and carefully planned end of life care.
- Well-led?
- Outstanding
- The home had a clear person-centred culture, stable leadership and strong systems for checking quality and learning from events. People and staff were involved in how the home was run.
What inspectors found, April 2020
Godswell Park was rated Outstanding in every area, with kind, personalised care and only a medicines procedure gap dealt with during the inspection.
Inspectors visited on 25 February 2020 and 9 March 2020. The first visit was unannounced and the second was announced. They spoke with 15 people, four relatives, staff and a visiting health and social care professional. They also checked care records, medicines records, staff files and management records.
The home was rated Outstanding overall and for Safe, Effective, Caring, Responsive and Well-led. Inspectors found high staffing levels, very low staff turnover and no agency staff. They saw clean surroundings, strong infection control, personalised care, good food, varied activities and very caring relationships.
There was one medicines shortfall. Some people prescribed medicines to take when needed did not have written instructions for staff. The home addressed this immediately when inspectors raised it. One complaint had also been investigated, but its outcome was still pending when the inspection took place.
The home had also been rated Outstanding at the previous inspection, published on 26 August 2017. This inspection found that the rating had been maintained.
Enough familiar staff
Inspectors found exceptionally high staffing levels, very low turnover and no use of agency staff. This meant staff knew people well and had time to provide personal care without rushing.
“The service had maintained exceptional staffing levels that met people's needs and kept them safe.” from the report
Kind and respectful care
People were treated as individuals and staff showed compassion, patience and respect. Independence and privacy were central to the home's approach.
“Without exception the interactions between people and staff at all levels were kind and compassionate.” from the report
Personalised activities
The home offered group and individual activities based on people's past interests and preferences. Staff adapted activities for people who could not attend groups.
“The service continued to go the extra mile to find out what people had done in the past and evaluated whether it could accommodate activities and made them happen.” from the report
Good food and dining
People had varied choices, flexible meal arrangements and support with eating and drinking. Inspectors saw meals being served in a dignified way, including separate support for people who needed it.
“Meal times at Godswell Park were considered social events and people continued to experience an outstanding dining experience.” from the report
Open learning culture
The home encouraged staff to report incidents and near misses. It used investigations and feedback to make changes and improve safety.
“The service had sustained a genuinely open culture in which all safety concerns raised were highly valued as integral to learning and improvement.” from the report
Instructions for medicines taken when needed
needs fixingSome people did not have written protocols to guide staff when giving medicines prescribed to be taken when needed. The home dealt with this immediately after inspectors raised it.
“However, where people were prescribed when necessary medicines (PRN), there were no PRN protocols in place to guide staff.” from the report
Complaint outcome pending
minorThe home had received one complaint and had investigated it in line with its policy, but the outcome had not yet been finalised at the time of inspection.
“The service had received one complaint which had been thoroughly investigated addressed in line with their policy. The outcome of the complaint was still pending.” from the report
- 01What written protocols are now in place for medicines prescribed to be taken when needed?
- 02How do you check that these medicines are given safely and recorded accurately?
- 03What was the outcome of the complaint that was still pending during the inspection?
- 04How will you maintain staffing levels and avoid relying on agency staff if people's needs change?
- 05How are people and relatives involved in reviewing care plans, activities and staff performance?
This was a planned inspection that looked at the whole care home and all five CQC questions, with the first day unannounced and the second day announced. This explanation was written from the published report of 22 April 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. The report was longer than we could read in one go; the later sections may not be reflected.
What inspectors found, August 2017
Outstanding overall; inspectors found exceptionally safe, kind and personalised care, with strong staffing and management.
Inspectors visited the home without warning on 20 July 2017. They spoke with 15 people, four relatives, three health and social care professionals, 19 staff and the management team. They also looked at the building, six care records, four staff records, training records and safety records.
The home was rated Outstanding in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found high staffing levels, detailed care plans, safe medicines practice, very good training and respectful care. They also found excellent food, many activities and strong links with families and the local community.
The previous inspection in July 2014 rated the home Good. The report says the home had changed to Outstanding at this inspection. No breaches of regulations, enforcement action or special measures are mentioned.
High staffing levels
Inspectors found a stable staff team with enough people and a good mix of skills. Staff responded quickly to call bells and had time to build relationships with residents.
“Staffing levels were excellent. There was a high ratio of staff with a low turnover that kept people safe and met their needs.” from the report
Personalised care
Care plans included people's histories, preferences, routines and changing needs. Staff adjusted support around individual choices, including when people wanted meals, medicines or personal care.
“People were provided with high quality care and support which was truly individual and personalised.” from the report
Food and dining
Inspectors found a wide choice of fresh food prepared by chefs. The home also offered different diets, room service, snacks and an assisted dining room.
“The quality of food at Godswell Park was of an outstanding standard and was seen as one of the best elements of the home.” from the report
Kind and respectful staff
Staff knew people well and supported their dignity, communication, independence and relationships. Inspectors saw staff adapting their approach to people's individual ways of communicating.
“We saw all staff at the home demonstrated kindness, respect, compassion and dignity.” from the report
Strong leadership
The management team used regular checks, meetings and feedback to monitor quality and make changes. Inspectors found the home open, organised and committed to improvement.
“The management team had a comprehensive system in place to monitor and maintain the high levels of quality in the service.” from the report
Inspectors raised no specific concerns in this report.
- 01Are the staffing levels and staff team still as stable as those described in the report?
- 02How would you support my relative's particular nursing needs, including medicines, falls risks, swallowing difficulties or pressure damage?
- 03How are care plans updated when a person's needs, preferences or routines change, and how are families involved?
- 04Which activities and community links are currently available, and how do you support people who prefer one-to-one time?
- 05How do you review concerns, accidents, medicines and feedback, and how are families told about any changes?
This was an unannounced inspection of the overall quality of the service, covering all five CQC questions and providing ratings for each. This explanation was written from the published report of 26 August 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. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Godswell Park
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- April 2020Outstandingcurrent ratingstayed OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2017OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- February 2016
Registered with the Care Quality Commission on 3 February 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.
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