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What the CQC found at Golborne House Residential Care Home

Goodpublished 4 January 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and reviewed, staffing levels were safe, medicines were managed safely and staff understood safeguarding procedures.
Effective?
Good
Staff had the training and skills needed to support people. People's health, nutrition, communication needs and legal rights were considered, although the dementia-friendly environment was not fully in place during the refurbishment.
Caring?
Good
People were treated with kindness, dignity and respect. Staff listened to people's choices and supported their cultural and religious preferences.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were supported with communication, activities, relationships, complaints and end-of-life planning.
Well-led?
Good
Inspectors found an open and positive culture, clear management systems and regular checks on care quality. People, relatives and staff felt able to raise concerns.
The latest report, explained

What inspectors found, January 2024

Rated Good; inspectors found safe, kind and personalised care, but the dementia-friendly environment was not yet complete.

Inspectors visited unannounced on 13 and 14 December 2023. They spoke with people, relatives, staff and healthcare professionals. They reviewed care plans, medicines records, risk assessments, recruitment records and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable training, personalised care and good support for people's health, choices and relationships.

The building was being redecorated and refurbished. Some dementia-friendly features, such as bedroom pictures and signs, had been removed. Inspectors made a recommendation for the home to consider guidance and update the environment. They found no harm to people at the time.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs and keep them safe. Recruitment checks and induction arrangements were also in place.

    “There were enough staff to meet people's needs and keep them safe.” from the report
  • Kind and respectful care

    People were treated with compassion and respect. Staff asked before providing care and supported people's privacy, dignity and choices.

    “People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.” from the report
  • Good management and learning

    The home had systems for checking quality, responding to concerns and learning from incidents. People, relatives and staff felt comfortable speaking with managers.

    “There was a positive and open culture at the service.” from the report
What inspectors were concerned about
  • Dementia-friendly environment

    needs fixing

    Redecoration and refurbishment meant some signs and personal bedroom features had been removed. Inspectors recommended that the provider use current guidance and update the accommodation.

    “Due to ongoing redecorating and refurbishment the service was not fully providing an environment which helped people living with dementia.” from the report
Questions to ask them, based on this report
  1. 01Has the refurbishment finished, and are dementia-friendly signs now in place?
  2. 02Do bedrooms now display pictures or personal objects to help people living with dementia identify their own room?
  3. 03How are staffing numbers decided for each shift according to residents' individual needs?
  4. 04How are medicines that must be taken before food managed and checked?
  5. 05How will you involve my relative and our family when their life plan is reviewed?

This was an unannounced inspection of the care home, including the premises and care provided, and it assessed all five CQC key questions. This explanation was written from the published report of 4 January 2024 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.

An earlier report, explained

What inspectors found, December 2020

Targeted inspection not rated; inspectors were assured that infection prevention and control arrangements were safe.

Inspectors visited the home on 26 November 2020. This was an announced, targeted inspection about infection prevention and control during the coronavirus outbreak.

They found strong arrangements for screening professional visitors and supporting controlled visits from relatives. The home used temperature checks, risk assessments, NHS track and trace, and a separate visit room.

Inspectors were assured that the home was managing isolation, social distancing, personal protective equipment, testing, hygiene and possible outbreaks safely. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Visitor screening

    The home had detailed checks for professional visitors, including temperature checks, risk assessments and track and trace arrangements.

    “Robust procedures were in place for screening any professional visitors to the home.” from the report
  • Controlled visits

    A separate visit room reduced contact with the rest of the home. Visits for people receiving palliative care had been risk assessed and supported with clear guidance.

    “A visit room had been set up which could be accessed directly from outside to prevent unnecessary contact with the rest of the home.” from the report
  • Communication with relatives

    The home regularly shared information about changing policies and practices with people and their relatives through several methods, including a closed social media group.

    “Regular communication with people and their relatives had occurred, to ensure everyone was aware of current policies and procedures, changes to practice and to evidence what had been going on within the home.” from the report
  • Managing isolation

    The home used isolation and grouping people safely while monitoring the effect on their wellbeing. Staff acted when changes in mood or presentation were noticed.

    “The home had used isolation and cohorting of people effectively, to ensure care and support was provided safely, and people's needs were met.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have your infection prevention and control arrangements changed since the inspection on 26 November 2020?
  2. 02How are visits currently managed, including visits for people receiving palliative care?
  3. 03How do you communicate changes to policies and visiting arrangements with relatives?
  4. 04How do you monitor people during isolation and respond if their mood or presentation changes?
  5. 05What are the current arrangements for personal protective equipment, testing and managing outbreaks?

This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated on the other questions. This explanation was written from the published report of 5 December 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 story over the years

Every inspection of Golborne House Residential Care Home

2 rated inspections over 5 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Golborne House Residential Care Home →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Golborne House Residential Care Home →

  3. December 2018Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2017

    Registered with the Care Quality Commission on 30 October 2017.

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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Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.

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