CQC report explained · a residential care home
What the CQC found at Guild House Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people with diabetes had care plans and risk assessments, and that staff knew how to respond to unstable blood sugar levels. They were also assured about infection prevention and control.
- Effective?
- Good
- This key question was not assessed during this targeted inspection.
- Caring?
- Good
- This key question was not assessed during this targeted inspection.
- Responsive?
- Good
- This key question was not assessed during this targeted inspection.
- Well-led?
- Good
- This key question was not assessed during this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors found good arrangements for diabetes care and infection prevention, but this was only a targeted inspection.
Inspectors visited unannounced on 4 November and 4 December 2020. They looked at concerns about how the home managed diabetes, and at infection prevention and control during the coronavirus pandemic.
They found that people with diabetes had care plans, risk assessments and blood sugar checks. Staff had information about when to seek medical help. People were supported with food choices, foot care and eye care.
Inspectors were also assured that the home was following infection control procedures. The provider had strengthened its pre-admission checks and added more information to diabetes care plans after concerns were raised.
The home was inspected but not rated. This does not replace the previous overall rating of Good, published in January 2019. A targeted inspection does not assess the whole service or change earlier ratings.
Diabetes care plans
People with diabetes had plans explaining the support they needed, including diet, blood sugar checks and medical appointments.
“People living with diabetes had diabetes care plans and risk assessments in place detailing the support they needed to manage their health.” from the report
Staff knew the risks
Staff had guidance on recognising when blood sugar levels became unstable and when medical assistance was needed.
“People's diabetes care and risk management plans informed staff for example, how to identify when people's blood sugar levels became unstable” from the report
Food and health support
The home supported people with balanced food choices and monitored related health needs, including foot and eye care.
“People living with diabetes were encouraged to have a healthy balanced diet to keep their blood sugar levels stable.” from the report
Infection control
Inspectors were assured that the home had suitable infection prevention procedures, including the safe use of protective equipment and testing.
“We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
Action after concerns
The provider reviewed its admission checks and added more detail to diabetes care plans after concerns were raised.
“Following a concern raised about people's diabetes care, the provider and registered manager had taken prompt action to review their assessment process.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now check for borderline diabetes and other health needs before someone moves into the home?
- 02How often are blood sugar levels checked, and what happens if a reading is high or low?
- 03How do you support people who choose food that may affect their diabetes?
- 04How do you make sure diabetes-related foot and eye checks are arranged and recorded?
- 05What infection control measures are currently in place for visitors, staff and new admissions?
This was a targeted inspection of specific parts of Safe, focused on diabetes management and infection prevention; it did not assess the other key questions or the whole Safe rating. This explanation was written from the published report of 23 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.
What inspectors found, January 2019
Rated Good; inspectors found safe, kind and person-centred care, with a minor medicines storage recording issue.
This was an unannounced inspection on 23 October 2018. The inspector spoke with people living at the home, a relative and staff, and reviewed care plans, medicines records, incident records, complaints, recruitment files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received medicines safely, had enough staff and were supported with their health, nutrition and communication needs.
People were treated with respect and received care based on their individual preferences. They had access to activities, social opportunities and links with the local community. The home had improved since the 2015 inspection, including its medicines arrangements and staffing levels.
Safer medicines
The home had corrected the earlier problem with protocols for medicines given when needed. Medicines records, stock checks and prescribed creams records were in order.
“At this inspection, we found improvements had been made and all relevant PRN protocols were now in place.” from the report
Kind and respectful care
Inspectors saw people were relaxed with staff and received support that respected their dignity, privacy, choices and communication needs.
“We observed positive interactions throughout our inspection and saw people were at ease with staff, with a relaxed and uplifting atmosphere in the home.” from the report
Person-centred support
Staff knew people as individuals and adapted support to their changing needs, interests and preferences.
“People continued to receive person-centred care.” from the report
Strong management and monitoring
The home had a consistent staff team and used audits, feedback and lessons from incidents to make improvements.
“The provider continued to monitor the quality and safety of care provided at Guild House.” from the report
Medicine storage temperatures
needs fixingTemperatures in the room where spare medicines were kept were not routinely recorded. The registered manager acknowledged this and said staff would be reminded to record them daily.
“However, we found the room temperatures of the medicine storage room, where the overstock was kept, were not routinely recorded.” from the report
Care plan updates
minorCare plans were being moved to an electronic system. The home planned to improve how people's communication needs were recorded in line with the Accessible Information Standard.
“The service was in the process of reviewing and updating people's care plans as they transferred them over to an electronic care planning system.” from the report
- 01How are temperatures in the medicine storage room recorded now, and how often are the records checked?
- 02Has the transfer to the electronic care planning system been completed for all residents?
- 03How are each person's communication, equality, diversity and human rights needs recorded in their care plan?
- 04Was the planned falls prevention training delivered to all staff, and what changes followed it?
- 05How are people's end-of-life wishes and preferences kept up to date?
This was an unannounced inspection of the overall service covering all five CQC question areas, and the report says the overall Good rating had not changed since the previous inspection. This explanation was written from the published report of 3 January 2019 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 Guild House Residential Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Guild House Residential Home →
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Guild House Residential Home →
- March 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- April 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 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.
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