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CQC report explained · a residential care home

What the CQC found at Guyatt House

Outstandingpublished 30 April 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Outstanding
People were supported to understand safety and take positive, considered risks while maintaining their independence. Staffing, recruitment, medicines, infection control and emergency arrangements were found to be effective.
Effective?
Good
Staff were trained, skilled and supported, and people's health, nutrition and healthcare needs were addressed. Consent and mental capacity arrangements were in place, including appropriate applications for restrictions where needed.
Caring?
Outstanding
Staff treated people with warmth, kindness, dignity and respect. People were supported to communicate, make decisions, maintain relationships and develop their independence.
Responsive?
Outstanding
Care was highly personalised and adapted to people's communication, interests, faith, emotions and goals. People were supported to take part in work, activities and community life, and to raise concerns with advocacy support when needed.
Well-led?
Outstanding
Inspectors found a strong person-centred culture and very positive leadership. People, relatives, staff and healthcare professionals were involved in shaping the service, and the provider used training, feedback and partnership working to improve care.
The latest report, explained

What inspectors found, April 2019

Guyatt House was rated Outstanding overall; inspectors found exceptionally safe, caring, responsive and well-led support, with effective care rated Good.

Inspectors visited on 15 and 20 March 2019. One inspector reviewed records and information, observed care, spoke with staff and managers, and gathered views from relatives and healthcare professionals. Seven people living at the home were met, although detailed verbal feedback was not possible from everyone because of their communication needs.

The home supported nine people with learning disabilities. Inspectors found that people were helped to make choices, take positive risks, build skills and live active lives in their community. Staff used pictures, symbols and other communication tools so people could understand information and take part in decisions.

The home was rated Outstanding for Safe, Caring, Responsive and Well-led. Effective was rated Good. Overall, the CQC judged the service to be Outstanding and said it had improved since the previous inspection, when it was already rated Outstanding for Safe and Caring.

What inspectors praised
  • Personalised communication

    The home used a wide range of communication aids so people with communication difficulties could understand information and be involved in their care.

    “Staff worked exceptionally hard to find different ways of presenting information to people, using objects of reference or symbols for example.” from the report
  • Independence and positive risk

    People were supported to make their own choices and take measured risks, rather than being stopped from doing things because they involved risk.

    “People were empowered and supported to take positive risks which encouraged and supported their independence.” from the report
  • Kind and respectful staff

    Staff knew people well and responded patiently to their feelings, anxieties and individual needs.

    “People were supported by remarkable caring staff that knew them well and understood how to maximise their potential.” from the report
  • Community involvement

    People were supported to use local services, attend community activities, volunteer and develop personal goals.

    “The service took a key role in the local community who played a central role in wider support to people.” from the report
  • Safe medicines systems

    People were supported to manage as much of their own medicine as they could. Records showed medicines were given as prescribed.

    “Medicines systems were organised and people were receiving their medicines when they should.” 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 would you adapt communication for my relative's particular needs, and how would you check that they understand their care and choices?
  2. 02How do you support people to take positive risks while keeping them safe?
  3. 03What opportunities would my relative have for work, volunteering, hobbies and community activities?
  4. 04How would you support my relative to manage their medicines, and what checks would be made if their needs changed?
  5. 05How would my relative raise a complaint or access an independent advocate if they were unhappy?

This was a planned inspection covering all five CQC questions and both the care and the premises; inspectors could not obtain detailed verbal feedback from everyone because of complex communication needs. This explanation was written from the published report of 30 April 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.

The story over the years

Every inspection of Guyatt House

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

  1. April 2019Outstandingcurrent ratingstayed Outstanding
    Safe: OutstandingEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Guyatt House →

  2. July 2016Outstanding
    Safe: OutstandingEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

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

  3. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 2 December 2010.

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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