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CQC report explained · a residential care home

What the CQC found at The Goodwins

Outstandingpublished 1 February 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, staffing, medicines, equipment and the environment were managed safely.
Effective?
Good
People received suitable care and support based on detailed assessments, staff training and healthcare guidance. People were supported to make choices as far as possible.
Caring?
Outstanding
Staff knew people well, communicated in ways that suited them and treated them with compassion, dignity and respect. People were supported to make choices and develop independence.
Responsive?
Outstanding
Support was highly personalised and adapted to individual needs, routines and preferences. People took part in activities at home and in the community and achieved positive outcomes.
Well-led?
Outstanding
Leadership created an open, person-centred culture focused on improving people's lives. Quality checks, learning from incidents and staff involvement supported continued improvement.
The latest report, explained

What inspectors found, February 2019

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

This was an unannounced inspection on 28 and 29 November 2018. One inspector observed care, checked the home and reviewed records. They spoke with staff, the manager, one person, relatives and health and social care professionals.

The home supported eight people with severe learning disabilities, autism and behaviours that challenge. Inspectors found people were happy, treated with kindness and supported to make choices, build independence, enjoy activities and keep relationships. Staff used positive approaches, with less challenging behaviour, less as-required medicine and no restrictive interventions.

Safe and effective care were rated Good. Caring, responsive and well-led were rated Outstanding. The overall rating was Outstanding, improving from Good overall at the previous inspection in March 2016.

What inspectors praised
  • Kind and respectful care

    Staff understood how people communicated and responded to their individual needs. Inspectors saw caring and positive interactions throughout the visit.

    “We observed caring, respectful and positive interactions throughout the inspection.” from the report
  • Personalised support

    People's care plans described their needs, preferences and routines in detail. Support was changed when needed to help people achieve better outcomes.

    “People's care plans were detailed and contained clear information about their specific needs, their personal preferences, routines, likes, dislikes and what was important to the person.” from the report
  • Greater independence

    People were supported to build skills and do more for themselves, including cooking, cleaning, eating independently and taking part in activities.

    “The approach continued to be staff doing activities 'with' people rather than 'for' people.” from the report
  • Community and relationships

    People used local facilities, went on outings and holidays, and were supported to maintain or rebuild important relationships.

    “People were supported to regain and maintain relationships with those important to them and to develop new relationships.” from the report
  • Strong safety systems

    Inspectors found suitable systems for safeguarding, risk management, staffing, medicines, infection control and learning from incidents.

    “Medicines were ordered, stored, administered and disposed of safely.” 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 will you keep the current positive behaviour support approach in place and continue reducing the need for as-required medicines?
  2. 02How do you assess and review risks such as choking, mobility, community activities and night-time safety for my relative?
  3. 03How will you support my relative to communicate choices and consent if they do not use speech?
  4. 04What activities and community opportunities would be suitable for my relative, and how would you adapt them to their attention and relaxation needs?
  5. 05How would you involve our family or an advocate in care reviews and decisions about my relative's support?

This was a planned, unannounced inspection covering all five CQC questions, the home environment and the care provided; the previous overall rating was Good from March 2016. This explanation was written from the published report of 1 February 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 The Goodwins

2 rated inspections over 3 years: the service has improved, from Good to Outstanding.

  1. February 2019Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at The Goodwins →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

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

  3. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 25 November 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

Weigh the report against the rest

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Most charge £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.

“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
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