Archived: Goodwood Orchard Residential Care Home

Updated 19 September 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This inspection took place on 3 August 2017 and was unannounced. The inspection team consisted of one inspector and an expert by experience. The Expert by Experience for this inspection had personal experience of caring for someone who uses this type of care service.

Prior to our inspection we reviewed information we held about the service. This included the previous inspection report, the provider’s action plan and notifications we had received. A notification is information about important events which the provider is required to send us by law. We received information from Leicester City Council who fund the care for some people who used the service. This information was used to plan our inspection.

We used a variety of methods to gain people’s views about the service. We spoke with eight people who used the service and three relatives. We also used the Short Observational Framework for Inspection (SOFI). A SOFI is where we observe care to help us understand the experience of people who were not able to have conversations with. We observed people being supported in the dining room at lunch time.

We spoke with registered manager, deputy manager, a senior and three members of care staff, the domestic / maintenance staff and the cook. We also looked at four people’s care records. We looked at recruitment files for three staff and the staff training matrix. We looked at records relating to all aspects of the service including care, maintenance records for the premises and equipment, complaints and quality audits.

Updated 19 September 2017

Goodwood Orchard Residential Care Home is a care home that provides residential care for up to 18 people and cares for older people. At the time of our inspection there were 15 people using the service.

At the last comprehensive inspection of this service in 7 and 8 December 2016 we rated the service as ‘requires improvements’. We found breaches of the legal requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. These related to the premises, lack of person centred care and support provided and lack of good governance. We issued requirements notices and a warning notice in relation to good governance.

An unannounced focused inspection of Goodwood Orchard Residential Care Home took place on 5 April 2017 to check that improvements to meet the legal requirement with regards to good governance were being met. We found some improvements had been made. We were unable to revise the rating because further action was needed to ensure those improvements were fully implemented and sustained.

At this inspection, we found the service had made the required improvements and we revised the overall rating to good.

Goodwood Orchard Residential Care Home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People were supported by staff who knew how to keep people safe, recognise abuse and how to respond to concerns. Risks associated to people’s physical and mental health had been assessed. Staff understood people’s care and support needs and their care plans provided clear guidance to follow. People were involved in the development of care plans to ensure care was personalised, and promoted their wellbeing and independence. Care plans were regularly monitored and reviewed.

People received their medicines safely. People’s dietary needs were met. People had access to a range of healthcare services and attended routine health checks.

People lived in a clean and well maintained environment.

People’s safety was protected because staff were recruited through safe recruitment practices. We found there were sufficient numbers of staff to provide care and support when people needed it. Staff received an appropriate induction, training and support.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff understood their role, and policies and systems in the service supported this practice.

People’s privacy and dignity was respected. Staff’s approach was caring and they knew people well. People maintained contact with family and friends. People joined in social activities that were of interest to them and observed their faith.

People’s views about the quality of the service were sought individually and through meetings to ensure they were satisfied with the service. People and their relatives felt confident to raise concerns with the registered manager. A complaint process was available and advocacy support was made available to people.

The registered manager and deputy manager collectively provided clear leadership. The provider was meeting their regulatory responsibilities. There were effective systems in place to monitor and improve the quality of the service provided.