Golborne House Residential Care Home

Updated 4 January 2024

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

Inspection team

This inspection was carried out by an inspector, a medicines inspector, and 2 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Goldborne House Residential Care Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Goldborne House Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 13 December 2023 and ended on 14 December 2023. We visited the location on 13 December 2023.

What we did before the inspection

We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with the registered manager, deputy manager, regional manager, and 5 staff. We received feedback from 4 healthcare professionals and spoke to a relative who was visiting the location at the time of the inspection.

We spoke with 5 people receiving care and spoke to 5 relatives after the onsite inspection. We reviewed 5 people's care records and 5 people's records for the administration of medicines. We reviewed records and audits relating to staff recruitment, and the management of the service, including infection control, life plans, and risk assessments.

We asked the registered manager to send us documents after the onsite inspection. These were provided in a timely manner and this evidence was included as part of our inspection.

Updated 4 January 2024

About the service

Goldborne House Residential Care Home is a care home providing personal care to older people and people living with dementia. The service accommodates 45 people in one adapted building, over 2 floors. At the time of the inspection 35 people were using the service.

People’s experience of using this service and what we found

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

The building was designed to meet the needs of the people receiving care. However, at the time of the inspection the provider was in the process of having the building redecorated. This meant we were unable to fully assess how dementia-friendly the environment was.

Risks to people's safety and wellbeing were assessed and reviewed by the registered manager. We saw evidence of actions being implemented to reduce identified risks to people’s safety.

Staff were trained to recognise potential risks and signs of abuse. Staffing levels were safe. The provider managed medicines safely. Staff used personal protective equipment (PPE) appropriately when supporting people.

Staff had the skills and knowledge to deliver care effectively. People's needs were assessed and reviewed regularly. Healthy lifestyles were promoted, and systems were in place to make sure people's health needs were met. Menu planning met people's dietary needs and considered individual and cultural preferences.

Staff knew how to communicate effectively with residents and were trained to meet people’s needs at the end of their lives. Activities were meaningful and supported social inclusion. Relatives were encouraged to visit and had access to care plans (known as life plans by the service) where appropriate.

People told us staff were polite and always asked before providing care and support. Life plans were personalised and showed the care and support people wanted and needed. People and relatives knew how to raise concerns and were confident these would be dealt with appropriately.

The provider ensured systems were in place to monitor the running of the service. Staff worked well in partnership with other agencies to deliver effective care. The registered manager audited care and support records, to assure themselves of quality. Lessons were learned when concerns were raised, and these outcomes were communicated to staff.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was good (published 5 September 2019).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and due to the length of time since the service was last inspected.

Recommendations

We have made recommendations about dementia-friendly environments.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.