3 August 2017
During a routine inspection
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.