Background to this inspection
Updated
19 December 2019
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 Care Act 2014.
Inspection team
The inspection was carried out by an inspector, an assistant inspector, an Expert by Experience and a specialist professional advisor. Their area of specialism was as a registered nurse; with particular experience in dementia care. 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
Giltbrook Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last 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. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with six people who used the service and four relatives about their experience of the care provided. We spoke with eight members of staff including the registered manager, the clinical lead, the administrator, the cook, a domestic, the maintenance person and two care workers. We also spoke with a visiting healthcare professional.
We reviewed a range of records. This included four people’s care records and multiple medication records. We looked at four staff files in relation to recruitment and a variety of records relating to the management of the service.
After the inspection
The provider sent us additional information that we requested to show how they met regulations. This included training data and policies.
Updated
19 December 2019
About the service
Giltbrook Care Home is a residential care home providing personal and nursing care to 16 people aged 65 and over at the time of the inspection. The service can support up to 40 people in one adapted building over two floors.
People’s experience of using this service and what we found
People felt safe living at the service, their risks had been identified and managed. We did find that not all risk assessments had been updated, however this was rectified straight away. Overall people felt there were enough staff to meet their needs. People were supported to take their medicines in a safe way. The service was kept clean and appropriate infection control protocols were followed.
People were supported to eat and drink in order to maintain a healthy weight and keep hydrated. People had access to healthcare and were supported by appropriately trained 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.
People were supported by caring staff who respected their privacy and dignity. People were encouraged to live as independently as possible and were able to express their views.
People were supported to take part in some activities, however at the time of the inspection these were minimal. The service did not receive many complaints but ensured that concerns received were looked into and actioned. People’s care plans were individualised, although people did not always feel directly involved in the planning or reviewing their care.
People and their relatives spoke positively about the management now in place. The registered manager had comprehensive monitoring and auditing systems in place. They were aware of their duties and worked together with other agencies to ensure people received quality care and support.
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 requires improvement (published 11 December 2018) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating.
Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.