- Care home
Georgian House
Report from 3 December 2024 assessment
Contents
Ratings
Our view of the service
Date of Assessment: 7 to 14 January 2025. The service is a residential care home providing support for up to 43 adults of all ages living with mental health conditions. An assessment has been undertaken of a service that is used by autistic people or people with a learning disability but is not registered as a specialist service. We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. At our previous inspection we identified breaches of the regulations in relation to; the Mental Capacity Act, management of risk, safeguarding, staff training and oversight of the service. The service had made improvements and is no longer in breach of regulations. The rating has improved from requires improvement to good. Systems to identify new risks and respond in a timely manner had improved. Risk assessments were completed and there was information to guide staff on how to protect people from harm. A safeguarding lead role had been developed. This had led to improved systems for recognising and responding to safeguarding incidents. Managers and staff now had a good understanding of the MCA. Capacity assessments were decision specific and evidenced how people had been supported to understand information. An in-house trainer monitored staff practice which enabled them to identify any gaps in training. Staff told us they were well supported and described a positive working environment. Care plans were person-centred and reflected people’s individual needs. However, goals associated with people’s personal development were not well documented. There were clear roles and responsibilities within the management team and these were known and understood by staff.
People's experience of this service
Some people could not directly tell us about their experience. We observed staff interacting with people and used a structured observation tool to assess whether they received good care. This approach showed people were included and listened to and staff consistently interacted positively with them. Staff practice was person-centred and enabling. Staff supported people in a compassionate manner, recognising their individuality and demonstrated during their conversations how well they knew people. It was evident people were at ease with staff. People’s skills and interests were celebrated. One person told us they sang and played the guitar in Karaoke sessions. When an external singer did not turn up the person had stood in for them and now sings regularly. Another person told us how much they enjoyed being outdoors. An outdoor shelter with a table and heater was available for them to use.