Archived: Goldcrest

Ratings

• Overall

  Inadequate

• Safe

  Inadequate

• Effective

  Inadequate

• Caring

  Requires improvement

• Responsive

  Good

• Well-led

  Inadequate

Our view of the service

We undertook an assessment of Goldcrest from 7 February 2024 to 27 March 2024. This assessment was carried out in response to information of concern we received about staff not following clinical advice, poor record keeping and a lack of stimulation for people living at the home. These concerns indicated people were at risk of not having their care needs meet. Unfortunately, we identified significant shortfalls and 7 breaches of regulations in safe care and treatment, safeguarding, need for consent, staffing, recruitment, good governance and reporting notifiable incidents. People had not always been assessed for risks to their health, safety and welfare. The environment was not always safe, and people had not always been protected from the spread of infection. Medicines had not always been managed safely. There were gaps in staff training and recruitment records, systems to support people transitioning between services were not robust and people were not safeguarding from abuse. Care and treatment was not always provided in accordance with good practice standards. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Staff had not received effective training in the mental capacity act and people did not always have mental capacity assessments and best interest decisions in place in accordance with the mental capacity act (MCA). Systems and processes were either not in place or robust enough to identify shortfalls at the service. The provider had not ensured the service could sustain improvements and this has led to a deterioration of the service. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.

People's experience of this service

Relatives told us there was a lack of stimulation for people and some relatives felt they were not always kept informed about changes to their loved one. However, some relatives told us they felt there had been improvements since our last inspection. Relatives told us staff were kind and caring. People were observed to be dressed well and staff spoke with people with dignity and respect.