Gaywood Street

Updated 27 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

The inspection team consisted of 2 inspectors.

Service and service type

Gaywood Street 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. Gaywood Street 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.

This inspection was unannounced.

We visited the service on 5 December 2023, and we visited the human resource department on 12 December 2023.

What we did before the inspection

The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

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 all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service about their experience of the care provided. We spoke with 3 care workers, the assistant manager and the registered manager. We spoke with the health and safety lead, the human resource manager and the recruitment manager. We spoke with 2 relatives.

We reviewed a range of records, this included 5 people's care and medicines records. We looked at 6 staff files in relation to recruitment and staff supervision. We looked at a variety of records relating to the management of the service, including policies and procedures, complaints and building audits.

Updated 27 January 2024

Gaywood Street is a residential care home providing regulated activities (e.g., personal and nursing care) to up to 5 people in 1 adapted building. The service provides support to younger adults and adults with learning disabilities and adults with autistic spectrum disorder. At the time of our inspection there were 5 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

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

Right Support: The service supported people to have maximum possible choice, control and independence over their lives. People were supported in the least restrictive way possible and in their best interests. Staff supported people to pursue their interests in the community.

Right Care: Care workers understood peoples cultural needs and support preferences. They understood people’s cultural needs and appropriate care was provided. People received kind and compassionate care. Care workers understood how to respond to people’s individual needs.

Right Culture: People were supported by care workers who understood best practice in relation to the sensitivities and strengths of people with learning disabilities. People received good quality care, support and treatment from care workers and specialists trained to meet their needs.

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

We found recommendations following a recent fire risk assessment in April 2023 had not been implemented. We found no evidence this put people at a risk of harm. This was discussed with the registered manager who took action to rectify the concerns.

The provider had measures in place to so recruitment was safe. However, we found the provider did not keep copies of care workers Disclosure and Barring Checks on site.

We found 2 files with incomplete right to work in the United Kingdom checks. This was discussed at the inspection and the information was gathered and files were updated.

The décor of the home required minor repair and updating but was clean and tidy throughout. The home was adapted to meet people’s needs. People were treated with, respect and compassion. Relatives told us they were happy with the care their family members received.

We saw care workers and staff interact in an attentive and caring manner with people. People’s privacy and dignity were respected. People were cared for by care workers who had received appropriate training to support their needs.

People had care plans in place to ensure care workers knew how to provide personalised support. The registered manager was responsive to any concerns relatives may have and communicated well with them. People were supported to maintain relationships to prevent social isolation.

The registered manager promoted a positive culture that was open, and person centred. The service was engaging, and the views of people using the service and their relatives were sought.

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

Rating at last inspection

The last rating for this service was good (published 20 July 2017).

Why we inspected

The inspection was prompted by a review of information we held about the service.

Enforcement and Recommendations

We have made a recommendation in relation to, Managers and staff being clear about their roles, and understanding quality performance, risks, and regulatory requirements.

Follow up

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