Goldenview Care Home

On this page

• Overview
• Learning culture
• Safe systems, pathways and transitions
• Safeguarding
• Involving people to manage risks
• Safe environments
• Safe and effective staffing
• Infection prevention and control
• Medicines optimisation

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

This is the first assessment for this newly registered service. This key question has been rated good. This meant people were safe and protected from avoidable harm.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a proactive and positive culture of safety, based on openness and honesty. Staff listened to concerns about safety and investigated and reported safety events. Lessons were learnt to continually identify and embed good practice.

The management team had clear processes in place, so staff were able to learn from when things had gone wrong. Management and staff demonstrated accountability when errors or shortcomings occurred, acknowledging responsibility for issues within their control. Appropriate actions were taken to address these matters, with an emphasis on learning and improvement.

Records were updated to reflect evolving situations and people’s needs where these had changed.

There management team fostered a culture of openness and transparency which meant staff were able to improve on practices to prevent the likelihood of incidences reoccurring.

The provider worked with people and healthcare partners to establish and maintain safe systems of care, in which safety was managed or monitored. They made sure there was continuity of care, including when people moved between different services.

The provider supported people as part of the Discharge to Assess (D2A) pathway and collaborated with health and social care partners to ensure this transition both in and out of the service was as seamless as possible.

The registered manager ensured that safety was effectively overseen and maintained, and continuity of people’s care was prioritised. This supported safe, well-informed care planning and contributed to improved outcomes for those using the service.

One professional who we spoke with said, “The staff are welcoming. Staff provide good information about the residents, and they know instantly who I am talking about. I always receive good feedback, and the staff are all knowledgeable.”

The provider worked with people and healthcare partners to understand what being safe meant to them and the best way to achieve that. Staff concentrated on improving people’s lives while protecting their right to live in safety, free from bullying, harassment, abuse, discrimination, avoidable harm and neglect. The provider shared concerns quickly and appropriately.

Staff had completed safeguarding training and were able to tell us about how they recognised and responded to concerns. One staff member said, “For example, we look for changes in people, physically. We report and record.”

Safeguarding referrals were made appropriately as needed and safeguarding outcomes were shared with staff to enable them to take learning from incidents. Actions were taken to strengthen practices and reduce the risk of similar incidences reoccurring.

The provider worked with people to understand and manage risks by thinking holistically. Staff provided care to meet people’s needs that was safe, supportive and enabled people to do the things that mattered to them.

The service managed a high level of risk due to the often-complex needs of people moving through the Discharge to Assess pathway, and this was managed effectively.

There were detailed risk assessments in place that were regularly reviewed and updated. These assessments enabled staff to understand people’s needs clearly and to deliver care in a safe and consistent manner. Care records were comprehensive and up to date, providing staff with the essential information required to deliver safe support.

When issues or incidents occurred, they were addressed promptly and appropriately. The management team promoted a culture of learning and accountability, ensuring that staff reflected on what had happened and took forward any lessons to improve future practice.

The provider detected and controlled potential risks in the care environment. They made sure equipment, facilities and technology supported the delivery of safe care.

The environment was safe and well maintained, with regular compliance checks carried out to ensure health and safety standards were upheld. Equipment was used appropriately and operated safely and effectively to support the delivery of high‑quality care.

The provider made sure there were enough qualified, skilled and experienced staff, who received effective support, supervision and development. They worked together well to provide safe care that met people’s individual needs.

Staffing levels were sufficient to meet the needs of people using the service. Some people required 1:1 support, and this was organised and delivered well. Additional staffing was allocated to meet the complex needs of people transitioning through the service, ensuring that care remained safe and responsive.

A separate system was in place to ensure staff were appropriately trained and competent before working shifts. Training compliance was monitored closely, and staff were unable to pick up additional shifts if any mandatory training had expired. This ensured that only staff with up to date knowledge and skills were deployed to support people.
A relative told us, “Everyone [staff] seem to know what people need. They record all the care on devices.”

The provider assessed and managed the risk of infection. They detected and controlled the risk of it spreading and shared concerns with appropriate agencies promptly.

Infection prevention and control policies and procedures were in place, and the home was maintained to a clean and tidy standard.

Learning had been taken from previous occasions where cleaning standards had fallen below expectations. As a result, improvements were implemented, and cleanliness was made a clear priority within the service to ensure a safe environment for people.

The provider made sure that medicines and treatments were safe and met people’s needs, capacities and preferences. Staff involved people in planning, including when changes happened.

Medicines were managed safely throughout the service. There were established processes to ensure medicines were stored securely, handled appropriately and administered in line with national guidance. Staff followed clear protocols for checking, recording and administering medicines, which helped to minimise the risk of errors and ensured people received their treatment as prescribed.

People who required medicines with specific instructions, including those that were time‑critical or required administration under certain conditions, received them promptly and in accordance with requirements. Staff demonstrated a good understanding of these responsibilities and were able to explain how they ensured such medicines were given safely and consistently. This supported effective treatment and reduced the risk of avoidable harm.

Regular audits and competency checks were carried out to monitor the quality and safety of medicines management.

A professional we spoke with said, “There are no issues with appropriate medication use. They [Staff] understand the quick turnover process needed for the speedy admissions and discharges associated with D2A, and there are never any issues.”