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Inspection Summary


Overall summary & rating

Good

Updated 26 February 2021

About the service

Goldcrest House is a residential care home providing accommodation and personal care to 16 people aged 18-65 living with a learning disability or autistic spectrum disorder. At the time of our inspection there were 14 people using the service.

People are accommodated in two adapted buildings which are joined to make one service. The service is within a residential area in the town of Goole and is close to local amenities such as shops and a library. Bedrooms are for single occupancy use and have ensuite facilities.

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

People felt safe and well looked after. Sufficient cleaning took place to keep people safe from the risk of infection. Relatives said they were confident that staff provided good care in a safe way.

People had care plans and risk assessments in place for their support needs. These were reviewed regularly and covered people's health conditions. Families were able to contribute their views on their relative’s care and support. The management team carried out regular checks and analysis of falls and incidents to ensure learning from events was undertaken. This meant risks to people's health and safety were reduced.

People received their medicines on time and when they needed them. Staff had positive links with healthcare professionals which promoted people’s wellbeing.

Staffing levels were consistent, and staff were confident they could meet people’s needs. We observed staff being patient, kind and respectful towards people. Care was person-centred and staff had time to chat with people during the day.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

There was a registered manager in post. They were making positive changes to the service; people, staff and relatives spoke highly of them. There was evidence of good leadership, oversight and management within the service.

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Although the service is larger (in numbers) than the best practice guidance of six beds or under, the size and design of the premises does not compromise the quality of care, people’s safety or their human rights. People received person-centred care which allowed their dignity and privacy to be maintained.

People could participate in their own local community. They were registered with local health services and had access to the full range of community health services. People could participate in the in-house activities and, when not in a COVID-19 lockdown, people could still take part in the same activities in their chosen community. The care model focused on people’s strengths and promoting what they could do.

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 11 October 2018).

Why we inspected

The inspection was prompted due to concerns received about infection control. A decision was made for us to inspect and examine those risks. We undertook a focused inspection to review the key questions of safe and well-led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for

Inspection areas

Safe

Good

Updated 26 February 2021

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 February 2021

Caring

Good

Updated 26 February 2021

Responsive

Good

Updated 26 February 2021

Well-led

Good

Updated 26 February 2021

The service was well-led.

Details are in our well-led findings below.