Guild House Residential Home

Updated 23 December 2020

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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of two inspectors.

Service and service type

Guild House Residential Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection took place unannounced.

What we did before the inspection

We reviewed all the information we had received about this service since the last inspection. This included information of concern, information provided by the provider and feedback from commissioners of the service and involved healthcare professionals. We used all of this information to plan our inspection.

During the inspection

On 4 November 2020 we spoke with the deputy manager, one member of care staff and one chef employed at the home. We reviewed a variety of records relating to the management of the service, including policy and procedures.

The registered manager was not available on our first visit. We returned to the service on 4 December 2020 and we spoke with two care staff, the head of care, a shift leader and the registered manager. We reviewed a range of records. This included the care and risk assessments and associated records for three people living with diabetes. After this visit we spoke with the Chief Executive of the provider.

Updated 23 December 2020

Guild House is a care home without nursing for up to 35 older people, some of whom are living with dementia. At the time of this inspection on 23 October 2018, there were 32 people living at the service.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated any risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good. Why the service is rated Good:

The service continued to meet all the fundamental standards and had a registered manager as required. The registered manager was present and assisted us with the inspection.

People continued to receive responsive and person-centred care. Staff took the time to know people as individuals and their preferences about how they wished to be cared for.

The provider's values and ethos were known and shared by the staff team. Staff felt motivated in their roles and proud to work at Guild House.

People continued to protected from harm and abuse. The provider and registered manager took a 'lessons learnt' approach to accidents, incidents, concerns and complaints and used these to make continual and ongoing improvements to the service.

People received their medicines safely and consideration was given to whether people were able to administer their own medicines.

There was a holistic view of dignity, which included considering people's self-esteem and helping to reduce feelings of social isolation.

The registered manager and provider used a range of internal and external quality assurance measures to ensure people received a high standard of care.

People had access to a range of social and leisure opportunities and were part of their local community.

Further information is in the detailed findings in the full report.