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Gloucestershire House - Care Home with Nursing Physical Disabilities Outstanding

Inspection Summary

Overall summary & rating


Updated 12 March 2020

About the service:

Gloucestershire House is a care home that provides nursing and residential care and support for up to 30 people. Care and support was provided to people living with learning and physical disabilities. Support is provided within one adapted building.

The service was developed and designed prior to Registering the Right Support and other best practice guidance being published. The provider was knowledgeable about the guidance and that it is in place to ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes. They were aware that its principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The service was bigger than most domestic style properties. It was registered for the support of up to 30 people. At the time of our inspection, 30 people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated, as the service was community-based and enabled independence, inclusion and choice for the people living there. The service consisted of five separate lodges within the building, each of which housed six people and had its own name and set of care staff. Staff did not wear anything that suggested they were care staff when coming and going with people.

People's experience of using this service and what we found:

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, and in their best interests. The policies and systems in the service supported this practice. The service ensured that people were involved in decisions about their safety and empowered to take positive risks.

Feedback from people and relatives was overwhelmingly positive. There was consistent praise for the exceptional physical and emotional support provided by the staff at Gloucestershire House. Comments from relatives reflected the quality of the ongoing support for people to access meaningful activities in the home and community which promoted people’s independence and mental wellbeing.

People received highly effective and responsive support with their health and social care requirements and the safe administration of their medications. There was a strong, clear multi-disciplinary approach to meeting people’s care and support needs.

Staff demonstrated a culture of inclusivity and positivity that was evident throughout the service. Leaders constantly looked for ways to improve the service and ensure people received the outstanding support and care they deserved. Staff supported people to make decisions for themselves and engaged with people and their relatives about their wishes and preferences.

The service was a hub of activity with friendly staff providing care and support in a way people liked and enjoyed. Positive interactions took place between people, staff and each-other throughout our visit.

People had their privacy and dignity respected by staff, and there was a clear emphasis on independence.

The service's visions and values put people at the heart of the service. People were encouraged to comment on the quality of their support and their feedback was used to develop and enhance the service provided.

Gloucestershire House worked in partnership with health and social care professionals to ensure people’s care was well organised and met their expectations. People's care was regularly reviewed and was flexible. Staff responded to changes in people’s health and support needs to ensure people remained well su

Inspection areas



Updated 12 March 2020

The service was safe.

Details are in our safe findings below.



Updated 12 March 2020

The service was effective.

Details are in our effective findings below.



Updated 12 March 2020

The service was caring.

Details are in our caring findings below.



Updated 12 March 2020

The service was exceptionally responsive.

Details are in our responsive findings below.



Updated 12 March 2020

The service was exceptionally well-led.

Details are in our well-led section below.