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Goyt Valley House Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 27 September 2019

About the service

Goyt Valley House Care Home is a residential care home providing personal and nursing care to people aged 65 and over. At the time of the inspection, there were 28 people living there. The service can support up to 30 people in the three-storey purpose-built building in the New Mills area of High Peak, Derbyshire.

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

The service did not always support people to follow their interests. People were not always encouraged to take part in social activities relevant to their interests or to be active members of the community.

The service did not have a registered manager. The previous registered manager had left the service in November 2018 and efforts to recruit a replacement had not been successful.

There were enough staff to keep people safe and meet their physical needs. However, feedback we received from people and staff, and our observations during the inspection showed that staff were busy, task orientated and did not have time to provide companionship to people.

Where accidents and incidents had happened, there was not a clear process to record or investigate these.

Risk assessments were in place for people and staff demonstrated they were aware of risks to people’s safety and how to mitigate these. However, some risk assessments in people’s care plans were out of date.

Care and support did not always reflect current evidence-based guidance and best practice. Recognised tools were used to assess people’s needs, but they were not always reviewed regularly or when people’s needs changed.

People received their medicines as prescribed. But staff responsible for medicine administration had not always had their competency formally assessed.

Staff told us they did not feel they were given the appropriate training to meet people’s needs. Staff did not always receive supervisions or appraisals. The management team had identified that training was required, and more training had been scheduled.

People were not always encouraged to maintain and develop their independence and their social needs were not always understood. People did not regularly have access to the wider community.

People told us they felt confident to express their views and were involved in decisions about their care. Care plans were person-centred and included people’s personal preferences.

People were empowered to express their wishes for how they would like to be cared before up to and at the end of their lives.

People told us that apart from the lack of activities, they were happy at Goyt Valley House Care Home.

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 managed the control and prevention of infection well. The home was clean and free from malodours throughout.

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 February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to person-centred care and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 27 September 2019

The service wasn't always safe.

Details are in our Safe findings below.

Effective

Requires improvement

Updated 27 September 2019

The service was not always Effective.

Details are in our Effective findings below.

Caring

Requires improvement

Updated 27 September 2019

The service was not always Caring.

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 27 September 2019

The service was not always Responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 27 September 2019

The service was not always Well-Led.

Details are in our Well-Led findings below.