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Archived: College Green Rest Home Good

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Inspection report

Date of Inspection: 18 June 2014
Date of Publication: 24 July 2014
Inspection Report published 24 July 2014 PDF


Inspection carried out on 18 June 2014

During a routine inspection

We considered all the evidence we had gathered under the outcomes we inspected. We used the information to answer the five questions we always ask;

Is the service safe?

Is the service effective?

Is the service caring?

Is the service responsive?

Is the service well led?

This is a summary of what we found-

Is the service safe?

The recruitment process was thorough and all new staff underwent security checks before they were allowed to start work at College Green Rest Home. All staff members had received training related to the safeguarding of vulnerable people, and were aware of the whistleblowing procedures at the rest home.

Deprivation of Liberty Safeguards (DoLS) become important when a person is judged to lack the capacity to make an informed decision related to their care and treatment. The provider told us an application for a DoLS had been made within the last twelve months and we noted all the required paperwork had been completed appropriately. The CQC are now responsible for monitoring the use of DoLS and in line with requirements, the provider had notified CQC of the application.

Is the service effective?

People who used the service had their care and support needs assessed with them and when possible, their families. We noted one person was a vegetarian, and specialist dietary requirements had been put in place.

At the time of our inspection, care plans were being revised but those we observed contained relevant and up to date information related to the needs of all people. This meant people received care that met their needs.

Is the service caring?

We spoke with all staff members who were on duty during our inspection and they all had a good knowledge of the care needs of all people who used the service. We observed patient and caring interaction between people and staff members. At lunch time, we saw staff helping people with their food which helped ensure they received the nutrition they needed.

One person who used services told us, "All the staff are fine with me" and a family member told us, "They all work so hard and it`s not easy for them sometimes. They understand what people need." We saw staff who encouraged people continually in a kind and attentive manner.

Is the service responsive?

A complaints procedure was in place at the rest home which people were aware of. We saw evidence that all accidents and incidents had been recorded appropriately. We were told these were discussed with staff members so the service continued to improve.

We saw several activities during our inspection, which included armchair exercises and a music session. However, two people who used the service told us, "I wish there was more to do, I would like to go out more. It`s a nice day and a walk around the park would be nice."

Two family members made similar comments to us.

Is the service well-led?

We observed an internal and external quality assurance system was in place, and we saw that any identified concerns had been addressed. As a result the quality of the service continually improved.

All staff we spoke to had a clear understanding of their roles and responsibilities. This helped ensure all people received a good quality of care at all times. Several new initiatives were being planned which included a new keyworker system. Staff we spoke to told us they had been consulted about the new approach to providing care and their views had been taken into consideration.