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Archived: Girtrell Court Good

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Reports


Inspection carried out on 28 July 2016

During a routine inspection

This inspection took place on 30 June 2016 and was unannounced. At the time of our inspection Girtrell Court offered respite and temporary care and accommodation for people. When we visited 18 people were staying at Girtrell Court, 14 on respite and 4 for a longer term. Girtrell Court is owned and operated by the local authority Wirral MBC.

The home had a manager who was registered with the Care Quality Commission. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.

During our visit the manager explained to us that the home was due to close in November 2016. The manager explained that the staff team had been supplemented with the use of agency staff and this has been increasing due to the upcoming closure. A number of the agency staff had been working at Girtrell Court long term.

The building was in need of refurbishment and redecoration and had a clinical rather than homely feel to it. The environment of the building was clean. We found that one area of the kitchen needed cleaning and that kitchen cleaning records for nine days were missing. Checks on different aspects of health and safety and the servicing of equipment used by people and their staff were ongoing and up to date.

There was a friendly and relaxed atmosphere at Girtrell Court. People and their families told us they felt safe staying at Girtrell Court. We saw that appropriate risk assessments were in place and people had been supported with any health needs they had. Medication was administered safely. Staff had the appropriate training to ensure people were cared for in a safe manner.

People typically arrived to stay at the home on a Friday. On this day extra staff had been scheduled to work in order to gather relevant and up to date information about people’s medication and support needs. People’s care plans were reviewed at the start of each stay. We saw that the care plans were individualised and recorded people’s likes and preferences.

People told us they enjoyed the food provided and requested alternatives to the planned menu were made if the food was available. People’s dietary requirements were documented and catered for.

Staff told us they felt supported and were comfortable approaching the manager. Staff meetings had been held and supervision and staff awareness sessions had been held with the manager to keep staff up to date.

The manager kept records of accidents and incidents and had made the relevant referrals to health and social care professionals to ensure people were safe and well cared for.

Inspection carried out on 26 November 2013

During a routine inspection

We spoke to people about this service and spent time observing people to gain a balanced overview of what people experienced and how they were cared for. We spoke to 5 people using the service and four staff members. On the day that we visited no relatives visited any of the service users.

When we visited there were only five people currently resident long term at the service and some people were using the respite service and five people visited the home for day care between 11am and 2pm. People said that they liked going to the home and that the food was good.

We saw that people consented to their care and day to day activities themselves and that others who helped make decisions in the service users’ best interests had lasting power of attorney or had been appointed to do so by a court of law.

We saw that staff knew the people using the service very well, which was particularly important when most people had communication difficulties. Staff described how different individuals showed if they were happy and content or what they did when they were in pain or unhappy.

We looked at staffing rotas and saw how staff numbers were calculated with regard to the needs of individual people using the service on a daily basis. We looked at policy and procedure documents and at the staff training matrix.

We talked to staff about, and saw records of complaints and how they were investigated and responded to.

Inspection carried out on 2 November 2012

During a routine inspection

People we spoke with told us they were happy living at the home, were well cared for and treated with dignity and respect. They told us:

“It’s alright here”, “Really good”, “They are great and look after me well”.

They told us they were involved in deciding their care and treatment and were able to make choices in every day living activities such as what time to get up, assistance needed with personal care, meals and going out to day centres or shopping trips. People were encouraged to be as independent as possible and attend day-care centres where appropriate.

We saw that people were well cared for and treated with dignity and respect. People’s needs were assessed, planned and reviewed. We found that the provider monitored the service and gained views on the service from staff and people who used the service.

Inspection carried out on 19 January 2012

During a routine inspection

We spoke with a number of people either living in the home or staying there for respite. They told us that staff treat them well. One person told us that staff have changed recently and this had been better. We were told that with the recent changes people felt that they were more involved and in control of their daily lives. One person told us that staff attitude towards them had improved.

One person told us that they regularly have residents meetings in the home so that they can put forward their ideas. One person staying there for respite was unaware of the meetings but comment that they would like to be involved.

We spoke with one person who had been to view a house so she could move on to this would offer her greater independence. She told us that she had lived at the home for too long and felt that it was time for her to move. She told us that she had good support from her social worker and staff at the home who were helping her to make the right decision.

One person told us that if they didn’t feel safe in the home then she would not come to stay for respite and would discuss this with her mother.

Another told us that they knew what to do if they had concerns in respect of the conduct of staff or others staying in the home. We were told that the manager listens to any concerns and does something about it.

People living in the home told us that they could complain if they were unhappy about anything in the home and that the staff and manager would take it seriously.

Reports under our old system of regulation (including those from before CQC was created)