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Inspection Summary


Overall summary & rating

Good

Updated 24 September 2019

About the service

Garden House is a care home which provides personal care and accommodation for up to 36 older people. At the time of the inspection, there were 35 people living at the home.

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

There were systems and procedures in place to help protect people from the risk of abuse. Checks were carried out to make sure the building and equipment were safe. The environment was clean and met people’s needs. Further moving and handling equipment was purchased following our inspection, to ensure that people had their own equipment where required, to help reduce the risk of cross infection.

There were sufficient staff deployed to meet people’s needs. We identified several shortfalls regarding the recording of medicines which the registered manager told us would be addressed. We have made a recommendation about this.

People were supported by staff who were trained to meet their needs. We observed that some staff were more skilled than others when communicating with people who had a dementia related condition. Staff were currently undertaking additional dementia care training at the time of our inspection. People were complimentary about the meals and the assistance provided. The provider used a specialist frozen food company to supply their main meals.

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.

People and relatives spoke positively about the home and the care which was provided. One person told us, “I’m very happy here and would recommend it.” People had a care plan which guided staff on how to deliver person centred care. There was an activities programme in place which met people's social needs.

There was a complaints procedure in place. A record of actions taken to address complaints and concerns was maintained.

During our inspection, several staff raised concerns about certain practices at the home which we passed to the registered manager. She carried out unannounced visits during the night/early morning, however, no concerns were identified. We have made a recommendation that the provider monitors the culture in the service.

A range of audits were carried out. During our inspection, we identified shortfalls with medicines recording which the provider’s quality monitoring system had not identified.

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 26 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 September 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 September 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 September 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 September 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 24 September 2019

The service was not always well-led.

Details are in our well-led findings below.