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Gilling Reane Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 18 August 2018

We carried out this unannounced inspection on 21 and 22 June 2018.

Our last comprehensive inspection of this service was in January 2017. At that inspection we assessed that the registered provider was meeting legal requirements. However, during our inspection we found some aspects of the safety of the service required improvement. We raised our concerns with the registered manager and they took immediate action to make the required improvements. We also found that the systems used to assess the safety of the service needed to be improved to ensure issues were identified and resolved promptly. We recommended that the registered provider took advice to improve the processes used to assess the quality of the service. We checked this at our inspection in June 2018 and found that the registered provider had made the required improvements.

Gilling Reane Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The home mainly provides support for older people and people who are living with dementia or who have mental health needs. The home is a large, period property which has been converted to be used as a care home. Accommodation is arranged over two floors and there is a passenger lift to assist people to access the accommodation on the upper floor.

There was a registered manager employed. 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 2008 and associated Regulations about how the service is run.

People who could speak with us told us this was a good service and said they would recommend it.

Some people were not able to easily share their views. We saw people were relaxed and comfortable with the staff on duty. The staff knew people well and treated people with kindness and respect. People enjoyed talking and laughing with the staff and this supported their wellbeing.

People were safe and protected against abuse and harm. Risks to people’s safety had been identified and actions taken to manage hazards.

There were enough staff employed in the home to meet people’s needs and to spend time with people. Safe systems were used when new staff were recruited to ensure they were suitable to work in the home.

Medicines were handled safely. People could manage their own medicines and there were checks in place to support them to do so safely. People received their medicines as their doctors had prescribed.

The premises and equipment were checked to ensure they remained safe for people to use.

The staff were trained to give them the skills and knowledge to carry out their roles. The registered provider had systems to identify when training needed to be repeated to ensure the staff had up-to-date skills and knowledge.

People were provided with a choice of meals, drinks and snacks they enjoyed.

The principles of the Mental Capacity Act 2005 were followed and people’s rights were respected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to maintain good health. Appropriate professionals were included in assessing people’s needs. The staff in the home contacted health care professionals appropriately and acted on advice given.

People’s dignity, privacy and independence were supported. People made choices about their lives and the decisions they made were respected.

Care was planned and delivered to meet people’s needs. The registered provider had introduced an electronic care planning and recording system. This could be updated quickly

Inspection areas

Safe

Good

Updated 18 August 2018

The service was safe.

People were protected from abuse.

Risks to people�s safety were identified and managed. People were given advice about how to maintain their safety in the home and local community.

There were enough staff to care for people.

People received the support they required to take their medicines.

Effective

Good

Updated 18 August 2018

The service was effective.

The staff had completed training to carry out their roles.

Appropriate services had been included in assessing and planning people�s care to ensure this was in line with best practice.

People were provided with a choice of meals, drinks and snacks they enjoyed.

The principles of the Mental Capacity Act 2005 were followed and people�s rights were respected. People gave consent to the support they received and any restrictions on their liberty had been authorised by the appropriate body.

Caring

Good

Updated 18 August 2018

The service was caring.

People were treated in a kind and caring way and were given prompt support if they felt anxious.

People enjoyed laughing with the staff and this supported their wellbeing.

People�s privacy, dignity and independence were promoted.

Responsive

Good

Updated 18 August 2018

The service was responsive.

Care was planned and delivered to meet people�s needs.

People were provided with a range of activities that they enjoyed.

Visitors were made welcome in the home and people could maintain relationships that were important to them.

The registered provider had a procedure for receiving and responding to complaints.

Well-led

Good

Updated 18 August 2018

The service was well-led.

There was an experienced registered manager employed. People knew the registered manager and were confident approaching her.

The registered manager set high standards and monitored the service to ensure these were met.

People who lived in the home were asked for their views and action was taken in response to their feedback.

The registered provider had systems to monitor the quality and safety of the service.