Gilling Reane Care Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture. At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

The provider, manager and staff team had driven improvements in the service since the last inspection. Staff, people and their relatives all spoke about positive improvements made in the service since the appointment of the new manager.

Relatives told us there had been some very good changes since the new manager had arrived. We were told the culture of the service had improved under the new manager. Staff said they felt more supported. One member of staff told us, “Things are a lot better, and the new manager is more approachable and listens.”

Management had a positive culture of collaboration, where people and staff were listened to and were seen to promote learning and improvement in the service. Leadership culture was seen to be positive, proactive and transparent.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.

The manager was still in some aspects embedding their skills and knowledge and were seen to be supported by the provider and regional manager. We were told by management and staff that the provider level support was readily accessible, and that they visited the home regularly.

During this assessment the provider, management team and staff were very responsive to any concerns we raised and took immediate action to rectify them, improve and learn from them.

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.

Regular meetings between the management team and staff took place. Staff were given opportunities to discuss performance via a supervision and appraisal process. Staff told us they could speak up about anything, were listened to and things were acted on. One staff member told us, “We can ask the manager or deputy manager for support with anything.” A relative said, “The manager is very supportive. I have felt I could lean on her for helpand guidance about my relative. She is also a great guide to her staff.”

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.

A proportion of the staff team were from overseas and the provider operated a sponsorship scheme. The staff we spoke with spoke very positively about their experiences of being recruited and working at the home. This included providing staff with a quiet place for prayer and worship. The diversity of the staff team was clearly supported by the provider and management.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate. However, some improvements were still needed to the audit processes. For example, the medication audit processes in place were not always effective in identifying concerns we found.

There were some ongoing actions and recommendations from fire risk assessments that were still in the process of being addressed. We discussed the auditing tools used with the regional manager and the manager who told us further detailing in the auditing process would be adopted to ensure the issues we found were captured.

We saw there were clear responsibilities, roles and systems of accountability and these were used to manage and deliver good quality, sustainable care, treatment and support. The delegation of responsibilities was clear for the day to day running and oversight of the service. The service acted on the best information available about risk, performance and outcomes, and shared this securely with others when appropriate.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.

Staff and management worked in close collaboration with partners to ensure people received good quality care and their needs were met. The home had developed very good relationships in the local community with social groups and advocacy services who visited the home regularly and this had improved outcomes for people.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.

Staff and management worked in close collaboration with partners to ensure people received good quality care and their needs were met. The home had developed very good relationships in the local community with social groups and advocacy services who visited the home regularly and this had improved outcomes for people.