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Inspection Summary


Overall summary & rating

Good

Updated 4 January 2020

About the service

The Gatehouse is registered to provide residential care for up to 31 older people. Thirty people were using the service when we inspected.

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

People received exceptionally caring support from staff who were kind, compassionate and thoughtful. There was an extremely strong person-centred culture within the service. Staff consistently recognised what was important to people and provided outstanding, caring support to help them meet their needs. People felt empowered to express their wishes and views knowing staff would respond with compassion and kindness. Staff consistently treated people with dignity and respect.

Staff were safely recruited and enough staff were deployed to meet people’s needs. People were supported by staff who understand their needs and how to safely support them. Care plans and risk assessments were regularly reviewed and updated to make sure staff had up-to-date information about people’s needs. People received safe support to take their prescribed medicines.

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. We made a recommendation about reviewing how people's mental capacity, consent to care and the need for DoLS were explored and recorded.

Staff provided effective care to meet people’s needs. They received an induction, regular training and had supervisions, appraisals and competency checks to support them to provide effective care. Staff felt supported by management and encouraged to learn and develop in the role. Staff worked closely with healthcare professionals to make sure people received effective care if they were unwell.

People praised the variety and quality of food provided. Drinks and snacks were readily available and staff provided effective care to monitor and make sure people ate and drank enough.

The environment was very warm, welcoming, clean and safely maintained. We spoke with the registered manager about regularly checking window opening restrictors were in safe working order and they acted to address this.

Staff understood people’s communication needs and used accessible information to help people be involved in decisions.

People were supported to take part in a wide range of activities and there were regular opportunities for meaningful stimulation. The provider was responsive to feedback and had systems in place to manage and respond to any complaints.

There was strong organisation and leadership within the service which promoted a person-centred culture and focussed on providing high-quality care to meet people’s needs and improve their quality of life. People told us management were approachable and supportive. Regular audits helped management monitor the quality and safety of the service and to identify where improvements could be made. There was a strong focus on continually learning and improving the service.

For more details, please see the full report which is on the Care Quality Commission’s (CQC) website at www.cqc.org.uk.

Rating at last inspection

At the last inspection service was rated good (report published 24 April 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 4 January 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 4 January 2020

The service was effective.

Details are in our effective findings below.

Caring

Outstanding

Updated 4 January 2020

The service was exceptionally caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 January 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 4 January 2020

The service was well-led.

Details are in our well-led findings below.