You are here

Inspection Summary


Overall summary & rating

Good

Updated 16 March 2018

This comprehensive inspection took place on 14 February 2018 and was unannounced.

Gowlands is a residential home that provides respite personal care and support for up to nine people with learning disabilities, sensory impairment, physical disability and associated complex needs. People use the service for short term periods to provide respite for them and their families/carers. At the time of our inspection six people were receiving respite care.

At our last inspection in December 2015 the service was rated ‘Good’ in all five domains. At this inspection we found the key question ‘Is the service well-led?’ rating had not been sustained and improvements were required. The service did not have a registered manager which is a requirement of their registration. 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.

The overall rating of the service remains Good.

Gowlands is a three storey building with lift access to the first and second floors. People using the service had their own bedroom with wash basin and/or shower facilities. Communal bathrooms and toilets were available on each floor. People had access to various communal lounges and a sensory room. The accommodation is located next to the provider’s purpose built hydrotherapy pool.

The service was safe. Staff understood their responsibilities to protect people from the risk of abuse and avoidable harm. Risks to people’s health and wellbeing had been identified and management plans were in place to mitigate these. Appropriate recruitment procedures were in place which ensured staff suitability for their role. There were enough staff to help keep people safe and meet their care and support needs. People received their medicines as prescribed.

The service was effective. People were supported by staff had received training to equip them with the skills and knowledge needed to provide effective care. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. People were supported to eat and drink enough and to access health care services if required. People’s rights were protected because staff understood their responsibilities in relation to the Mental Capacity Act 2005 (MCA).

The service was caring. Staff were kind and sensitive to people’s needs and were passionate about providing the best possible care and support for people. Staff promoted people’s independence and well-being.

The service was responsive to people’s individual needs. People, including their relatives were involved in the planning and review of their care and support needs prior to their stay at Gowlands. Care plans were regularly reviewed to ensure they continued to accurately reflect people’s care and support needs. Activities were tailored around people’s likes, choices and abilities. There was an effective complaints system in place.

The service was not consistently well-led. The service had been without a registered manager since December 2016. There were systems in place to assess and monitor the quality of the service however some improvements were required to ensure these were robust. Staff were empowered to deliver a positive person centred culture which focussed on ensuring people's experience at the service was of the utmost importance. Staff felt valued and were proud to work at the service. People, relatives and staff had the opportunity to say how they felt about the home and the service it provided.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 16 March 2018

The service remains Good.

Effective

Good

Updated 16 March 2018

The service remains Good.

Caring

Good

Updated 16 March 2018

The service remains Good.

Responsive

Good

Updated 16 March 2018

The service remains Good.

Well-led

Requires improvement

Updated 16 March 2018

The service was not consistently well-led.

The service had no registered manager.

Improvements were required some aspects of the quality assurance monitoring systems to help ensure people receive high quality, safe care.

There were systems in place to seek the views of people, relatives and staff.

Staff felt supported by senior management.