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Inspection Summary


Overall summary & rating

Good

Updated 19 May 2018

We carried out an unannounced comprehensive inspection of Godolphin House Care Home on 25 April 2018. Godolphin House is a ‘care home’ that provides care for a maximum of 31 adults. 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. At the time of the inspection there were 29 people living at the service. The accommodation is spread over four floors. A shared lounge and dining room are on the ground floor. There is a stair lift to one of the floors and a passenger lift to the other floors.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

During our inspection visit there was a friendly and relaxed atmosphere at the service. People were able to make choices about their daily lives and most people spent time in the shared lounge enjoying the activities on offer. In the morning this included a knitting club and bingo in the afternoon. We observed people had good relationships with staff and each other. Staff interacted with people in a respectful, caring and compassionate manner.

People received care and support that met their needs because there was a stable staff team who had the skills and knowledge to provide responsive and personalised care. People told us they were happy with the care they received and believed it was a safe environment. Comments included, "It’s the staff being around so much that makes me feel safe", "There's always somebody around if you’re in trouble", "I know I can use my call bell if I need help", "I feel safe because they are so nice to me", "I'm in very good hands here" and "Mum feels safe because there are no raised voices in here."

People’s care plans contained personalised information about their individual needs and wishes and people were involved in the planning and reviewing of their care. These care plans gave direction and guidance for staff to follow to help ensure people received their care and support in the way they wanted.

Incidents and accidents were logged, investigated and action taken to keep people safe. Risks were clearly identified and included guidance for staff on the actions they should take to minimise any risk of harm. Risk assessments had been kept under review and were relevant to the care provided.

Safe arrangements were in place for the storing and administration of medicines. Staff supported people to access healthcare services such as occupational therapists, GPs, chiropodists, district nurses and opticians.

People were supported to eat a healthy and varied diet. Comments from people about their meals included, "There's always a good choice of meals”, "The food is very nice and a good choice of food", "The food is always hot when it comes to my room", "The food is fantastic" and "We have beautiful food."

Staff understood and, applied in practice, the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS). Where people did not have the capacity to make certain decisions the service acted in accordance with legal requirements. Applications for DoLS authorisations had been made to the local authority appropriately.

There were sufficient numbers of suitably qualified staff on duty to meet people’s needs in a timely manner. Staff knew how to recognise and report the signs of abuse. Staff were supported to develop the necessary skills to carry out their roles through a system of induction, training, supervision and staff meetings.

The environment was clean, odour free and well maintained. How

Inspection areas

Safe

Good

Updated 19 May 2018

The service remains Good

Effective

Good

Updated 19 May 2018

The service remains Good

Caring

Good

Updated 19 May 2018

The service remains Good

Responsive

Good

Updated 19 May 2018

The service remains Good

Well-led

Good

Updated 19 May 2018

The service remains Good