Godswell Park

Updated 22 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection team consisted of three inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

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

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced on the first day. We revisited the home announced on the second day to meet with the registered manager.

What we did before the inspection

We reviewed the information we held about the service and the service provider. We looked at notifications received from the provider. A notification is information about important events which the provider is required to tell us about by law. This ensured we were addressing any areas of concern. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We also reviewed the provider’s previous inspection reports. We used all of this information to plan our inspection.

During the inspection

We spoke with 15 people and four relatives. We looked at six people’s care records and five medicine administration records (MAR). During the inspection we spent time with people. We looked around the home and observed the way staff interacted with people. We spoke with the three directors, registered manager and 10 staff which included, care staff, domestic staff, activities coordinator and kitchen staff. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the registered manager and provider to validate evidence found. We received feedback from one social and health care professionals who regularly visited people who received care from the service.

Updated 22 April 2020

About the service

Godswell Park is a residential care home providing personal and nursing care to 36 people aged 65 and over at the time of the inspection. The service can support up to 48 people.

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

People continued to receive outstanding care from consistent knowledgeable staff that exceeded their expectations. The service continued to embraced technology to promote people's freedom and minimise risks. The provider had maintained an excellent overview of risk and safety to inform action and business plans. They had sustained the services of an independent health and safety consultancy to ensure they were compliant with all current health and safety law.

The service had maintained exceptional staffing levels that met people’s needs and kept them safe. There was a significantly high ratio of staff and very low turnover which helped ensure staff had an excellent understanding of people's needs and personalities. The service never used agency staff. The service had an exceptional and inclusive approach to promoting the safety of its staff and was seen as a good place to work by staff and external organisations.

The provider continued to go above and beyond to explore innovation and ensure excellent infection control measures were in place. For example, the provider had maintained their state-of-the-art air purifier system which delivered pressurised and filtered air to each floor. This allowed constant air flow in and out of the building therefore reducing the risk of allergens such as dust and pollen. We saw the environment was very clean and smelt fresh. The service also sustained their ozone laundry delivery system which ensured people’s washing was completely infection free.

The service had sustained a genuinely open culture in which all safety concerns raised were highly valued as integral to learning and improvement. Safety alerts, results of investigations and analysis of events were communicated at staff meetings. Opportunities to learn from external safety events were identified.

The provider had gone to extra lengths to continuously assess and review people’s care provision when they first came in. They had introduced a ‘new resident welcome pack’ which allowed instant ongoing review of care from the person’s perspective and identified any lessons to be learnt.

People remained very well cared for by highly skilled staff who had an in-depth understanding how to support people with different needs. Since the last inspection, people using the service and their families had been supported to take part in the recruitment of staff and volunteers and had an influence on the outcome. Meal times at Godswell Park were considered social events and people continued to experience an outstanding dining experience. The service maintained a strong emphasis on the importance of eating and drinking well. People continued to benefit from the extensive, attractively landscaped grounds with a huge variety of plants and flowers. People experienced positive outcomes regarding their health and wellbeing. The home had excellent systems and processes for referring people to external services. These were applied consistently and had a clear strategy to maintain continuity of care and support.

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; the policies and systems in the service supported this practice. People were supported to maintain good health and to meet their nutritional needs.

People continued to receive outstanding care from highly motivated staff. Godswell Park had a strong and visible person-centred culture which ensured that staff in all roles were highly motivated and offered outstanding care and support that was exceptionally compassionate and kind. The home’s philosophy of high-quality care made care and compassion every staff member’s business.

Respect for privacy and dignity remained at the heart of the service’s culture and values. It was embedded in everything that the service and its staff did. People and staff felt respected, listened to, and influential. Godswell Park’s philosophy continued to be around ensuring people maintained independence. There was an exceptional, inclusive approach to care that valued people and relatives and made them partners in care provision.

Arrangements for social activities continued to meet people’s individual needs and followed best practice guidance so people could live as full a life as possible. The service continued to go the extra mile to find out what people had done in the past and evaluated whether it could accommodate activities and made them happen. The service had maintained close working relationships with healthcare professionals and provided commendable end of life care. People experienced a comfortable, dignified and pain-free death. People continued to receive personalised care and support specific to their needs, preferences and routines. Visiting professionals told us the service was focused on providing person-centred care and support and achieved exceptional results.

The provider’s vision and values continued to put people at the heart of the service. These were centred around provision of a high-quality service to people. The values were developed with people and staff in meaningful and creative ways and were owned by everyone. People and staff ran the service and had clear control of how the care was delivered. The registered manager provided exceptional leadership and had developed a dedicated staff team who were committed to the vision and values of the service. Staff were motivated by and proud of the service. They loved being part of dedicated team and vowed to provide excellent care.

The stable leadership at the service continued to be exceptional. The registered manager was supported by three hands on directors. They were all passionate about their roles and had a clear vision to keep improving the quality of the service. Godswell Park had a track record of being an excellent role model for other services. It worked in partnership with others to build seamless experiences for people based on good practice and people’s informed preferences. The service continued to be an important part of its community and had maintained and further developed community links to reflect people’s needs and preferences.

Rating at last inspection and update

The last rating for this service was outstanding (published 26 August 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk