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Inspection Summary


Overall summary & rating

Good

Updated 2 November 2018

Our inspection of Ghyllside took place on 4 October 2018 and was announced. This was the first inspection of the service since the provider changed in October 2016.

Ghyllside 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. Ghyllside accommodates up to four people who may have mental health needs and no longer require hospital based care, in one adapted building. On the day of our inspection there were two people living at the home.

There was a registered manager in post. 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.

Staff were being recruited safely. There were enough staff to take care of people and to keep the home clean. Staff were receiving appropriate training and they told us the training was good and relevant to their role. Staff were supported by the registered manager and were receiving formal supervision where they could discuss their ongoing development needs.

People who used the service told us staff were helpful, attentive and caring. We saw people were treated with respect and compassion.

Care plans were up to date and detailed what care and support people wanted and needed. Risk assessments were in place and showed what action had been taken to mitigate any risks associated with people’s care People felt safe at the home and the registered manager told us appropriate referrals would be made to the safeguarding team if necessary to protect people from harm.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People’s healthcare needs were being met and medicines were being stored and managed safely.

Staff supported people with dietary needs and preferences. People told us there was a good choice of meals and said the food was very good. There were plenty of drinks and snacks available for people between meals.

Activities were on offer to keep people occupied both on a group and individual basis. People told us visitors were made to feel welcome and could have a meal at the home if they wished.

The home was spacious, well decorated, clean and tidy. All bedrooms were single occupancy with en-suite toilets and showers.

The complaints procedure was displayed. Records showed no formal complaints had been received but the registered manager told us any complaints would be dealt with appropriately.

Everyone spoke highly of the registered manager who they said was approachable and supportive. The provider had effective systems in place to monitor the quality of care provided and where issues were identified action had been taken to make improvements.

There were appropriate governance systems in place to ensure quality of care was monitored and improved. The service engaged positively with people using the service and people felt they were listened to and their contributions were valued.

Inspection areas

Safe

Good

Updated 2 November 2018

The service was safe.

Staff were recruited safely. There were enough staff to provide people with the care and support they needed and to keep the home clean.

Staff understood how to keep people safe and where risks had been identified, action had been taken to mitigate those risks.

Medicines were managed safely and kept under review.

Effective

Good

Updated 2 November 2018

The service was effective.

Staff were trained and supported to ensure they had the skills and knowledge to meet people�s needs.

Staff understood and followed the principles of the Mental Capacity Act 2005.

Consent to care and support was clearly recorded and people had access to a range of other professionals to maintain good health.

Caring

Good

Updated 2 November 2018

The service was caring.

People using the services told us they liked the staff and found them attentive and kind. We saw staff treated people with kindness and patience and knew people well.

People looked well cared for and their privacy and dignity was respected and maintained.

Staff understood the importance of helping people maintain and build relationships with others.

Responsive

Good

Updated 2 November 2018

The service was responsive.

People�s care records were easy to follow, up to date and being reviewed every month.

Staff and management understood the importance of maximising opportunities for people. People were supported with a range of activities according to their preferences.

A complaints procedure was in place and people told us they felt able to raise any concerns. No formal complaints had been received.

Well-led

Good

Updated 2 November 2018

The service was well-led.

A registered manager was in place who provided effective leadership and management of the home. Staff morale was good and staff told us they felt supported by the management team.

Effective quality assurance systems were in place to assess, monitor and improve the quality of the service.

People were engaged and involved in the running of the service. People�s views about the service were sought.