Background to this inspection
Updated
29 March 2019
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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team: This inspection was undertaken by one adult social care inspector.
Service and service type: Gillott Respite Services is a care home. People in care homes receive accommodation and personal care. 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 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.
What we did: We reviewed information we had received about the service since the service was registered. We assessed the information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also contacted the local authority to gain their feedback on the service. We used all this information to plan our inspection.
We talked with one person who lived at the home at the time of our inspection. We spoke with the manager and member of support staff. The day after the inspection we also spoke by telephone with the Chief Executive Officer.
We reviewed a range of records. This included two people's care records and a sample of medication records. We viewed two staff recruitment files and other records relating to staff training and support of staff and the management of the service.
Updated
29 March 2019
About the service: Gillott Respite Service is a care home that provides accommodation for up to six people for people who need crisis support with their mental health. At the time of the inspection two people lived at the home.
People’s experience of using this service:
Medication management was unsafe and placed people at risk of harm. People’s medicines were not received into the home in a safe way and the records relating to people’s medicines were poor.
The systems and processes in place at the home to monitor the quality and safety of the service were not always effective in identifying and driving up improvements in the service.
Referral information in respect of people’s needs and risks was received by the service prior to their admission. On admission to the service people’s needs and risks were not always assessed by the provider to ensure that staff had clear guidance on how to provide people with safe and appropriate, person centred care.
Some of the language used to refer to people in records relating to their support was inappropriate as it referred to a person by a ‘number’ as opposed to a name. This depersonalised people and was disrespectful.
Records showed that people did not always engage with staff or that staff ensured that people received the support they needed. Some people had a meeting with their keyworker whereas others had not.
The provider’s complaints policy and procedure needed greater detail of who to report concerns to, if people were unhappy with the support provided.
People were supported to be independent by shopping for and cooking their own meals, doing their own laundry and other domestic duties.
Regular meetings took place with people who lived at the home to involve them in the running of the service and seek their feedback. A survey of people’s views of the service had also been undertaken.
During our visit we saw that staff members treated people kindly and with respect.
People’s needs were met by a range of health and social care professionals involved in supporting the person’s mental health. The provider also ensured the person was supported to access local services such as housing, benefits agency and local GP and dentists.
The premises were clean and well maintained.
Staff told us they felt supported by the manager. Staff training was sufficient and the majority was up to date.
The atmosphere at the home was warm and inviting. The culture of the staff team was open and transparent. The manager and staff were responsive to our feedback and committed to improving the service.
Rating at last inspection and why we inspected: This was the first inspection of the service since it registered as a regulated provider with CQC.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.