Background to this inspection
Updated
29 May 2021
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 was carried out by one adult social care inspector and one Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses learning disabilities services.
Service and service type
Gayton House is a ‘care home’. 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.
The service had a manager who was at the final stages of registering 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.
What we did before the inspection
Due to changing the date of the inspection, 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 reviewed information we had received about the service since they registered with the CQC. We sought feedback from the local authority. This information helps to support our inspections. We used all this information to plan our inspection.
During the inspection:
During the inspection we spoke with two people and two relatives. We spoke with five care staff and the manager.
We reviewed a range of records. This included three people’s care records and medicines administration records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the of the service, including policies and procedures were reviewed.
After the inspection:
We spoke with two more relatives over the phone. We continued to seek clarification from the provider to validate evidence found. We looked at training information and data, meeting minutes and quality assurance records.
Updated
29 May 2021
About the service
Gayton House is care home providing accommodation and personal care to people with learning disabilities, autism and physical disabilities . Gayton House is registered to provide care and support for six people. During our inspection five people received the regulated activity.
The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.
The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.
As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.
The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.
People’s experience of using this service and what we found
People were able to take positive risks. They were involved with monitoring safety in the service and staff recruitment. People's relatives felt the service was a safe place for their family members to live. People’s medicines were administered and managed safely.
Staff were well trained and skilled. They worked with people to overcome challenges and promote their independence. The emphasis of support was towards inclusion and enabling people to learn essential life skills. Equality, Diversity and Human Rights (EDHR) were promoted and understood by staff. 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 who used the service were clear that staff were patient and respectful with them. We observed such interactions, as well as good levels of mutually shared humour. Relatives confirmed that people got on well with staff.
We have made a recommendation about seeking guidance and advise on independent advocacy support.
The home was well run. There was a new manager in post who had a good oversight of the service and was experienced in their role. The staff team were positive about the new manager's input and keen to develop the service further for the benefit of people in the home.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection (and update) This service was registered with us on 11/10/2018 and this is the first inspection.
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.