Jean Garwood House

Updated 24 September 2022

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 2008.

Inspection team

This inspection was carried out by one inspector.

Service and service type

Jean Garwood House 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 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

We reviewed information we had received about the service since the last inspection, including notifications received about key events that occurred at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with four people who used the service about their experience of the care provided. We spoke with the registered manager, deputy manager and three care workers. We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff recruitment files and a variety of records relating to the management of the service, including audits.

After the inspection

We asked the registered manager to submit additional information relating to medicines management and we reviewed the information received.

Updated 24 September 2022

Jean Garwood House is a care home providing personal care for up to 14 people with physical disabilities, learning disabilities and sensory impairments. At the time of the inspection 13 people were using the service. There are eleven single bedrooms on the ground floor and the first floor has been converted into a semi-independent living unit for three people. The service is suitably designed for people who use wheelchairs.

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

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right Support:

The service provided people with the right support overall. However, medicines management required improvements and the provider was aware of this and implementing new systems. Infection control practices were suitable overall although staff did not always follow current guidance on wearing masks. Risk assessments were in place relating to the premises with clear guidance for staff to follow.

Right Care:

Risks to each person were assessed and monitored regularly to ensure risks were reduced as far as possible. People were safeguarded from abuse and neglect due to systems in place. Staff were recruited following robust processes and there were sufficient numbers of staff to care for people safely.

Right Culture:

The registered manager and provider had oversight of the service through a range of checks and audits, although these had not identified the issues we found relating to staff wearing masks to reduce the risk of COVID-19. The registered manager was experienced and understood their role and responsibilities, as did staff. The registered manager sought feedback from people, relatives and staff as part of monitoring and improving the service.

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

The last rating for the service was requires improvement, published on 8 February 2020. At this inspection we found the provider had improved in relation to the concerns we identified previously.

Why we inspected

We undertook this focused inspection to check the provider had improved following our previous inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

The overall rating for the service is good. This is based on the findings at this inspection. For those key questions not inspected, we used the ratings awarded at the last comprehensive inspection to calculate the overall rating.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Jean Garwood House on our website at www.cqc.org.uk.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.