Background to this inspection
Updated
19 April 2017
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This unannounced inspection was carried out by one adult social care inspector and took place on 08 March 2017. This meant the registered provider and staff did not know we would be visiting. At the time of our inspection there were 35 people living at the home.
Before the inspection we asked the local authority safeguarding and quality performance teams for their views about the service. We also looked at the information we had about the registered provider, including people's feedback and notifications of significant events affecting the service.
We looked at the Provider Information Return (PIR). This is a form we ask the registered provider to give key information about the service, what the service does well and what improvements they plan to make.
During the inspection we spoke with; four people, two relatives, one healthcare professional and seven staff which included; the registered manager, two care team leaders, one senior carer, a carer and two domestic staff. We reviewed three care files which included people's risk assessments and care plans, five Medicine Administration Records (MAR), four staff personnel files, training matrix, audits, maintenance certificates and other records related to the management of the home.
Updated
19 April 2017
This inspection took place on 08 March 2017 and was unannounced.
Golborne House is located in Golborne, Greater Manchester and is part of Croftwood Care which is owned by Minster Care Group. The home is registered with the Care Quality Commission (CQC) to provide care for up to 40 older people. The home provides care to those with residential care needs, many of whom are living with a diagnosis of dementia.
At the time of our inspection there were 35 people living at Golborne House.
At our last inspection on 13 May 2016, the service was rated Good. At this inspection we found the service remained Good.
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The service had a registered manager. 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.
People told us they felt safe living at Golborne House. Staff received safeguarding training and knew how to keep people safe and raise concerns if they suspected someone was at risk of harm or abuse.
People had comprehensive risk assessments which were reviewed and updated timely to meet people’s changing needs. This ensured staff had access to the relevant information and guidance to mitigate risks.
Staffing levels were based on the dependency of people living at the home. People, relatives and staff told us, there were sufficient numbers of staff on duty to meet people’s needs.
The management of medicines was safe. There were appropriate arrangements in place to ensure that medicines had been ordered, stored, received and administered appropriately.
The service had a training matrix to monitor the training requirements of staff. Staff received appropriate training, supervision and appraisal to support them in their role.
People were supported in line with the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).
People were encouraged to make decisions and choices about their care and had their choices respected.
People's consent to care and treatment was sought prior to care being delivered.
People were encouraged to maintain a healthy nutritionally balanced diet and had access to sufficient amounts to eat and drink, at times that suited them. People's health care needs were monitored and maintained; people had access to health care services as and when needed.
People continued to receive care and support from staff that were kind, caring and compassionate.
People were treated with dignity and respect and had their independence promoted by staff that openly expressed their fondness for the people they cared for and supported.
Care plans were person centred and tailored to meet people's individual needs. People were encouraged to be involved in the development of their care plans, which were updated regularly to reflect people's changing needs.
A variety of activities were provided and staff demonstrated a good understanding of people’s needs and adapted activities to reflect people’s individual interests.
The provider had a complaints procedure in place and people felt confident in raising concerns or complaints to staff and the registered manager.
The registered manager and provider carried out regular audits of the home. We saw areas of improvement were identified and disseminated promptly throughout the staff team to demonstrate action had been taken in a timely manner. Feedback of the home was sought and used to drive continued improvements.