7 January 2016
During a routine inspection
This inspection took place on 7 January 2016 and was unannounced.
At the last inspection on 12 November 2013 we found the service was meeting the regulations.
Ghyllside provides accommodation and personal care for up to 4 males with enduring mental health needs. There were 4 people living at the home when we visited. Ghyllside is closely linked to The Priory Hospital Keighley nearby and the people who reside at Ghyllside have been transferred directly from The Priory Hospital
The accommodation consists of four single bedrooms, one of which has ensuite facilities and there is a communal bathroom. On the ground floor there is a toilet, lounge, kitchen, dining room and games room. There are gardens to the rear of the property.
The home has a registered manager who has been in post since 2013. 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 liked living at the home and felt safe. We saw people’s care had been planned and agreed with them with input from other health care professionals involved in their care. Risks were managed well and there were risk management strategies in place to keep people safe, while at the same time optimising their freedom.
Staff had a good understanding of safeguarding, could describe the symptoms of abuse and knew the reporting systems if any allegations of abuse were raised. There were sufficient numbers of staff deployed to ensure safe care and support. Staff recruitment processes ensured staff were suitable and safe to work in the care home.
Medicines were managed safely and systems were in place which supported people to administer their own medicines.
The home was meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and acting within the legal framework of the Mental Capacity Act (MCA).
We saw people were encouraged and supported to be independent and to be part of the local community. For example, two people carried out volunteer work in local charity shops. People followed their interests, attending local churches, community groups and social clubs as well as travelling to see friends and relatives.
Staff knew people well and supported people in accordance with their individual preferences and needs. Staff received the training and support they needed to carry out their roles.
People’s privacy and dignity was respected and maintained. People praised the staff who they described as ‘good’. We saw people were comfortable around staff and observed positive relationships.
People decided what food they were going to eat, who was going to cook and planned their meals accordingly. People were supported with cooking and shopping by staff as and when required. People’s nutritional needs were monitored and they were supported with healthy eating programmes.
People were supported by staff to access healthcare services such as the GP, dentist, podiatrist and to attend clinic and hospital appointments. The Care Programme Approach (CPA) was used to develop care plans and risk assessments and ensured people’s mental health needs were met.
People and staff told us the home was well led and we saw satisfaction surveys and monthly ‘Your Voice’ meetings ensured people views were heard. There was a range of quality audits in place, although we found these were hospital focussed, which meant some sections were not relevant to the care home. The registered manager agreed to review these documents.