13 December 2023
During a routine inspection
Goldborne House Residential Care Home is a care home providing personal care to older people and people living with dementia. The service accommodates 45 people in one adapted building, over 2 floors. At the time of the inspection 35 people were using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence, and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.
The building was designed to meet the needs of the people receiving care. However, at the time of the inspection the provider was in the process of having the building redecorated. This meant we were unable to fully assess how dementia-friendly the environment was.
Risks to people's safety and wellbeing were assessed and reviewed by the registered manager. We saw evidence of actions being implemented to reduce identified risks to people’s safety.
Staff were trained to recognise potential risks and signs of abuse. Staffing levels were safe. The provider managed medicines safely. Staff used personal protective equipment (PPE) appropriately when supporting people.
Staff had the skills and knowledge to deliver care effectively. People's needs were assessed and reviewed regularly. Healthy lifestyles were promoted, and systems were in place to make sure people's health needs were met. Menu planning met people's dietary needs and considered individual and cultural preferences.
Staff knew how to communicate effectively with residents and were trained to meet people’s needs at the end of their lives. Activities were meaningful and supported social inclusion. Relatives were encouraged to visit and had access to care plans (known as life plans by the service) where appropriate.
People told us staff were polite and always asked before providing care and support. Life plans were personalised and showed the care and support people wanted and needed. People and relatives knew how to raise concerns and were confident these would be dealt with appropriately.
The provider ensured systems were in place to monitor the running of the service. Staff worked well in partnership with other agencies to deliver effective care. The registered manager audited care and support records, to assure themselves of quality. Lessons were learned when concerns were raised, and these outcomes were communicated to 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.
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 this service was good (published 5 September 2019).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and due to the length of time since the service was last inspected.
Recommendations
We have made recommendations about dementia-friendly environments.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.