Goodman House

Updated 8 March 2023

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 Health and Social Care Act 2008.

Inspection team

The inspection was carried out by one inspector, a specialist nurse advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Goodman House is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Goodman House is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and clinical commissioning group who commissioned care with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We visited the service on 10 January 2023 and 13 January 2023. We spoke with 10 staff members including the registered manager, home manager, registered nurses, a team leader, support workers, kitchen staff, and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with 2 people who used the service and 6 people's relatives. Not everyone living at the service was able to or wanted to speak with us, therefore we spent time observing interactions between staff and people. We reviewed a range of records. This included 5 people’s care records and multiple medicine records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including incident and maintenance records were reviewed.

Updated 8 March 2023

About the service

Goodman House is a residential care home providing regulated activities personal and nursing care to up to 10 people. The service provides support to older and younger adults with complex physical and mental health conditions. At the time of our inspection there were 10 people using the service.

Goodman House accommodates people in one large adapted building, the home compromises of large single bedrooms, a communal living area with kitchenette, a dining area and a large garden.

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

People and their relatives told us they felt safe living at the service. The feedback we received was exceptional and described a dedicated person-centred service. Medicines were managed safely and effectively which improved people’s outcomes. Risks were very well managed with risk reduction measures in place. People were encouraged to take positive risks to ensure they lived fulfilled lives. Staff were recruited safely, and people told us they were supported at all times by enough dedicated staff. Infection control measures in place had been continuously reviewed and specialist advice sought.

Staff training was exceptional and tailored to each individual person using the service. Staff were highly trained and motivated to give outstanding care and support. Staff implemented and contributed to developing best practice guidance. People were supported exceptionally well to eat and drink safely, people received extensive nutritional support which resulted in significant improvement in their overall health and well-being. The home had been designed and adapted in collaboration with people using the service.

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.

Privacy, dignity and respect was at the heart of the service. People and their relatives without exception described the exceedingly kind, caring and compassionate way in which staff approached all aspects of care and support. People and their relatives told us, staff treated them like family and were always treated with the highest level of respect. People were empowered and supported to make choices and decisions about all aspects of their care. The provider’s culture and ethos put people and their needs at the centre of everything they did, and this ethos permeated through the attitudes and behaviours of staff.

People’s needs were holistically assessed prior to moving into the service and a detailed assessment carried out. People’s needs and choices were at the heart of the service with staff fully committed to understanding and supporting each person’s individual needs. People were fully supported to choose and engage in activities to ensure people lived fulfilled lives. Effective systems ensured people were empowered to raise any concerns or complaints.

The service was exceptionally well led. The culture, visions and values embedded at the home were excellent and people were at the heart of the service. The values instilled by the provider and management team were displayed by all staff. The registered manager was passionate, motivated and determined to achieve the best possible outcomes for people. The provider had excellent systems and processes in place to continually improve and develop the quality of care provided. All areas were audited to ensure people’s needs were continually reassessed to ensure they reached their full potential. People, relatives and staff were fully involved and integral in shaping and developing the service. Feedback was obtained in varying formats to ensure every voice had an opportunity to be heard.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Why we inspected

This inspection was prompted by a review of the information we held about this service.

This service was registered with us on 27 August 2021 and this is the first 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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.