Background to this inspection
Updated
31 January 2020
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 2014.
Inspection team
One inspector and one Expert by Experience carried out the inspection. 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
Galtee More Residential Home 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 that 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 information from the provider about important events that had taken place at the service, which they are required to send us. We sought feedback from the local authority. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection-
We spoke with five people who lived at the home and six relatives about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, care workers, housekeeping staff, the cook and the handyperson. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us. We had a walk around the home to ensure the environment was a safe and homely place for people to live.
We reviewed a range of records. This included three people’s care records, multiple medication records, two staff recruitment records and we looked at a variety of records relating to the management of the service.
After the inspection
We continued to seek clarification from the registered manager to validate evidence found. We looked at training data and quality assurance records and read feedback from two health professionals.
Updated
31 January 2020
About the service
Galtee More Residential Home is a care home providing accommodation and personal care for up to 23 people aged 65 and over. At the time of the inspection there were 22 people using the service.
People’s experience of using this service and what we found
While the registered manager ensured the smoother running of the service, the registered provider did not always respond in a timely manner to requests for improvements. They did not provide the registered manager with adequate oversight. We made a recommendation about this.
The service worked in partnership with a variety of agencies to ensure people received all the support they needed. People were happy with how the service was managed. Staff and external professionals felt well supported by the registered manager.
People received person-centred care, which was responsive to their needs. Care records were well written and contained important details about people’s needs. People's communication needs had been assessed and where support was required these had been met. While the registered manager managed people's concerns and complaints appropriately, we found complaints had not been adequately dealt with if they were directed at the registered provider. We made a recommendation about the management of complaints.
People were protected from the risk of abuse and avoidable harm by staff who understood how to recognise, respond and report concerns. Allegations of abuse had been dealt with in a robust manner to assure people about their safety. People told us they felt safe when supported by staff. Risk assessments had been developed to minimise the potential risk of avoidable harm to people during the delivery of their care. People were safely supported to receive their medicines as prescribed. The registered manager had robust and safe recruitment procedures. The provider needed to timely respond to concerns regarding the maintenance and safety of the premises.
People's care and support had been planned in partnership with them and their relatives. Staff had received regular training and supervision to support them in their roles. 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.
People were positive about the service and said staff were kind and caring. People were treated with dignity and respect and their right to privacy was upheld. The registered manager worked in partnership with people and their advocates.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 18 September 2018). There was also an inspection on 17 July 2018. However, the report following that inspection was withdrawn, as there was an issue with some of the information that we gathered.
Why we inspected
This was a planned re-inspection because of the issue highlighted above.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.