Background to this inspection
Updated
1 July 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.
As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 2 inspectors 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
Galtee More Residential Home 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. Galtee More Residential Home is a care home without 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 CQC 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. The registered manager was not present during the first day of the inspection. However, the deputy manager who was in day-to-day control of the service was present.
Notice of inspection
This inspection was unannounced.
Inspection activity started on the 23 May 2023 and ended on the 12 June 2023. We visited the service on the 23 May 2023 and 12 June 2023.
What we did before the inspection
We reviewed information we had received about the service since the last inspection 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 spoke with 2 people who used the service about their experience of the care provided and spent time observing people. We spoke with 13 members of staff including the nominated individual, the registered manager, care, and auxiliary staff. We also spoke to 12 relatives during our inspection visit. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records. This included 3 people's care records and 4 medicines records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
1 July 2023
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 20 people living at the home.
People’s experience of using this service and what we found
People looked relaxed, happy, and comfortable with staff supporting them. Staff were caring and spent time chatting with people as they moved around the service. Records of people's care were individualised and reflected each person's needs and preferences. Risks were identified, and staff had guidance to help them support people to reduce the risk of avoidable harm.
The new provider had started a programme of refurbishment to improve the premises, but aspects of the environment still required renovation and decoration. The environment was safe and there was equipment available to support staff in providing safe care and support. Health and safety checks of the environment and equipment were in place.
Staff received appropriate training and support to enable them to carry out their role safely, including fire safety and dementia care training. Staff were recruited safely in sufficient numbers to ensure people's needs were met. There was time for people to have social interaction and go out into the community. Staff knew how to keep people safe from harm.
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.
People were supported to access healthcare services, staff recognised changes in people's health, and sought professional advice appropriately. Medicines were ordered, stored, and disposed of safely. Records were accessible and up to date. People's communication needs were identified, and where they wanted, people had their end of life wishes explored and recorded.
There were systems in place to monitor and improve the quality and safety of care provision. People and staff told us the registered manager and the management team made themselves available and assisted them daily. They went onto say how they were approachable and listened when they had any concerns or complaints.
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 the service under the previous provider was good, published on 30 January 2020. At our last inspection we recommended the provider consider current guidance on good governance and receiving and dealing with complaints and take action to update their practice accordingly.
At this inspection we found the provider had improved their practice on receiving and handling complaints and the provider had started to be more involved in providing oversight on the running of the service.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Galtee More Residential Home on our website at www.cqc.org.uk
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.