Background to this inspection
Updated
21 February 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.
Service and service type
Gordena Care 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. Gordena Care 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 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. The registered manager was also the provider.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed the information we held about the service and the service provider. 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 looked at the notifications and any safeguarding alerts we had received for this service. Notifications are information about important events the service is required to send us by law. We used all this information to plan our inspection.
During the inspection
We spoke with three people who lived at the home. We also spoke with three staff members which included the registered manager. We spent time observing people. We could see the interaction between people and staff. We reviewed a range of records. This included risk assessments, care records and medicines records. We looked at two staff files in relation to recruitment. A variety of records relating to the management of the home were viewed. This included health and safety records, maintenance checks and quality audits.
Updated
21 February 2023
About the service
Gordena Care Home is a 'care home' that provides care and support for up to 9 people. All the people who lived at the home had a learning disability. There were 6 people living there at the time of the inspection.
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.
People's experience of using this service and what we found
The home was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture.
Right Support:
People were supported in line with their individual needs. The staff supported people who were familiar with their needs. Staff took into account any risks when providing people's care and worked collaboratively with other health and social care agencies. Families were important contributors to people's care and had developed close relationships with the staff.
Right Care:
People could communicate with staff and understand information given to them. The staff supported people consistently. People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People could take part in activities and pursue interests that were tailored to them. The home gave people opportunities to try new activities that enhanced and enriched their lives.
Right Culture:
The registered manager was also the provider. They have a strong visible presence within the home. They had created a culture of learning, opportunity and reflection. Staff were encouraged to speak out and contribute to the development of the home.
People were empowered to live their lives in line with their preferences and were given the opportunity to have new and repeated experiences. People were encouraged to have holidays supported by the staff. Some people were supported with volunteer roles within the community.
Rating at last inspection and update
The last rating for this service was good (published 27 September 2017).
Why we inspected
We undertook this inspection as part of a random selection of services rated Good and Outstanding. We inspected the domains of Safe and Well led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the home remains good based on the findings of this 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.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Gordena Care Home on our website at www.cqc.org.uk.
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Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.