Goldenhill Nursing Home

Updated 24 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 08 February 2022 and was announced. We gave the service 24 hours' notice of the inspection.

Updated 24 February 2022

About the service:

Goldenhill Nursing Home is a care home which provides accommodation, personal care and nursing care for people aged 65 and over. Ten of the 44 beds were allocated and funded by the local Clinical Commissioning Group to support people to return home after a hospital admission. The accommodation is provided in a single building, arranged over two floors. There is a communal lounge and dining area on each floor and a secure garden area. At the time of the inspection, 36 people were living at the home, some of whom were living with dementia.

People’s experience of using this service:

People were protected from the risk of harm by staff who understood their responsibilities to identify and report any signs of potential abuse. We found that concerns were taken seriously and investigated thoroughly to ensure lessons were learnt. Risks associated with people’s care and support were managed safely. People received their prescribed medicines when needed and there were suitable arrangements in place in relation to the safe administration, recording and storage of medicines. There were sufficient, suitably recruited staff to meet people’s needs.

The service worked in partnership with other organisations and health and social care professionals spoke highly of the registered manager and staff. Staff received training and ongoing support to fulfil their role and were encouraged to develop their knowledge and skills to meet people’s individual needs. People were supported to have a varied and healthy diet and to access other professionals to maintain good health.

Staff knew people well and promoted their dignity and independence at all times. There was a kind and caring, family atmosphere. Staff had good relationships with people and ensured people's friends and families were made welcome at the service. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible; the policies and systems in the service underpin this practice.

People’s support plans reflected their needs and preferences and were reviewed when things changed. People’s diversity was recognised and promoted by the staff and systems were in place to meet people’s communication needs. People were supported to take part in activities and follow their interests and religious beliefs. Arrangements were in place to ensure people’s end of life wishes were explored and respected.

The provider and registered manager worked together to continuously improve people’s care and promoted a positive, open culture at the home. People and their relatives knew how to raise any concerns or complaints and felt confident they would be acted on. There were systems in place to capture people’s views on how the service could be improved. Staff felt supported and valued by the registered manager and provider.

The registered manager was developing links with local schools and colleges to ensure people were involved in the local community to enhance their wellbeing.

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

Rating at last inspection: Requires Improvement, (report published 4 January 2018).

Why we inspected:

At the last inspection the service was rated Requires Improvement in all key questions. At this inspection, we found the provider had sustained the improvements and made further progress. As a result, the service is now rated as Good in all areas.

Follow up:

We will continue to monitor the service and inspect in line with our programme for services rated Good.