Goldhill House

Updated 17 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.

Inspection team

This 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

Goldhill 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. Goldhill House 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.

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 professionals who work 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.

During the inspection

We reviewed care plans for 2 people. We reviewed multiple Medicine Administration Records (MAR) and records relating to accidents and incidents people had. We spoke with 2 people who used the service and a professional who advocates for them. We spoke with 7 staff including the registered manager, deputy manager, 4 care staff and the administrator. We reviewed a range of records that relate to the safety and governance of the service.

Updated 17 February 2023

About the service

Goldhill House is a care home providing accommodation and personal care to 2 people at the time of the inspection. There were 7 people living there in total, and the service can support up to 10 people. Not everyone who used the service received support with personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided. The service is registered to support younger adults with mental health care.

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

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

The leadership of the service instilled a person-centred culture where people achieved good outcomes. People, staff and professionals felt the home was well-led. Governance systems were in place to identify risks and drive forward high-quality care to help people to meet their aspirations of greater independence. People and staff took part in regular reviews which led to continual improvements. Staff felt valued and supported by the management team and said this helped them to ensure people felt valued also.

Risks to people’s safety were assessed and mitigated. People chose where they wanted to take positive risks to improve their independence. People were supported to take their medicines safely and were empowered to work towards doing this without support. Staff felt confident to recognise and report potential signs of abuse. People were not subject to unlawful restrictions. The home was clean and free from malodours throughout. Staff were safely recruited.

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.

Staff received training to enable them to support people effectively. The provider gave staff opportunities to complete enhanced training. The building was laid out in a way which promoted people’s privacy and independence but gave opportunities for communal engagement.

Staff were kind and caring. People were supported to direct their own care and choose how they wished to spend their time. Each person had identified their goals and aspirations and staff helped them to work towards these.

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

Rating at last inspection

This service was registered with us on 25 March 2021 year and this is the first inspection.

Why we inspected

This inspection was carried out because the service had not been inspected before.