17 January 2023
During a routine inspection
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.