Archived: Goyt Valley House Care Home

Updated 27 September 2019

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 Care Act 2014.

Inspection team

This inspection was carried out by one inspector and one 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

Goyt Valley House Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. A registered manager and the provider would both be legally responsible for how the service is run and for the quality and safety of the care provided. The previous registered manager had left the service in November 2018 and recruitment was on going. The service was being managed by the deputy manager with support from senior care staff.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. The PIR was sent in November 2018 and completed by the previous registered manager, therefore some information was out of date. We discussed aspects of the information with the deputy manager and service manager during the inspection.

We used all of this information to plan our inspection.

During the inspection

We spoke with 13 people who used the service and two relatives about their experience of the care provided. We spoke with eight members of staff including the service manager, deputy manager, senior care staff and care staff.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service. One relative contacted us after the inspection to share their feedback of the care their relation received.

Updated 27 September 2019

About the service

Goyt Valley House Care Home is a residential care home providing personal and nursing care to people aged 65 and over. At the time of the inspection, there were 28 people living there. The service can support up to 30 people in the three-storey purpose-built building in the New Mills area of High Peak, Derbyshire.

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

The service did not always support people to follow their interests. People were not always encouraged to take part in social activities relevant to their interests or to be active members of the community.

The service did not have a registered manager. The previous registered manager had left the service in November 2018 and efforts to recruit a replacement had not been successful.

There were enough staff to keep people safe and meet their physical needs. However, feedback we received from people and staff, and our observations during the inspection showed that staff were busy, task orientated and did not have time to provide companionship to people.

Where accidents and incidents had happened, there was not a clear process to record or investigate these.

Risk assessments were in place for people and staff demonstrated they were aware of risks to people’s safety and how to mitigate these. However, some risk assessments in people’s care plans were out of date.

Care and support did not always reflect current evidence-based guidance and best practice. Recognised tools were used to assess people’s needs, but they were not always reviewed regularly or when people’s needs changed.

People received their medicines as prescribed. But staff responsible for medicine administration had not always had their competency formally assessed.

Staff told us they did not feel they were given the appropriate training to meet people’s needs. Staff did not always receive supervisions or appraisals. The management team had identified that training was required, and more training had been scheduled.

People were not always encouraged to maintain and develop their independence and their social needs were not always understood. People did not regularly have access to the wider community.

People told us they felt confident to express their views and were involved in decisions about their care. Care plans were person-centred and included people’s personal preferences.

People were empowered to express their wishes for how they would like to be cared before up to and at the end of their lives.

People told us that apart from the lack of activities, they were happy at Goyt Valley House Care Home.

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.

The service managed the control and prevention of infection well. The home was clean and free from malodours throughout.

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

Rating at last inspection

The last rating for this service was Good (published February 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to person-centred care and good governance. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.