Background to this inspection
Updated
15 December 2020
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 coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.
This inspection took place on 3 December 2020 and was announced.
Updated
15 December 2020
The inspection took place on 22 October and was unannounced. We last inspected the service June 2016 when it was found to be meeting with the regulations we assessed.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
Gattison House is a care home situated in Rossington, Doncaster which is registered to accommodate up to 36 people. The service is provided by Runwood Homes Limited. At the time of the inspection the home was providing residential care for 19 people, some of whom had been diagnosed with dementia. The service has communal and dining areas and easily accessible secure gardens. The home is close to local amenities of shops and healthcare facilities.
The service had a registered manager in post at the time of our inspection. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons.' Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. On the day of the inspection the registered manager was unavailable so the clinical lead received feedback.
CQC is required by law to monitor the operation of the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS), and to report on what we find. The members of the care staff we spoke with had a good understanding of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS).
We spoke with people who told us they were safe and happy and we carried out observations for people with limited verbal communication, who showed us through their body language and non-verbal signs that they were happy and safe living there.
Staff were knowledgeable about how to safeguard people from abuse and felt confident that people were safe. The support plans we looked at contained risk assessments which considered the safety of people and risk were regularly monitored and reviewed.
Records showed that the registered provider's recruitment procedures were robust and systems were in place to check that support workers were of good character and were suitable to care for people who used the service, prior to employment.
Records and observations showed us that there were sufficient numbers of suitably qualified staff to support people in line with their needs. People received one to one support when this was needed and staff were skilled in providing person centred support.
There were systems in place to ensure people's medicines were managed safely. Staff were trained and competency assessed to administer medicines.
The home was clean, however some of the carpeted areas of the home needed to be replaced. Procedures were in place to ensure people were protected from the risk of infections.
Staff were trained to carry out their role and felt they had the necessary skills to do their job. Through our observations we saw staff knew people well and understood their needs. Healthcare professionals were accessed as required.
People were treated with kindness and respect and staff clearly knew people’s needs very well. Staff were observed to be very good at communicating with people and responding to their needs.
The provider had a complaints policy to guide people on how to raise concerns.
We found the provider had robust audit and monitoring systems in place to identify and address shortfalls.