We carried out a review of the data available to us about Goodwin Healthcare on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Goodwin Healthcare, you can give feedback on this service.
The announced inspection took place on 19 December 2018. 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.
People were supported to have choice and control over their lives. Staff supported people in the least restrictive way. Policies supported this practice. Staff had a good understanding of the Mental Capacity Act 2005 and legislation relating to children.
Staff knew how to recognise and report potential harm or abuse. Safeguarding issues raised were reported and acted upon. Incidents and accidents were investigated. Risks to people’s wellbeing were assessed and reviewed to maintain their safety and wellbeing.
There was enough staff available to meet people's needs. Training was provided to staff in a variety of subjects to develop and maintain their skills. Staff supervision and appraisals were undertaken to support staff.
People’s dietary needs were understood by staff and were met.
People were involved in making decisions about their care and support. People told us the staff were caring and kind.
People’s preferences for their care were recorded. Reassessments of people’s needs occurred as their needs changed.
Complaints raised were investigated and this information was used to help to improve the service.
An ‘on call’ system operated outside of office hours to allow people, their relatives or staff to gain help and advice, at any time. Quality monitoring checks and audits took place. Senior staff undertook ‘spot checks’ to observe how staff deliver care. People were asked for their opinions about the service provided, feedback received was acted upon.
There was an open and transparent culture promoted at the service. The directors, registered manager and staff supported local sporting events and charities. The management team worked well with the local authority and other relevant organisations and health care professionals to promote an effective service.
Further information is in the detailed findings below.
people who misused drug and alcohol. At the time of our inspection the service was providing a service for up to sixty one people of all ages.
The service had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered person’s’. 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.
This was the first inspection of the service since they had moved office location in March 2016. It is an established agency in the area.
We found staff were recruited in a safe way; all checks were in place before they started work and they received a comprehensive induction. Staff received training in how to safeguard people from the risk of harm and abuse. They knew what to do if they had concerns and there were policies and procedures in place to guide them when reporting issues of potential abuse.
We found not all staff had received training in more specialist areas, for example mental health and autism, which they may not have the skills and experience to support people with these needs..
Safe systems were in place for the administration, storage and recording of people’s medicines.
The registered manager ensured staff had a clear understanding of people’s support needs, whilst recognising their individual qualities and attributes. Staff were positive about the support they received from their manager.
Records showed people had assessments of their needs and support plans were produced; these showed people and their relatives had been consulted and involved in this process. We observed people received care that was person-centred and care plans provided staff with information about how to support people in line with their personal wishes and preferences.
Staff supported people with their nutritional and health needs. Staff liaised with healthcare professionals on people’s behalf if they needed support accessing their GP or other professionals involved in their care.
Risk assessments were completed to guide staff in how to minimise risks and potential harm. Staff took steps to minimise risks to people’s wellbeing without taking away people’s rights to make decisions.
Staff had received training in legislation such as the Mental Capacity Act 2005, Deprivation of Liberty Safeguards and the Mental Health Act 1983. They were aware of the need to gain consent when delivering care and support, and what to do if people lacked capacity to agree to it.
There was a complaints procedure in place which was available in a suitable format, enabling people who used the service to access this information if needed. The service had developed systems to review the quality of service provision and highlight areas which required further action. Action plans with identified timescales had been produced to address shortfalls.
People told us staff treated them with respect and were kind and caring. Staff demonstrated they understood how to promote peoples independence whilst protecting their privacy and dignity.