Goodwin Healthcare

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.

The five questions we ask about services and what we found