Global House Facilities (UK) Ltd

What inspectors found

From the Care Quality Commission's assessment published 7 February 2025 (assessment visit 23 January 2024). Quoted under the Open Government Licence.

1. Safe

   IInadequate Inadequate

   During our assessment of this key question, we identified five breaches of the regulations. The provider failed to provide safe effective leadership, governance and to have and maintain robust oversight of the service and its delivery. The provider failed to act in accordance with the requirements of the Mental Capacity Act 2005. The provider failed to ensure people were protected from the risk of abuse. failed to ensure medicines were managed in a safe manner and risks to people were not always identified, assessed and recorded and staff did not always have access to risk management information to ensure the support they provided to people was safe and appropriate to meet their needs. the provider failed to ensure there were systems in place which provided safe and effective staffing.

   Notwithstanding the above, people and their relatives told us the provider ensured the continuity of their care. People and their relatives felt safe when receiving care from staff. Some staff understood what abuse was, the types of abuse, and the signs to look for. Some staff told us, they knew how to respond to people’s risks and to meet their needs. People and their relatives were satisfied with staff team for the care and support they received. Staff training records showed they completed training required including refresher courses to carry out their roles. Staff told us the training programmes enabled them to deliver the care and support people needed. Staff told us they had regular supervision either face to face or virtually in a group and felt supported by the registered manager.

2. Effective

   IInadequate Inadequate

   During our assessment of this key question, we identified one breach of the regulations. The provider failed to ensure that people using the service received appropriate person-centred care and treatment based on an assessment of their needs and which reflected their personal preferences. The provider failed to ensure that people using the service received appropriate person-centred care and treatment based on an assessment of their needs and which reflected their personal preferences. However, people and their relatives told us, they were involved in assessment of needs and the assessments went well to ensure the care they get is accurate. People and their relatives told us, the provider engaged well with them, staff are well trained and knowledgeable to meet their needs. Staff told us the provider held regular meetings with them.

3. Responsive

   –No rating No rating

   During our assessment of this key question, we identified two breaches of the regulations. The provider failed to ensure that people using the service received person-centred care which reflected their personal preferences. The provider failed to provide safe effective care, leadership, governance and to have and maintain robust oversight of the service and its delivery. However, some people and their relatives told us, they have care plan as agreed and they were involved in it. People and their relatives were satisfied with staff team and the provider for the care and support they received. Some staff completed feedback survey, and their responses were positive.

4. Well-led

   –No rating No rating

   During our assessment of this key question, we identified one breach of the regulations. The provider failed to provide safe effective leadership, governance and to have and maintain robust oversight of the service and its delivery.

   People and their relatives gave us a mixed feedback about their management. Staff described the leadership at the service as approachable and supportive. Staff told us they worked in partnership with external professionals as required, to achieve positive outcomes for people.