CQC report explained · a residential care home
What the CQC found at 101 Royal Hill
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, appropriate recruitment checks and risk assessments for people's needs. Medicines were stored securely, given as prescribed and recorded without gaps.
- Effective?
- Good
- Staff had relevant training and understood the Mental Capacity Act and related safeguards. People were supported with healthy meals, healthcare appointments and advice from health professionals.
- Caring?
- Good
- Staff knew people well, communicated in ways that suited them and respected their privacy, dignity and choices. Relatives spoke positively about the care.
- Responsive?
- Good
- Care plans described people's health, communication, cultural and religious needs. People were supported with individual activities, community outings and contact with family and friends.
- Well-led?
- Good
- The home carried out regular checks on safety, medicines, incidents, complaints and care records. There was no registered manager in post, but a manager was applying to become registered.
What inspectors found, March 2018
Rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
Inspectors visited without notice on 13 February 2018. They checked records, observed care and spoke with staff, managers and relatives. They used observations because people had complex communication needs and could not all give their views verbally.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable recruitment checks, safe medicines systems and care plans that explained people's needs.
The home remained Good, the same as at the previous inspection on 22 February 2016. There was no registered manager at the time, but a manager was in post and was applying to become registered.
Safe staffing
Inspectors found enough staff to meet people's needs. Extra cover was arranged for activities, and bank staff were familiar with the people living at the home.
“There were enough staff on duty to meet people's needs.” from the report
Safe medicines
Medicines were stored securely and records showed they were given as prescribed. Staff had medicines training and had been assessed as competent.
“MAR records were completed in full and there were no gaps in administration.” from the report
Personalised communication
Care records explained how each person communicated. Staff gave people time, used suitable communication methods and offered choices.
“People's care records included communication profiles that recorded their specific methods of communicating with staff.” from the report
Respect and dignity
Staff supported people's independence and respected their privacy, including their preferences about personal care and clothing.
“People's privacy and dignity was respected.” from the report
Quality monitoring
The provider and manager carried out regular checks and followed up earlier actions for improvement. Residents' meetings were used to hear people's views.
“The provider recognised the importance of regularly monitoring the quality of the service.” from the report
Registered manager
minorThere was no registered manager in post when inspectors visited. A manager was in place and was applying to become registered.
“The home did not have a registered manager in post.” from the report
Activities inside the home
minorOne relative felt there could be more activities for people within the home. The manager said work with an occupational therapist was under way to provide more activities.
“I think they could do a few more activities with people in the home.” from the report
- 01What is the current position on the manager's application to become the registered manager?
- 02What activities are now available inside the home, following the relative's comment that there could be more?
- 03How will you make sure each person's communication method is understood, especially where picture-based information is not suitable?
- 04How are relatives involved in care plan reviews and kept informed about changes in their family member's needs?
- 05How often are medicines records, care plans and safety checks reviewed, and how are any issues followed up?
This was an unannounced inspection of all five areas, using records, observations and discussions with staff, managers and relatives; the previous Good ratings were reassessed and remained Good. This explanation was written from the published report of 8 March 2018 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 101 Royal Hill
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 16 March 2011.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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At least 100 live-in carers within about an hour of Greenwich
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,250 a week. 87 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Usha rapidly became 'one of the family' and is sorely missed.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.