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CQC report explained · a residential care home

What the CQC found at 16 Spring Mount Harrogate

Goodpublished 21 July 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found personalised risk assessments, safe medicines systems, enough staff and suitable safeguarding arrangements. Infection prevention and control practices were also found to be good.
Effective?
Good
People were supported to make choices and decisions, including where they lacked capacity. Staff had relevant training, and people received support with food, healthcare and their individual needs.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were supported to express their views, maintain relationships and develop independence.
Responsive?
Good
Support was tailored to people's needs and communication preferences. However, plans did not always include personal goals and aspirations, and some outings were not based on people's preferences.
Well-led?
Good
Inspectors found an open, positive culture and regular reviews of people's support. Audits, action plans and working relationships with other organisations supported the running of the home.
The latest report, explained

What inspectors found, July 2022

Rated Good; inspectors found safe, kind and personalised care, but goals and aspirations were not always planned or recorded.

The home provides residential care for up to six people with learning disabilities, autism and sensory impairment. Six people were living there when inspectors visited. The inspection was unannounced and took place on 31 May and 29 June 2022.

Inspectors spoke with people and staff, reviewed care records and checked management, training, medicines and other records. They found enough suitable staff, safe medicines systems, good infection control and care that respected people's communication needs, choices and independence.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The Responsive rating fell from Outstanding at the previous inspection in 2018. Inspectors recommended improving person-centred planning so people's goals, aspirations and achievements are included and recorded.

What inspectors praised
  • Choice and independence

    People were supported to make choices, control their daily lives and develop independence. This included learning daily living skills and taking part in activities they wanted to do.

    “The service supported people to have the maximum possible choice, control and independence over their own lives.” from the report
  • Understanding communication

    Staff knew how people communicated and adapted information to meet sensory and communication needs.

    “Staff knew people's individual communication styles well.” from the report
  • Safe medicines support

    Medicines were administered, recorded and stored safely. Inspectors found that staff supported people to make their own medicines decisions where possible.

    “People received the medicines they needed to support their health needs.” from the report
  • Kind and respectful care

    Inspectors observed respectful care and found positive relationships between people, staff and managers.

    “We observed staff treat people with kindness and respect.” from the report
What inspectors were concerned about
  • Goals were not always planned

    needs fixing

    Care plans did not always set out people's personal goals, aspirations or achievements. Inspectors recommended improving person-centred planning.

    “However, peoples person-centred plans didn't include personal goals, aspirations or achievements.” from the report
  • Some activities did not reflect preferences

    needs fixing

    Some outings were not always based on what people wanted. People also mentioned interests such as holidays and swimming that had not been planned.

    “However, we found some outings were not always based on people's preferences.” from the report
  • Communal areas were not personalised

    minor

    The communal areas were modern, but inspectors felt the decoration looked corporate rather than personalised. People could personalise their bedrooms.

    “We found at this inspection the communal décor to be corporate.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure each person's goals, aspirations and achievements are included in their support plan?
  2. 02What has changed since the recommendation about person-centred planning was made?
  3. 03How do you decide whether outings and activities match each person's preferences?
  4. 04How are one-to-one care hours divided between personal care and activities or interests?
  5. 05How can a person plan activities such as a holiday or swimming sessions?

This was an unannounced inspection covering all five CQC questions, including infection prevention and control, and the report compares the findings with the previous 2018 inspection. This explanation was written from the published report of 21 July 2022 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.

The story over the years

Every inspection of 16 Spring Mount Harrogate

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. July 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 16 Spring Mount Harrogate →

  2. July 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
  3. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. December 2020

    Registered with the Care Quality Commission on 1 December 2020.

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.

Next steps

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Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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