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CQC report explained · a residential care home

What the CQC found at 19 Lower Dolcliffe Road

Goodpublished 4 August 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found detailed risk assessments, safe recruitment, enough staff and generally suitable safeguarding arrangements. One incident had not been reported to CQC, but this was corrected during the inspection.
Effective?
Good
Care was based on regular assessments and staff had relevant training and supervision. Food preferences, healthcare needs, communication and consent were supported.
Caring?
Good
Staff were observed treating the person warmly and respectfully. The home promoted privacy, dignity, independence and involvement in care decisions.
Responsive?
Good
Care plans reflected the person's needs, preferences and communication methods. The person was supported to maintain relationships, pursue interests and use the local community, but complaints were not handled according to the home's written procedure.
Well-led?
Good
Regular audits identified improvements and action plans were followed up. Staff were involved in learning and the manager was described as engaged in the service.
The latest report, explained

What inspectors found, August 2021

19 Lower Dolcliffe Road was rated Good; inspectors found personalised, respectful care, with improvements needed in complaints handling and one medicines record.

This was the first inspection since the home registered in 2019. One inspector visited on 17 June 2021, spoke with four staff and reviewed care, medicines, recruitment, training and management records. The person living at the home chose not to speak with the inspector.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found detailed, personalised care plans, respectful staff, safe recruitment, appropriate training and support for choice, independence and community involvement.

There were some issues to put right. Information about the desired outcome of medicines given when needed was missing, but the manager said this was corrected during the inspection. The home had also dealt with complaints verbally instead of following its written procedure for giving complainants a written response.

What inspectors praised
  • Personalised care

    Care plans were detailed and tailored to the person's needs, preferences and communication. Staff regularly checked that care remained suitable.

    “Care plans were extremely person-centred. Care was planned and delivered in line with the person's individual assessments.” from the report
  • Respect and independence

    Staff promoted choice, privacy and dignity. The person was supported to develop independent living skills and take part in the local community.

    “The person's privacy, dignity and independence was respected.” from the report
  • Staff training and recruitment

    The home carried out background checks and references before employing staff. Staff had relevant training, experience, supervision and appraisal.

    “Staff had received a range of training in areas appropriate to the needs of people using the service.” from the report
  • Quality monitoring

    The home used regular audits to identify improvements and followed up action plans. Staff were involved in discussing learning and service developments.

    “There was a range of audit systems in place, which were carried out regularly and to a thorough standard.” from the report
What inspectors were concerned about
  • Medicines given when needed

    needs fixing

    Records did not state the desired outcome for medicines given on an as-needed basis. The manager said this had been corrected during the inspection.

    “The provider did not hold information about what the desired outcome should be.” from the report
Questions to ask them, based on this report
  1. 01How do you now record the intended outcome when medicines are given on an as-needed basis?
  2. 02How will you make sure complaints receive a written response in line with your complaints policy?
  3. 03What changes were made after the incident that had not initially been reported to CQC?
  4. 04How will you continue to involve the person in care planning, food choices, activities and use of the local community?
  5. 05How often are care plans and risk assessments reviewed, and how are changes shared with staff?

This was a planned first inspection that assessed all five CQC key questions and included infection prevention and control arrangements. This explanation was written from the published report of 4 August 2021 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 19 Lower Dolcliffe Road

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. August 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 19 Lower Dolcliffe Road →

  2. July 2019

    Registered with the Care Quality Commission on 25 July 2019.

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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