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CQC report explained · a residential care home

What the CQC found at 23 Cecil Road

Goodpublished 19 April 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and harm, with individual plans for risks and behaviour that could cause harm. Staffing, medicines, fire safety and infection control were checked and found to be managed well.
Effective?
Good
People had assessments based on their conditions and needs. Staff received relevant training, and people were supported with nutrition, health appointments, mental capacity decisions and legally required safeguards.
Caring?
Good
People had positive relationships with staff and were supported to make choices, stay independent and maintain privacy and dignity. Families and advocates were involved when appropriate.
Responsive?
Outstanding
Support was highly personalised and helped people achieve goals, communicate in ways that suited them, enjoy activities and take part in the community. People and relatives knew how to raise concerns.
Well-led?
Good
The home had a registered manager, regular audits and staff supervision. People's views were sought, and the provider worked with health and social care professionals to improve support.
The latest report, explained

What inspectors found, April 2018

23 Cecil Road was rated Good overall, with Outstanding care that was highly tailored to people's goals and communication needs.

Inspectors visited on 12 March 2018 without telling the home in advance. One inspector spoke with people, observed support, contacted a relative and a social care professional, and checked two people's care records and the home's audits.

The home was rated Good for Safe, Effective, Caring and Well-led. It was rated Outstanding for Responsive. Inspectors found that people were protected from harm, supported by trained staff, involved in decisions about their care, and helped to stay independent.

The strongest findings were about personalised support. Staff helped people achieve important goals, use different ways to communicate, take part in community life and follow their interests. The overall rating stayed Good, the same as at the previous inspection in February 2016.

What inspectors praised
  • Personal goals

    Staff supported people to achieve major personal goals and aspirations, including activities that had previously seemed difficult to arrange.

    “People were supported to work towards and complete major achievements in their lives.” from the report
  • Communication

    The home used different communication methods, including technology and visual prompts, to help people express their wishes in ways that suited them.

    “There were a variety of communication methods used to support people in a way that they wished.” from the report
  • Community life

    People were supported to use local shops, parks and leisure opportunities, and to develop greater independence outside the home.

    “People were being empowered and enabled to feel a part of their community, and to achieve their goals.” from the report
  • Kind relationships

    People had established relationships with staff and could choose which staff supported them with daily activities and special events.

    “People had established relationships with staff.” from the report
  • Safe medicines practice

    Medicines were given around people's routines and prescriptions. The home was also involved in work to reduce unnecessary use of some medicines.

    “People were supported with their medicines.” from the report
What inspectors were concerned about
  • End of life care was not assessed

    minor

    The home was not supporting anyone with end of life care during the inspection. New paperwork was being introduced, so families should ask what arrangements are now in place if this support may be needed.

    “At the time of this inspection the provider was not supporting people with end of life care, so therefore we have not reported on this.” from the report
Questions to ask them, based on this report
  1. 01How would you review staffing levels if my relative's needs or activities changed?
  2. 02How would you involve my relative and our family in updating their care plan and communication methods?
  3. 03How do you review medicines, particularly medicines used for anxiety or mood?
  4. 04What support could you provide with end of life care, and what paperwork and plans are now in place?
  5. 05How would my relative raise a complaint or concern, and how would they be supported to do this?

This was an unannounced inspection covering all five CQC questions; end of life care was not assessed because the home was not supporting anyone with it at the time. This explanation was written from the published report of 19 April 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.

The story over the years

Every inspection of 23 Cecil Road

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. April 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at 23 Cecil Road →

  2. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 20 December 2010.

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

Weigh the report against the rest

Care at home

62 live-in carers within about an hour of Derbyshire

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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.

“Ernest is an amazing professional carer who delivers care from the heart.”
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“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
Sarah Y., about Dawn Z.
See live-in carers near DerbyshireProfiles, rates and reviews are free to look at.

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