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CQC report explained · a residential care home

What the CQC found at 287 Dyke Road

Goodpublished 21 December 2021, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People had risk assessments and positive behaviour support plans. Inspectors found enough staff, safe recruitment, accurate medicines records and suitable infection control arrangements.
Effective?
Good
Staff had training, supervision and support. People’s nutrition, hydration and health needs were monitored, including support for people using PEG feeding.
Caring?
Good
Inspectors observed kind and positive interactions. Staff respected people’s privacy, dignity and differences, and adapted communication to their individual needs.
Responsive?
Good
Care plans were personalised and included people’s goals, communication needs, activities and preferences. Relatives were involved in care planning and the home provided activities and trips out.
Well-led?
Good
Quality checks covered areas such as medicines, training, the environment and infection control. Inspectors found positive leadership, good staff morale and a culture focused on person-centred care.
The latest report, explained

What inspectors found, December 2021

287 Dyke Road was rated Good; inspectors found safe, kind and personalised care, but noted the building is larger than current best-practice guidance suggests.

This was the home’s first inspection. One inspector visited on 9 and 11 November 2021, spoke with staff and relatives, observed people receiving support, and reviewed care, medicine, training and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable risk assessments, safe medicines practice, trained staff and good links with health professionals.

Care plans were personalised. Staff supported people’s communication, choices, activities, dignity and independence. Inspectors also found a positive atmosphere and appropriate infection control arrangements during the COVID-19 pandemic.

The home is a large domestic property and is bigger than current best-practice guidance for this type of service. However, inspectors said it had been made homely and that most of the guidance principles were being met.

What inspectors praised
  • Personalised support

    Care plans gave staff detailed information about people’s needs, preferences and goals. Staff used positive behaviour support approaches and adapted care to each person.

    “People's support plans were person-centred and comprehensive providing information and guidance about people's health and care needs, and how best to support them.” from the report
  • Kind and respectful care

    Inspectors saw positive interactions between staff and people. Relatives also described staff as caring and attentive.

    “The interactions we observed were positive, with staff and people engaging well and being attentive to people's needs.” from the report
  • Good safety arrangements

    Risk assessments, emergency plans, building checks and medicine systems were in place. Staff understood people’s individual risks and how to reduce them.

    “People had risk assessments in place with detailed guidance for staff on how to recognise, assess and reduce risk.” from the report
  • Staff training and health support

    Staff received induction, training, supervision and competency checks. The home worked with health professionals and monitored nutrition and hydration.

    “Staff received support, training and supervision to carry out their roles safely and effectively.” from the report
  • Positive leadership

    Inspectors found effective audits and monitoring, positive staff morale and a caring atmosphere. Relatives and professionals gave positive feedback about how the home was run.

    “The culture of the service was positive and inclusive.” from the report
What inspectors were concerned about
  • Building is larger than current guidance suggests

    minor

    The home is a large domestic property. Inspectors said this was bigger than current best-practice guidance for supporting people with learning disabilities, although they found it homely and welcoming.

    “The service was a large domestic property, that was bigger than would be considered in line with current best practice guidelines.” from the report
Questions to ask them, based on this report
  1. 01How does the home make sure each person has genuine choice and control over daily activities and decisions?
  2. 02How do staff recognise and respond to each person’s gestures, expressions, noises and tones?
  3. 03How are staffing levels maintained when staff are sick or on annual leave, and how often are agency staff used?
  4. 04How does the size of the building affect people’s privacy, independence, access to the community and daily routines?
  5. 05How are people’s goals reviewed, and how are relatives involved when a person cannot fully communicate their views?

This was the first comprehensive inspection, covering all five CQC questions, the premises and care provided, with additional checks of infection prevention and control during the COVID-19 pandemic. This explanation was written from the published report of 21 December 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 287 Dyke Road

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

  1. December 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 287 Dyke Road →

  2. September 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. February 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  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

Weigh the report against the rest

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