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CQC report explained · a residential care home

What the CQC found at 3 The Droveway

Goodpublished 21 December 2023, 2 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 avoidable harm. Staff understood individual risks, medicines were managed safely, staffing was sufficient and the environment was clean and well maintained.
Effective?
Good
Care plans reflected people's health, communication and sensory needs. Staff had relevant training and worked with health professionals to support good outcomes.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were supported to communicate, make choices and be involved in decisions about their care.
Responsive?
Good
Support was planned around people's needs, wishes and goals. Staff used different communication methods and supported family contact and activities, although the home planned to increase outdoor activities.
Well-led?
Good
Inspectors found effective management, audits and action plans. Staff, relatives and health professionals described an open and supportive culture focused on people's quality of life.
The latest report, explained

What inspectors found, December 2023

3 The Droveway is rated Good; inspectors found kind, safe and personalised care, with some improvements still being developed.

Two inspectors made an unannounced visit on 16 October 2023. They spoke with people, relatives, staff and health professionals. They observed care and communication, and reviewed care, medicine, recruitment and management records.

The home supported six adults with physical and learning disabilities and related health needs. Inspectors found that people were safe, treated with kindness and supported to make choices. Staff understood people's communication styles, health needs and personal preferences.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The ratings had remained Good since the previous inspection, which was published in September 2017 under the previous provider.

What inspectors praised
  • Staff understood people's needs

    Staff knew people well and understood their complex health, communication and sensory needs. Health professionals and relatives were confident in the support provided.

    “Staff support residents well and are aware of their complex and varied needs” from the report
  • Kind and respectful care

    Staff showed warmth and compassion. They respected privacy and dignity, including by knocking before entering bedrooms and supporting people discreetly.

    “People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
  • People had choice and control

    People were supported to make everyday choices in ways suited to their communication. Staff used pictures, objects, gestures and other approaches to help people express themselves.

    “People were enabled to make choices for themselves and staff ensured they had the information they needed.” from the report
  • Good health and safety support

    Risk assessments covered areas such as epilepsy, nutrition and choking. Staff managed medicines safely and worked with health professionals when people's needs changed.

    “People had a range of risk assessments covering areas such as epilepsy, nutrition, choking and other health needs.” from the report
  • Positive leadership and family involvement

    The registered manager and staff were described as approachable and supportive. Relatives were welcomed, involved in planning and able to raise concerns.

    “The service operated an open and transparent approach and apologised to people, and those important to them, when things went wrong.” from the report
What inspectors were concerned about
  • Some redecoration was still needed

    minor

    Inspectors found the home generally well maintained, but some areas still needed redecoration. Work had been completed in some areas, while other work was still being agreed.

    “There were a number of areas in need of redecoration some of which had been addressed by the provider whilst other areas were still in the process of being agreed.” from the report
  • Outdoor activities were being developed

    minor

    The home had identified that people were mainly taking part in indoor activities since the pandemic. Staff and managers were working on increasing outdoor activities.

    “The registered manager and staff spoke of their plans to improve the level of outdoor activity as they had identified since the pandemic people were taking part mainly in indoor activities.” from the report
  • Recording progress towards goals could improve

    minor

    The manager planned to develop staff knowledge and the way the home evidences progress towards people's goals and aspirations.

    “The registered manager told us of their plans to work with staff to further develop knowledge and awareness of supporting people to maximise goals and how to evidence progress towards them.” from the report
Questions to ask them, based on this report
  1. 01How will you support my relative's specific communication and sensory needs?
  2. 02What outdoor activities are now available, and how will you support my relative to take part?
  3. 03How do you record progress towards each person's goals and aspirations?
  4. 04Which areas still need redecoration, and what is the planned timescale?
  5. 05How would staffing be maintained if there were short-term staff shortages?

This was an unannounced planned inspection covering all five CQC questions, including infection prevention and control, and it was the first inspection under the current provider. This explanation was written from the published report of 21 December 2023 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 3 The Droveway

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 3 The Droveway →

  2. September 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. July 2015Good
    Safe: GoodEffective: 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

Care at home

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“Lottie showed incredible patience and empathy, adapting her routine to fit in with Mum's moods. Most importantly, Lottie's cheerful manner helped Mum to get some enjoyment out of life.”
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