CQC report explained · a residential care home
What the CQC found at 4 Box Crescent
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse, risks were assessed and medicines were administered and stored safely. Inspectors identified that water testing for legionella had not recently been considered, but the provider took immediate action.
- Effective?
- Good
- People's needs and choices were assessed and reflected in their care plans. Staff received induction, training and supervision, and people were supported with food, healthcare and informed decision-making.
- Caring?
- Good
- Inspectors observed warm and friendly interactions. People were treated with dignity and respect, involved in decisions and supported to remain as independent as possible.
- Responsive?
- Good
- Care plans recorded people's likes, dislikes and preferences. Staff supported meaningful activities, contact with important people and communication in ways people could understand.
- Well-led?
- Good
- The home had a positive, person-centred culture and a clear management structure. Audits, staff meetings and supervision were used to monitor care and make improvements.
What inspectors found, August 2021
Rated Good; inspectors found safe, kind and personalised care, with immediate action needed over water testing.
This was a planned inspection because the home was newly registered at these premises. One inspector visited on 7 July 2021, spoke with people, staff, a relative and a health professional, and checked care, medicines, recruitment and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Two adults with autistic spectrum disorder were living there at the time.
Inspectors found that people were safe, treated with dignity and involved in decisions about their care. Staff understood people's needs, supported their independence and worked with health professionals. The home was clean and well maintained, and medicines were managed safely.
Inspectors found there had been no recent consideration of water testing for legionella. The provider took immediate action during the inspection to put measures in place. The report also says the home had plans to strengthen checks on staff competence in giving medicines.
Personalised support
Staff knew people's needs, preferences and routines well. Care plans were reviewed and staff adapted support to individual wishes.
“People received person-centred care.” from the report
Kind and respectful care
Inspectors saw warm interactions and found that people were treated with dignity. People and relatives gave positive feedback about the care.
“People were clearly comfortable in the presence of staff, and we noted a lot of warm and friendly interactions.” from the report
Choice and independence
People were involved in decisions about daily life, meals and activities. Staff supported people to make choices and develop their independence.
“People were encouraged to make their own decisions and choices and told us they were involved in decisions about their day-to-day life.” from the report
Good partnership working
Staff worked with health professionals and kept information about appointments and advice in people's care plans.
“Staff worked effectively with healthcare professionals to ensure people's healthcare needs were met.” from the report
Water safety checks
seriousThere had been no recent consideration of water testing to reduce the possible risk of legionella exposure. The provider acted immediately during the inspection, but families should ask what checks are now being completed.
“There had been no recent consideration of water testing to minimise the risk of potential exposure to legionella bacteria.” from the report
Medicine competence checks
needs fixingStaff were trained to give medicines, but the manager was still developing a competency process to provide further assurance about best practice.
“The registered manager was developing a competency process to provider further assurances that staff were working in line with best practice” from the report
- 01What water testing and other measures are now in place to reduce the risk of legionella?
- 02How do you check that every staff member remains competent to administer medicines safely?
- 03What autism training and specialist support will staff have for my relative's particular needs?
- 04How will you support my relative to maintain independence, activities and contact with family?
- 05What progress has been made with planning end of life care for people who wish to discuss their preferences?
This was the first inspection of the newly registered home and covered all five CQC questions, including infection prevention and control measures. This explanation was written from the published report of 6 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.
Every inspection of 4 Box Crescent
3 rated inspections over 5 years: the service has held its Good rating throughout.
- August 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2019
Registered with the Care Quality Commission on 17 October 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
38 live-in carers within about an hour of Gloucestershire
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 £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.