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CQC report explained · a residential care home

What the CQC found at 429 Warwick Road

Goodpublished 12 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe with staff. Inspectors found suitable staffing, recruitment checks, medicine checks, safeguarding knowledge and systems for recording and learning from incidents.
Effective?
Good
Staff had training and supervision linked to people's needs. People were supported with healthcare, meals, personal choices and decisions under the Mental Capacity Act.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people’s individual needs and supported them to make everyday choices and develop independence.
Responsive?
Good
People had regular meetings about their care, and care plans were changed when needs changed. The home recorded and investigated complaints and supported people’s interests and end-of-life wishes.
Well-led?
Good
People and staff felt able to speak with the registered manager. Staff were encouraged to share ideas, communication systems were in place, and managers used checks and shared learning to support improvement.
The latest report, explained

What inspectors found, January 2019

429 Warwick Road is rated Good; inspectors found safe, kind and personalised care, with the home’s design not originally following some best-practice guidance.

Inspectors visited unannounced on 20 November 2018. Six of the seven people living at the home were using the service. They spoke with one person, observed staff supporting people, spoke with staff and managers, and checked care, medicines, incident and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, staff understood their needs, medicines were checked, and staffing was considered sufficient.

People were involved in decisions about their care, meals, activities and bedrooms. Staff knew people well, supported independence and dignity, and updated care plans when needs changed. The home had systems for complaints, staff training, incident monitoring and quality checks.

The home was not originally designed in line with the values of Registering the Right Support and related best-practice guidance. However, inspectors said people were given choices and encouraged to be independent and involved in the local community. The overall Good rating had not changed since the previous inspection.

What inspectors praised
  • People felt safe

    People said they felt safe around staff and could rely on them to respond to concerns. Staff understood safeguarding and the risks linked to people’s health.

    “People felt safe around the staff supporting them.” from the report
  • Kind and respectful care

    Staff knew people well and offered support that matched their individual needs. People were treated with dignity and encouraged to become more independent.

    “People were supported to develop their independence where possible and were treated with dignity.” from the report
  • Personalised care planning

    People helped shape their care through regular meetings with key workers. Staff recorded what worked for people and updated plans when needs changed.

    “People were involved in developing their care through regular meetings with key workers.” from the report
  • Good teamwork

    Staff said communication was good and that they felt supported to provide care. Handovers, meetings, supervision and the communication book were used to share important information.

    “Effective communication at the service enabled the team to understand people's care needs and staff felt part of a team that worked well together.” from the report
What inspectors were concerned about
  • Home design did not follow best-practice guidance

    minor

    The home was not originally developed and designed around guidance promoting choice, independence and inclusion for people with learning disabilities and autism. Inspectors said people were nevertheless given choices and encouraged to take part in the local community.

    “The care service had not originally been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance.” from the report
Questions to ask them, based on this report
  1. 01How does the home promote choice, independence and inclusion given that it was not originally designed around Registering the Right Support guidance?
  2. 02How will you make sure staffing remains sufficient if people’s assessed needs change?
  3. 03How are care plans updated when a person’s health, communication, mobility or support needs change?
  4. 04How are people supported to make their own choices about meals, activities, healthcare and where they spend their time?
  5. 05How would you involve our family member in recording and respecting their end-of-life wishes, if needed?

This was an unannounced inspection of all five areas, covering the overall quality of the home, care and accommodation; six of the seven people were using the service on the inspection day. This explanation was written from the published report of 12 January 2019 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 429 Warwick Road

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

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 429 Warwick Road →

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

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

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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

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Care at home

At least 100 live-in carers within about an hour of Solihull

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