CQC report explained · a residential care home
What the CQC found at 42a Haddon
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including the use of protective equipment, testing, social distancing, hygiene and outbreak procedures.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, September 2020
Inspected but not rated; inspectors found strong infection control arrangements during the coronavirus pandemic.
Inspectors visited the home on 11 August 2020. This was an announced, targeted inspection during the coronavirus pandemic.
They looked only at infection prevention and control. They found the home was safe in this area and were assured about visitors, social distancing, admissions, protective equipment, testing, hygiene and outbreak management.
The home was inspected but not rated. This means the report gives useful information about infection control at that time, but it is not an overall rating of the care provided.
Clear support during lockdown
The home gave people learning sessions about social distancing and alternative greetings to help them understand the changes and reduce anxiety.
“Learning sessions with people who used the service took place when lockdown was introduced to support people's understanding and reduce anxiety.” from the report
Plans for suspected infections
When infection was suspected or confirmed, the person's flat was closed and a dedicated staff team worked there during isolation.
“Two members of staff worked exclusively in that flat on alternating shifts until the person recovered or the period of isolation ended.” from the report
Protective equipment and testing
The home maintained supplies of protective equipment, used it appropriately during the visit and had access to testing for people and staff.
“The service managed to maintain a stock of PPE throughout the pandemic and purchased extra supplies in preparation for any second spike.” from the report
Safer visits
Visits were planned and risk assessed individually, with relatives given the assessments in advance and visits held in a separate building.
“All visits by relatives to the service after lockdown eased were individually planned and risk assessed.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now isolate someone if Covid-19 or another infection is suspected?
- 02How do you make sure there is always enough protective equipment for staff and visitors?
- 03How are visits currently planned and risk assessed for my relative?
- 04How do you arrange testing for people living here and for staff?
- 05How do you support people with learning disabilities and autism to understand infection control changes?
This was a targeted thematic inspection of infection prevention and control during the coronavirus pandemic, so it did not assess the other key questions or give an overall rating. This explanation was written from the published report of 2 September 2020 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.
What inspectors found, May 2019
42a Haddon: Rated Good; inspectors found safe, kind and well-organised care, with only minor mildew noted in one bathroom.
This was an unannounced inspection on 12 April 2019. One inspector reviewed information about the home, spoke with people and staff, observed care, and checked care, medicines, recruitment, training, incident, complaint and quality records.
The home supported up to 40 adults with learning disabilities and autism. At the inspection, 40 people were receiving care. Inspectors found people were safe, treated with kindness and respect, involved in decisions, and supported to stay healthy and take part in activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 2 August 2016.
Safety and safeguarding
Inspectors found that people were protected from abuse and avoidable harm. Staff understood safeguarding procedures and concerns were reported and investigated.
“People were protected from harm and abuse. Information was displayed on notice boards in written and 'easy read' pictures giving people information on how to raise any safeguarding concerns.” from the report
Skilled staff
Staff received induction, ongoing training, supervision and support. Inspectors found they had the knowledge and skills to meet people's needs.
“The staff spoken with confirmed the training they received equipped them with the knowledge and skills to meet the range of needs of people using the service.” from the report
Kind and respectful care
People had caring relationships with staff and were involved in choices about their support. Staff respected privacy, dignity, equality and independence.
“We observed people were relaxed with staff and caring interactions took place between staff and people throughout the inspection.” from the report
Personalised communication
Care plans recorded people's communication needs. The home used easy-read information, large print, visual planners and other approaches to help people express themselves.
“People's communication needs were assessed and met in a way that met the criteria of the standard.” from the report
Activities and community life
People chose from activities including theatre trips, cinema visits, meals out, work placements and day centres. Some people also joined a litter-picking club.
“People attended activities of their choosing. For example, trips to the theatre, cinema and going out for meals.” from the report
Mildew in one bathroom
minorInspectors saw mildew growth on the ceiling of one bathroom. The manager confirmed it was thoroughly cleaned after the inspection and said it would be included in environmental audits.
“We noted one bathroom had mildew growth on the ceiling, following the inspection the registered manager confirmed the ceiling had been thoroughly cleaned and this would be included in the environmental audits.” from the report
- 01What checks are now carried out to prevent mildew or other environmental problems, and were any further issues found after this inspection?
- 02How are people's current communication methods recorded and shared with new or temporary staff?
- 03How are care plans reviewed with each person, their relatives or advocates, and how often are changes made?
- 04What training and supervision do staff currently receive, particularly for learning disabilities, autism, medicines and end-of-life care?
- 05How are people's chosen activities, family contact and independence supported in practice?
This was an unannounced inspection covering all five CQC questions, including the care and the premises, and the ratings did not carry over from the previous inspection. This explanation was written from the published report of 15 May 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.
Every inspection of 42a Haddon
2 rated inspections over 3 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2011
Registered with the Care Quality Commission on 23 March 2011.
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.
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