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CQC report explained · a residential care home

What the CQC found at 5 Fengates Road

Goodpublished 30 June 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Risks, safeguarding concerns and medicines were managed appropriately, although the home had experienced a medicines error and recruitment difficulties.
Effective?
Good
Care plans reflected people's needs and choices. Staff had suitable training and supported people with food, healthcare, communication and independence.
Caring?
Good
Staff treated people with kindness and respect. People were involved in decisions and supported to maintain privacy, dignity and independence.
Responsive?
Good
Care was personalised and flexible. People were supported with communication, relationships, activities, work and community access.
Well-led?
Good
Inspectors found an open and positive culture, with checks on quality, safety, incidents and medicines. The manager sought views from people, relatives, staff and professionals.
The latest report, explained

What inspectors found, June 2022

Rated Good; inspectors found kind, personalised care that promoted safety, choice and independence, although recruitment was challenging.

Inspectors made an unannounced visit on 16 May 2022. They spoke with people living at the home, staff and relatives. They observed care and checked care plans, medicines records, staff files and management records. They also spoke with health and social care professionals after the visit.

The home supported four people and could accommodate up to five. Inspectors found that people were safe, treated with dignity and supported to make choices. Staff helped people build skills, prepare meals, access healthcare and take part in activities and community life.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the service registered under its current provider. The previous provider's rating had been Good.

What inspectors praised
  • Independence and choice

    People were encouraged to control their daily lives and develop practical skills. Staff supported people to prepare meals, manage their homes and make decisions.

    “People were encouraged to have control in their daily lives and staff ensured people were able to live as independently as possible.” from the report
  • Kind and respectful care

    Staff knew people well and adapted their approach to individual needs and communication styles. Inspectors saw positive relationships and respectful interactions.

    “Staff knew people well and responded to them appropriately and sensitively.” from the report
  • Personalised support

    Care plans recorded people's histories, wishes, dislikes and communication needs. Staff supported varied activities, relationships and community involvement.

    “Care plans were person centred, and captured people's personal histories, specific wishes in relation to the care they received as well as the things that they did not like.” from the report
  • Good health support

    People were supported to attend healthcare appointments and maintain healthier lives. Health action plans contained detailed information about their conditions and support needs.

    “People were supported to access healthcare when they needed to.” from the report
What inspectors were concerned about
  • Recruitment and rota cover

    minor

    Recruitment was difficult. Agency staff were used to fill gaps, or the registered manager covered shifts, so families should ask how staffing is currently arranged.

    “The registered manager told us that recruitment was an issue and they were working to try to improve this, however this was challenging due to a shortage of available workers in the adult social care sector.” from the report
  • Previous medicines error

    needs fixing

    Inspectors noted an error with someone's medicines. The home introduced new guidance to reduce the risk of a similar incident, and medicines were otherwise described as managed safely.

    “For instance, following an error with someone's medicines new guidelines were put in place to mitigate the risk of a similar incident happening again.” from the report
Questions to ask them, based on this report
  1. 01How many permanent staff currently work at the home, and how often are agency staff used?
  2. 02What happened after the medicines error, and how do you check that the new guidance is followed?
  3. 03How will you support my relative to develop independence and make everyday choices?
  4. 04How will you adapt communication and support to my relative's individual needs?
  5. 05How will my relative be supported to access healthcare, activities and the local community?

This was an unannounced inspection covering all five CQC questions, the care provided and the premises, including infection prevention and control. This explanation was written from the published report of 30 June 2022 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 5 Fengates Road

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. June 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 5 Fengates Road →

  2. January 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. November 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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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 £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.

“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
Emma P., about Aman A.
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
Clare M., about Zion S.
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