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CQC report explained · a residential care home

What the CQC found at 61 Track Road

Goodpublished 11 April 2019, 7 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. Risk assessments were individual, staffing was sufficient, and medicines were stored and administered safely, although recording of behaviour monitoring needed improvement.
Effective?
Good
People's health, social and nutritional needs were assessed and supported. Inspectors found that best interest decisions were not always recorded where required, but evidence was provided after the inspection that these had been completed.
Caring?
Good
Staff treated people with dignity and respect and understood their communication needs. People were involved in decisions and encouraged to maintain their independence.
Responsive?
Good
Care plans were personalised and reflected people's routines, preferences and health needs. People took part in activities and community life that matched their interests.
Well-led?
Good
The home had effective management and quality-checking systems. Some minor recording issues had not been identified by audits, and one minor incident had not been notified to CQC.
The latest report, explained

What inspectors found, April 2019

Rated Good in all five areas; inspectors found safe, caring and personalised support, with some records needing improvement.

This was a planned comprehensive inspection on 27 February 2019. It was announced at short notice. Inspectors reviewed information held about the home, two care plans, staff recruitment and training records, and quality checks. They spoke with staff, two people using the service and two relatives.

The home supported four people with autism and/or learning disabilities. Inspectors found people were safe, treated with kindness and supported to make choices. Staff understood people's needs, medicines were managed safely, and people were helped to stay healthy, take part in activities and maintain relationships.

Inspectors found some minor gaps in recording. Best interest decisions were not always recorded when required, behaviour monitoring records needed improvement, and one incident had not been notified to CQC. The home corrected or agreed to address these points, and sent evidence that the missing best interest decisions had been completed.

The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. It was also rated Good at the previous inspection, published on 19 August 2016.

What inspectors praised
  • Individual risk support

    Risk assessments gave staff clear guidance while allowing people to make choices and take appropriate risks.

    “Risks to people were minimised by detailed risk assessments, with clear directions for staff and included the positive benefits of the right to take risks.” from the report
  • Safe medicines practice

    Medicines were stored and given safely. Plans included detailed information about each person's medicines and how they preferred to take them.

    “Each person had a detailed medicines care plan including photographs of medicines and details of how people liked to take them, including for 'as required' medicines.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, communication, choices and independence.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised activities

    People were supported to take part in activities and trips that matched their interests, preferences and cultural needs.

    “People were supported to take part in a range of person centred activities and to lead fulfilling lives.” from the report
  • Communication and choice

    Staff used different ways to communicate with people and help them make decisions according to their needs.

    “We saw staff used speech, gestures, photographs, objects of reference and facial expressions to support people to make choices according to their communication needs.” from the report
What inspectors were concerned about
  • Best interest records

    needs fixing

    Best interest decisions were not always recorded where required. The registered manager later sent evidence that these had been completed.

    “We found people usually had their capacity assessed where required in order to determine their ability to provide lawful consent in areas such as medical interventions and finances, however best interest decisions had not always been recorded where required.” from the report
  • Behaviour monitoring records

    needs fixing

    Inspectors identified a minor area where recording needed to improve when monitoring behaviour that might challenge others.

    “The deputy manager agreed with us to address one minor area, where recording needed to improve when monitoring behaviour that may challenge others.” from the report
  • Incident notification

    needs fixing

    One minor incident between people had not been notified to CQC. The deputy manager said this would be completed in future.

    “One minor incident between people was not notified to CQC.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure all required best interest decisions are recorded?
  2. 02How are behaviour monitoring records checked for completeness and accuracy?
  3. 03What process do you follow to decide whether an incident must be notified to CQC?
  4. 04How do you make sure quality audits identify minor recording problems?
  5. 05How will the support plan reflect my relative's communication needs, preferences and chosen activities?

This was a planned comprehensive inspection covering the premises and care provided, with all five CQC questions assessed; inspectors reviewed two people's care plans and selected staff and quality records. This explanation was written from the published report of 11 April 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 61 Track Road

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

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

    Read what inspectors found at 61 Track Road →

  2. August 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. January 2013

    Registered with the Care Quality Commission on 7 January 2013.

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

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

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 £1,260 a week. 86 can care for a couple. 11 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
Claire A., about Carla M.
“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
See live-in carers near KirkleesProfiles, rates and reviews are free to look at.

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.