CQC report explained · a residential care home
What the CQC found at 78 Hoylake Crescent
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2022
Rated Good; inspectors found improved safe care and stronger management after the previous inspection required improvement.
This was a focused inspection on 5 April 2022. One inspector met the people running the home and a staff member. They checked care records, risk assessments, audits, the premises and medicines.
The home was rated Good for Safe and Well-led. Inspectors found that risks were assessed and managed, medicines were handled safely, the environment was maintained, and there were enough suitable staff.
The home had improved since the previous inspection in December 2021. New checks and audits were in place, records had been updated, and the provider was no longer in breach of the regulations.
The inspection did not assess all five areas of care. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection.
Risk management
Risks to people’s safety and wellbeing were assessed, reviewed and managed. The provider had improved checks on the environment and equipment.
“Risks to people's safety and wellbeing had been assessed, monitored and managed.” from the report
Medicines
Medicines were stored securely and staff recorded administration. Staff also recorded why as-required medicines were given and whether they worked.
“People received their medicines in a safe way and as prescribed.” from the report
Quality checks
The provider had introduced new audits and checks. Inspectors found records were clear, accurate and up to date.
“The provider had improved their systems for monitoring the quality of the service.” from the report
Relationships and involvement
The person living at the home was involved in care planning and could make choices about daily life. Inspectors found positive relationships with staff.
“People were happy living at the service. They had good relationships with staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How have you kept the improvements to medicines management in place since this inspection?
- 02How often are risk assessments and care plans reviewed, and what happens when a person’s needs change?
- 03What checks are now carried out on the environment, equipment and fire safety?
- 04How do you use incidents, accidents or complaints to change the way care is provided?
- 05What were the ratings for Effective, Caring and Responsive at the previous inspection, and what has changed in those areas since then?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the comprehensive inspection on 2 December 2021. This explanation was written from the published report of 13 April 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.
What inspectors found, January 2022
Rated Requires Improvement; inspectors found kind and personalised care, but safety and management systems left people at risk.
Inspectors visited on 2 December 2021. They met all three people living at the home, managers and a care worker. They reviewed care records, medicines, staff records, audits and part of the building.
People were treated with kindness and respect. They had choices, could be independent and were supported with food, healthcare, activities and plans to move to more independent living. Staff were trained and people said they felt safe.
However, some environmental hazards had not been dealt with. Medicines systems were not strong enough, and records and checks were sometimes incomplete. The home did not always learn from incidents or use its audits to identify risks.
The overall rating was Requires Improvement. Safe and Well-led were rated Requires Improvement, while Effective, Caring and Responsive were rated Good. The home was still in breach of regulations identified at the previous inspection.
Kind, respectful care
People liked the staff and inspectors observed support being given with kindness and respect.
“We observed people being supported with kindness and respect.” from the report
Choice and independence
People were supported to make choices, develop everyday skills and move towards more independent settings if they wanted to.
“People were supported to develop their independent living skills.” from the report
Trained and supported staff
Staff completed induction and training, and managers checked their skills and competence.
“People were cared for by staff who were trained and supported.” from the report
Personalised support
People's care was planned around their needs and preferences, and they were involved in reviewing it.
“People received personalised care which met their needs and preferences.” from the report
Environmental hazards
seriousCleaning products and tools were unlocked. An electrical fuse cupboard was not locked or labelled, and a hot radiator surface could cause burns.
“These included unlocked cleaning products and tools.” from the report
Medicines records and storage
seriousA PRN medicine was given on most days without a review by the prescribing doctor, and staff did not record the reason each time. Medicine cabinet temperatures were not monitored.
“Records for the past two months showed this person had received PRN medicines on most days, however this practice had not been reviewed by the prescribing doctor.” from the report
Learning from incidents
seriousThe home did not always carry out reflective practice after aggression or other incidents. It also lacked easily available information, such as a recent photograph, to help if someone went missing.
“There had not always been opportunities for staff to take part in reflective practice following incidents” from the report
Incomplete records and checks
needs fixingCare plans, risk assessments, medicines records and quality audits were not always complete, accurate or easy to use. Audits had failed to identify some environmental risks.
“Records were not always accurate, up to date or clear.” from the report
Cleaning and food storage
needs fixingSome food was unlabelled and stored in open bags. Some parts of the building needed deep cleaning.
“Some areas of the building needed deep cleaning, such as soiled marks on a bathroom wall and dirt inside the tumble dryer door.” from the report
- 01What has been done to lock or label cleaning products, tools and the fuse cupboard, and to make the exposed radiator safe?
- 02How are PRN medicines now reviewed with the prescribing doctor, and how are the reasons for giving them recorded?
- 03How are medicine storage temperatures checked and recorded?
- 04What new process ensures incidents are followed by reflective practice and plans to reduce the risk of them happening again?
- 05Have the care plans, risk assessments and quality audits been rewritten or improved so staff can use them reliably?
This was a planned inspection covering all five key questions, the premises, care and infection prevention measures; the report says Safe and Well-led remained Requires Improvement while Effective, Caring and Responsive were rated for the first time. This explanation was written from the published report of 8 January 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.
Every inspection of 78 Hoylake Crescent
2 rated inspections over a year: the service has improved, from Requires improvement to Good.
- April 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2022Requires improvementSafe: Requires improvementWell-led: Requires improvement
- January 2021Inspected but not ratedSafe: Requires improvementEffective: Inspected but not ratedResponsive: Requires improvementWell-led: Requires improvement
- August 2018
Registered with the Care Quality Commission on 30 August 2018.
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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At least 100 live-in carers within about an hour of Hillingdon
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 £1,320 a week. 81 can care for a couple. 11 years' experience on average.
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
“She has an unusual combination of kindness and firmness, is quite unflappable, physically strong, extremely savvy”
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.