CQC report explained · a residential care home
What the CQC found at 82 Bear Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitable staff, regular risk reviews, safe medicines systems and suitable infection control. They also found that the home did not use restraint or seclusion.
- Effective?
- Good
- Care was based on assessments and regularly reviewed. Staff were trained, people's health and nutrition were monitored, and the home worked with healthcare professionals.
- Caring?
- Good
- People were treated with kindness, dignity and respect. They were involved in decisions about their lives, care, rooms and daily activities.
- Responsive?
- Good
- Care was personalised and based on people's preferences and goals. Staff supported communication, family contact, community activities and complaints.
- Well-led?
- Good
- Inspectors found positive leadership, accessible management and systems for checking quality and making improvements. People, relatives and staff were asked for feedback.
What inspectors found, September 2023
82 Bear Road is rated Good; inspectors found safe, kind and personalised care with strong support for choice and independence.
This was an unannounced inspection on 12 September 2023. Two inspectors spoke with all four people living there, staff and two relatives. They observed care and checked care records, staff records, medicines and management checks.
The home supported people with learning disabilities, including people with Prader Willi Syndrome. Inspectors found enough trained staff, safe medicines practice, suitable risk planning and a clean environment. People were supported to make choices, build independence, access healthcare and take part in activities they enjoyed.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The overall rating stayed Good, the same as at the previous inspection published on 22 August 2017. The inspection was carried out to check how the home applied the principles of right support, right care and right culture.
Choice and independence
People were supported to make decisions, develop skills and take more control of areas such as food, finances and medicines.
“Staff supported people to have the maximum possible choice, control, and independence.” from the report
Kind relationships
Inspectors saw friendly interactions and found that people had good relationships with staff and each other.
“People were well treated and supported. They had good relationships with staff and each other.” from the report
Personalised activities
People took part in activities linked to their interests, including trips, classes, shows and social events with peers.
“The staff supported people to visit a wide range of interesting places and events, including trips into London using public transport, exhibitions and shows.” from the report
Communication support
Staff used pictures, Makaton, objects of reference and easy-read information to help people understand and be understood.
“People's communication needs were assessed, planned for and met.” from the report
Safe medicines
Staff were trained, medicines were stored safely and records showed when medicines had been given. Prescribers regularly reviewed medicines.
“People received their medicines safely and as prescribed.” from the report
Positive leadership
Inspectors found a positive culture, supportive management and regular checks to improve the service.
“There were effective systems for monitoring and improving the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's specific communication needs, including whether they need pictures, Makaton or easy-read information?
- 02How would you support my relative to make choices and build independence in daily activities, finances or medicines?
- 03What experience and training do staff have in supporting my relative's health conditions and nutritional needs?
- 04What activities and community opportunities could my relative take part in, based on their interests?
- 05How would you involve our family in care reviews, health decisions and any best-interest decisions?
This was an unannounced inspection that assessed all five key questions, with particular attention to how the home applied the principles of right support, right care and right culture. This explanation was written from the published report of 23 September 2023 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, August 2017
82 Bear Road was rated Good; inspectors found safe, respectful and personalised care, with some training and records still being improved.
The inspection was unannounced and took place on 20 July 2017. One inspector spoke with both people living there, staff, managers, family members and a social care professional. They also checked care, medicine, recruitment, complaints, safety and quality records.
The home provided accommodation and personal care for up to five people with a learning disability. Two people were living there at the time. Inspectors found enough staff, safe medicines management, suitable staff checks and improvements in food hygiene and health and safety since the December 2015 inspection.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors judged the care and management arrangements to be good at the time of this inspection.
Improved safety
The home had acted on the problems found at the previous inspection. Inspectors found food was stored safely and there were no out-of-date food items.
“At this inspection we found the provider had made improvements and people were cared for safely.” from the report
Enough staff
Rotas showed at least two staff were on duty at all times. Inspectors saw that people did not have to wait for support.
“There were enough staff to meet the care and support needs of people using the service.” from the report
Respectful care
Staff offered choices, explained what they were doing and understood how each person communicated. Bedrooms were personalised to people's tastes.
“During our inspection there was a relaxed and calm atmosphere in the service and we saw many examples of positive interactions between people and staff.” from the report
Training target not yet reached
needs fixingSome staff had not yet completed the provider's target level of service-specific training. The report says progress had been made and the target was expected to be reached soon.
“The operation manager's July 2017 report noted some improvement and the registered manager told us they expected to achieve the provider's target in the near future.” from the report
Activities not always recorded
minorStaff offered a person the chance to attend their place of worship, but refusals were not recorded in the daily support records. This made it harder to show that the person's wishes were being followed up.
“Support staff should make sure they record when they offer people activities that are refused” from the report
Outstanding authorisation application
needs fixingOne person had a Deprivation of Liberty Safeguards authorisation. An application for the second person had been sent to the local authority but had not yet been authorised.
“They said they would follow this up with the local authority concerned.” from the report
- 01Has the outstanding authorisation application for the second person now been completed and approved?
- 02What service-specific training remains incomplete, and when will staff complete it?
- 03How do you record activities that a person is offered but refuses?
- 04How do you check that care plans and risk assessments continue to reflect each person's current wishes and needs?
- 05What actions were taken after the previous concerns about food hygiene and health and safety?
This was an unannounced inspection covering all five CQC questions and included discussions, observations and checks of care, medicine, staff and management records. This explanation was written from the published report of 22 August 2017 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 82 Bear Road
3 rated inspections over 8 years: the service has held its Good rating throughout.
- September 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 8 March 2012.
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 Hounslow
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 £1,270 a week. 85 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.”
“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.”
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