CQC report explained · a residential care home
What the CQC found at Addington House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, assessed risks, safe medicines management, and a clean and well-maintained environment.
- Effective?
- Good
- Care was based on people's needs and recognised guidance. Staff had relevant training and supervision, and people were supported with nutrition, health care, consent and independence.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were involved in decisions, supported to express themselves, and encouraged to maintain their cultural and religious values.
- Responsive?
- Good
- Care plans reflected people's needs, preferences and goals. People were supported with communication, family relationships, activities, community life and end of life wishes.
- Well-led?
- Good
- The service had positive leadership and systems to monitor quality, gather feedback and learn from incidents. The manager understood their regulatory responsibilities.
What inspectors found, December 2019
Addington House was rated Good in all areas; inspectors found safe, kind and personalised care, with some communication improvements identified.
This was an unannounced inspection on 5 November 2019. One inspector and an Expert by Experience observed support, spoke with people, relatives and staff, and checked care, medicine, recruitment, training and management records.
The inspectors found that people were safe and received care suited to their needs. There were enough trained staff, medicines were managed safely, the home was clean, and risks were assessed. People were supported with food, health appointments, communication, activities and developing independence.
Staff treated people with kindness, dignity and respect. Relatives were involved in care planning and complaints information was available in accessible formats. The home had systems to check quality and learn from incidents.
The overall rating was Good, and each of the five areas was rated Good. This means the inspectors found the service met the standards they checked. The home remained Good compared with the previous inspection, published on 17 May 2017.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and saw that medicines were administered and recorded safely.
“There were enough staff to meet people's needs safely.” from the report
Personalised support
Care plans included people's health needs, interests, routines and goals. Staff supported people to build daily living skills and work towards greater independence.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Kind and respectful care
Staff knew people well, communicated in ways they understood, and respected their privacy, dignity, choices and beliefs.
“People were cared for by staff who were caring and compassionate.” from the report
Activities and community links
People were supported to follow interests, maintain relationships, attend social activities, take holidays and pursue education or voluntary work.
“People were supported to do the things they enjoyed.” from the report
Quality monitoring
The home used audits, feedback and team meetings to identify improvements and learn from incidents.
“The service had systems in place to regularly assess and monitor the quality of service provided.” from the report
Direct updates for relatives
needs fixingOne relative said they did not receive regular updates directly from staff who supported their relative day to day. The manager agreed to introduce a keyworker system for this.
“One relative commented that they did not have regular direct communication or updates from staff who worked with their relative day-to-day but received updates from the registered manager.” from the report
Manager's time across two homes
minorFeedback showed that relatives wanted to know when the manager was based at this home because the manager also managed another nearby home. A plan showed when they would work at this home, and staff said they could contact the manager when needed.
“people and their relatives had asked to know when the registered manager is based at the home as they currently manage another nearby care home and split their time between the two homes.” from the report
- 01How will keyworkers give our family regular direct updates about day-to-day care?
- 02On which days is the registered manager based at the home, and who is in charge when they are working at the other home?
- 03How are people's care plans and risk assessments reviewed when their needs or behaviour changes?
- 04How will you support our relative to develop daily living skills and work towards greater independence?
- 05How are medicines checked, recorded and reviewed for each person?
This was an unannounced comprehensive inspection covering all five CQC questions, with the home and the care provided both looked at; all ratings remained Good from the previous inspection. This explanation was written from the published report of 10 December 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.
What inspectors found, May 2017
Rated Good; inspectors found safe, kind and personalised care, and the home remained Good since 2014.
The inspection was unannounced and took place on 14 March 2017. One inspector spoke with three people, three staff members and the manager. They observed care, reviewed three care records, and checked medicines, staffing, training, safety and quality records.
People told inspectors they felt safe. Staff understood people's risks, medicines were managed safely, and there were enough staff. The home was clean, comfortable and well maintained.
Inspectors found that care was effective, caring and responsive. Staff knew people's preferences, supported their independence, health, meals, activities and family relationships, and involved people in decisions. The manager and provider had systems to monitor quality.
All five areas were rated Good. This means the inspection found the service met the relevant regulations and fundamental standards at that visit. The home had also been rated Good at the November 2014 inspection.
Safe support
Staff knew people's risks and how to reduce them. Inspectors found that medicines were stored, given and recorded safely.
“People told us they felt safe and liked living in Addington House.” from the report
Personalised care
Care plans described people's preferences, communication and support needs in detail. Staff understood the people they supported and responded to changes.
“Support plans were detailed and descriptive of how people wished to be supported.” from the report
Respect and dignity
Staff listened to people, offered choices and supported their independence. Inspectors saw warm and positive interactions.
“Staff showed understanding and patience and people were treated with respect and dignity.” from the report
Activities and relationships
People took part in varied activities and outings, and were supported to keep in touch with family and friends.
“People had access to a varied range of activities and leisure opportunities in the home and wider community.” from the report
Inspectors raised no specific concerns in this report.
- 01How are each person's risks assessed and reviewed when their needs or behaviour changes?
- 02How do you check that staff remain competent to administer medicines safely?
- 03How are people involved in planning and reviewing their care and support?
- 04What activities and community outings are available for my relative, and how are their individual interests taken into account?
- 05How can people and families raise concerns, and how are those concerns followed up?
This was an unannounced inspection of the overall service, covering all five CQC questions and reviewing care, staffing, medicines, premises and quality monitoring. This explanation was written from the published report of 17 May 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 Addington House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- February 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 December 2010.
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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What to check when you visit
At least 100 live-in carers within about an hour of Croydon
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 £1,230 a week. 77 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Terry has been of invaluable help to our family while working as a part-time live-in carer for our mother for approximately 6 months”
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.