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CQC report explained · a residential care home

What the CQC found at Adisham House

Goodpublished 15 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe, risks were assessed and staff knew how to respond to abuse or emergencies. Recruitment, staffing, medicines and the premises were found to be safe.
Effective?
Good
Staff had up-to-date training, regular supervision and competency checks. People received support with eating, drinking, healthcare and decisions about their care.
Caring?
Good
Staff knew people well and treated them with kindness, dignity and respect. People were supported to make choices, remain independent and keep in touch with family and friends.
Responsive?
Outstanding
Care was highly personalised and helped people lead active and fulfilling lives. Inspectors saw creative support for communication, health needs, activities, relationships and independence.
Well-led?
Good
The provider had good oversight and staff felt supported. Audits, meetings and feedback were used to monitor quality and make improvements.
The latest report, explained

What inspectors found, February 2019

Rated Good overall, with Outstanding responsive care and strong support for people to live active, independent lives.

Inspectors visited the home without notice on 11 January 2019. They spoke with five people, staff and the manager, observed care, checked three care records and four staff files, and reviewed management records.

The home was rated Good for safe, effective and caring care, and for being well-led. Inspectors found enough trained staff, safe medicines practice, suitable records, good healthcare support and respectful relationships.

Responsive care was rated Outstanding. The home gave highly personalised support and helped people take part in activities, use the local community, maintain relationships and build independence. The overall Good rating stayed the same as at the previous inspection.

What inspectors praised
  • Personalised support

    Care was tailored closely to each person's preferences, needs and goals. Staff used detailed knowledge of people's lives to plan meaningful support.

    “People continued to be provided with highly personalised, tailored care and supported to live active and fulfilling lives.” from the report
  • Building independence

    People were encouraged to do as much as possible for themselves. The home supported exercise, independent travel, hobbies and involvement in the community.

    “Staff encouraged people to be as independent as possible for as long as possible.” from the report
  • Communication support

    Staff adapted how they communicated and helped people express their wishes. The home also provided tools to support future communication needs.

    “People's specific communication needs had been considered and support strategies implemented to help people express themselves and make choices about their lives.” from the report
  • Safe and consistent care

    There were enough staff, and recruitment checks had been completed. Medicines, risks, fire safety and the environment were monitored.

    “People received care from an experienced and consistent staff team.” from the report
  • Kind relationships

    Inspectors saw relaxed and respectful relationships between people and staff. People were supported to keep contact with relatives and take part in activities that mattered to them.

    “During our inspection we saw staff to be kind, caring and support people in a compassionate manner.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you support my relative's particular communication needs and help them make choices?
  2. 02What activities and community opportunities could my relative take part in, based on their interests?
  3. 03How would you support my relative to build or maintain independence in everyday tasks?
  4. 04How do you review medicines, especially where they may affect a person's ability to take part in activities?
  5. 05How would you adapt the home and support if my relative's mobility or health needs changed?

This was an unannounced inspection of the home, including accommodation and personal care, and it assessed all five CQC questions. This explanation was written from the published report of 15 February 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 Adisham House

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

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Adisham House →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 7 January 2011.

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

39 live-in carers within about an hour of Kent

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. 33 can care for a couple. 12 years' experience on average.

“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
Anthea D., about Theresa L.
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
Winnie N., about Irene N.
See live-in carers near KentProfiles, 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.