CQC report explained · a residential care home
What the CQC found at An Diadan House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably skilled staff, safe recruitment checks and plans to manage risks. Medicines, infection control, premises checks and accident investigations were also found to be managed safely.
- Effective?
- Good
- This question was not assessed in this focused inspection, so no rating was given.
- Caring?
- Good
- This question was not assessed in this focused inspection, so no rating was given.
- Responsive?
- Good
- This question was not assessed in this focused inspection, so no rating was given.
- Well-led?
- Good
- Inspectors found regular checks, open management and opportunities for people, relatives and staff to give feedback. Issues found through audits were addressed promptly.
What inspectors found, June 2021
An Diadan House was rated Good overall; inspectors found people safe, well cared for and supported by strong leadership.
This was a focused inspection on 13 May 2021. It was prompted partly by concerns about unexplained injuries and poor joint working at another service run by the provider. Inspectors found no evidence that people at the home were at risk of harm from these concerns.
Inspectors spoke with people, relatives, staff and the home manager. They observed care, checked the premises, reviewed care records, medicines and management records, and considered information from other agencies.
The home was rated Good for Safe and Well-led. Staff understood people's risks, medicines were managed safely, there were enough suitably skilled staff, and checks were used to improve the service. The overall rating remained Good, as it was at the previous inspection published on 29 January 2019.
Safe staffing
There were enough staff on duty, with the skills and experience needed to support people. Recruitment checks were carried out before staff were employed.
“There were enough staff to support people. Staffing levels were planned based on the level of support people needed each day.” from the report
Managing risks
People's risks were assessed and staff knew how to respond. Records showed staff used de-escalation and positive redirection in the least restrictive way possible.
“Risks to people's safety and wellbeing had been assessed and plans were in place to manage these in an appropriate way.” from the report
Good leadership
Relatives and staff described the management as open and approachable. The home encouraged feedback and used audits to make improvements.
“There were systems in place to monitor and assess the safety and quality of the service.” from the report
Clean and hygienic home
The premises were clean, cleaning took place regularly and staff used protective equipment safely. Visitors were given information about reducing infection risks.
“The premises were clean. Cleaning took place at regular intervals throughout the day, to prevent the spread of infection.” from the report
Infection policy being updated
minorThe infection prevention and control policy was being updated during the inspection so that it reflected current guidance. Inspectors did not report this as a breach.
“The provider's infection prevention and control policy was being updated at the time of this inspection to make sure this reflected current guidance.” from the report
Registered manager application pending
minorThe home manager had submitted an application to become registered with CQC, but it had not yet been processed when the inspection took place.
“The current home manager, who joined the service in October 2020, had recently submitted their registered manager application to CQC.” from the report
- 01What is the current position on the registered manager application?
- 02Has the infection prevention and control policy now been updated to reflect current guidance?
- 03How are people's individual risks and behaviours reviewed when their needs change?
- 04How are relatives and people using the home involved in decisions about care and improvements?
- 05How does the home check that learning from accidents and incidents is put into practice?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed and were not given new ratings. This explanation was written from the published report of 3 June 2021 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 2019
An Diadan House was rated Good overall; inspectors found kind, safe and well-organised care for adults with complex needs.
The home supports up to nine adults with learning disabilities and/or autism. All nine places were occupied during the inspection. The inspection was unannounced and took place on 18 December 2018.
The inspector spoke with people, relatives, staff and professionals. They observed care and looked at care records, staff files, medicines records and other records about the home.
Inspectors found enough trained staff, safe medicines systems and suitable support for people whose behaviour could put them or others at risk. People were treated with dignity, supported to make choices and helped to build daily living skills.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The overall Good rating continued from the previous inspection in May 2016. The report found no serious risks or concerns.
Understanding behaviour
Staff had personalised guidance for responding to behaviour that challenged the service. The home supported people to take positive risks and do activities that had previously been difficult.
“Each person had detailed 'positive behaviour support (PBS) guidelines' in place for staff to follow, developed by the provider's psychologists.” from the report
Kind and individual care
Staff adapted how they communicated and respected people's choices, privacy, culture and religious beliefs. People were matched with regular staff who knew them well.
“People received care from staff who were kind, caring and respectful.” from the report
Building independence
People were encouraged to take part in household tasks, education, work and other activities that developed their skills and confidence.
“People were supported to develop their independent living skills.” from the report
Activities and relationships
People had activities based on their interests, including trips, swimming, cycling and arts and crafts. They were also supported to keep in touch with family and build social relationships.
“People accessed a range of activities which improved their quality of life with structured activity programmes based on their interests.” from the report
Strong oversight
The home had regular checks by managers and the provider. These checks included care quality, medicines and records, with action taken when problems were found.
“The provider had good systems in place to oversee the service and ensure quality of care.” from the report
Inspectors raised no specific concerns in this report.
- 01How often will my relative's positive behaviour support plan be reviewed, and who will be involved?
- 02How will you tell us about any restraint, incident or safeguarding concern involving my relative?
- 03What activities and daily living skills could my relative work towards, and how would you measure progress?
- 04How would you support my relative to maintain contact with family and other important people?
- 05What nursing or specialist healthcare support would be arranged if my relative's needs changed?
This was an unannounced inspection of the whole service, covering all five CQC questions; the ratings remained Good from the May 2016 inspection. This explanation was written from the published report of 29 January 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.
Every inspection of An Diadan House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- June 2021Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019Goodstayed GoodSafe: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015
Registered with the Care Quality Commission on 17 November 2015.
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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