CQC report explained · a nursing home
What the CQC found at Arbrook House Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. Risks, safeguarding, staffing, infection control, emergencies and medicines were managed appropriately.
- Effective?
- Good
- People's physical, psychological, health and social needs were assessed. Staff received training and worked with health professionals, while people's nutrition and hydration needs were monitored.
- Caring?
- Outstanding
- Staff built warm relationships and went beyond basic care to support people's emotional needs, dignity, independence and personal histories.
- Responsive?
- Outstanding
- Care plans were detailed and personalised. Staff arranged activities and experiences linked to people's interests and provided compassionate end-of-life care.
- Well-led?
- Outstanding
- The management was described as open, inclusive and focused on people's experiences. Feedback, audits and partnership work were used to improve the service.
What inspectors found, February 2019
Arbrook House Care Home was rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
Inspectors made an unannounced visit on 9 January 2019. They spoke with people living in the home, a relative, staff and health professionals. They also checked care records, medicines, staff training and the home's quality checks.
The home was rated Outstanding overall. Caring, Responsive and Well-led were Outstanding. Safe and Effective were Good. Inspectors found people were treated with kindness and respect, and that care was shaped around their lives, wishes and changing needs.
The home had improved since the previous inspection, when it was rated Good overall. The report says there was no evidence of serious risks or concerns. It found that complaints, feedback and audits were used to improve care.
Kind and respectful care
Inspectors found that staff treated people as individuals and supported their dignity, emotional wellbeing and personal choices.
“Staff went above and beyond to ensure that people were treated with kindness and compassion.” from the report
Personalised activities
Activities were matched to people's interests, abilities and past lives. Staff also helped people who were cared for in their rooms to avoid social isolation.
“Staff ensured that people, regardless of their mobility or condition had access to activities that were meaningful to them.” from the report
End-of-life support
The home planned end-of-life care around people's wishes and helped relatives to stay involved and supported.
“Exceptional care and support was provided to people when they were reaching the end of their lives.” from the report
People involved in decisions
People and relatives helped shape care plans, activities and how the home was run. Their feedback was used to make changes.
“People, their relatives and staff were actively involved in developing the service.” from the report
Strong management and oversight
Inspectors found an open culture, supportive leadership and regular checks covering care, medicines, staffing, training and safety.
“Quality assurance arrangements were robust and the need to provide a quality service was fundamental and understood by all staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and review my relative's risks, including falls, pressure sores, nutrition and dehydration?
- 02How will you make sure my relative's care plan reflects their routines, interests, communication needs and changing abilities?
- 03What activities could you offer that are linked to my relative's past interests and current abilities?
- 04How are medicines checked, and how do you investigate and learn from any medicine errors?
- 05How would you involve our family in end-of-life wishes and care planning?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 26 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.
Every inspection of Arbrook House Care Home
3 rated inspections over 3 years: the service has improved, from Requires improvement to Outstanding.
- February 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 November 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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77 live-in carers within about an hour of Surrey
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 £1,250 a week. 66 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.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.