CQC report explained · a residential care home
What the CQC found at 1-2 Markyes Close
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that staff understood people's individual safety risks, medicines were checked and managed safely, and staffing levels were sufficient.
- Effective?
- Good
- People's needs and choices were assessed with input from relatives and health professionals. Staff had relevant training, and people received support with food, drink and healthcare.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. People were supported to communicate, make everyday decisions and maintain their independence.
- Responsive?
- Good
- Care plans reflected people's histories, lifestyles and preferences. People were supported with activities, relationships, faith, communication and end-of-life wishes.
- Well-led?
- Good
- Inspectors found that managers checked the quality of care, listened to feedback and supported staff to learn from incidents and improve the service.
What inspectors found, January 2019
Aspire Living - 1-2 Markyes Close was rated Good in all five areas; inspectors found kind, safe and personalised care.
This was an unannounced inspection on 27 December 2018. One inspector observed care, spoke with eight staff, one relative and a health and social care professional, and checked care, medicine and management records.
The home was supporting nine people with learning disabilities or autistic spectrum disorders. Inspectors found people were safe, treated with dignity and supported to make choices. Staff understood people's needs, medicines were managed safely and there were enough staff.
People had support with food, health appointments, activities, relationships and communication. The home also listened to feedback and used it to improve care. All five areas were rated Good, as was the overall service.
The previous inspection, published on 28 July 2016, also rated the home Good. The report says the home planned to develop people's individual communication plans and provide more information in easy-read formats.
Kind and respectful care
People appeared happy and comfortable with staff. Staff respected privacy, dignity and independence and used people's preferred ways of communicating.
“People enjoyed living at Aspire Living - 1-2 Markeys Close and were cared for by staff who were kind and recognised people's areas of independence.” from the report
Safety and medicines
Staff knew people's individual risks, including choking risks. Staff were trained and checked as competent to give medicines, and medicine records and storage were regularly checked.
“Staff had a clear understanding of people's individual safety risks, such as risks of choking.” from the report
Good health support
People were supported to attend health appointments and to follow advice from health and social care professionals. Staff also supported people's nutritional needs and specialist diets.
“People were supported to attend health appointments, for example, with their GPs, dieticians, speech and language specialists and opticians, so people would have good health outcomes.” from the report
Activities and relationships
People could take part in activities linked to their interests, spend time in the community and keep in touch with important people. Staff adapted activities as people's needs changed.
“People had a range of interesting things to do.” from the report
Listening and improving
The home sought views from relatives, staff and professionals. Inspectors found that suggestions and complaints were used to make changes to care and activities.
“The registered manager gave us examples of positive changes introduced because of suggestions arising from feedback obtained.” from the report
Inspectors raised no specific concerns in this report.
- 01What progress has been made with developing each person's individual communication plan?
- 02What easy-read information is now available to help people make decisions?
- 03How are people's choking risks and other individual safety risks reviewed as their needs change?
- 04How are activities and community opportunities adapted when a person's needs or interests change?
- 05How will relatives be involved in reviewing care plans and suggesting improvements?
This was an unannounced planned inspection covering the premises and care provided, with all five CQC questions assessed. This explanation was written from the published report of 23 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 1-2 Markyes Close
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 26 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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11 live-in carers within about an hour of Herefordshire, County of
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 £960 to £1,410 a week. 10 can care for a couple. 8 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.