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CQC report explained · a residential care home

What the CQC found at Benjamin House

Goodpublished 1 September 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found safeguarding procedures, risk assessments, safe recruitment, enough staff and systems for medicines, although recent medicines-record gaps had needed correction.
Effective?
Good
People's needs and choices were assessed and reviewed. They were supported with healthcare, exercise, food, consent and staff training.
Caring?
Good
Inspectors observed respectful and tactful interactions. People were supported with privacy, dignity, relationships, hobbies and developing independence.
Responsive?
Good
Care plans reflected individual needs, preferences, triggers and goals. People were supported with community activities, complaints, recovery and skill development.
Well-led?
Good
Management oversight had improved since the previous inspection. The provider was visiting at least monthly and the home had quality checks, although follow-up information from house meetings was limited.
The latest report, explained

What inspectors found, September 2018

Rated Good; inspectors found safe, kind and personalised care, with earlier management weaknesses improved.

Inspectors made an unannounced, comprehensive visit on 4 and 5 July 2018. They spoke with five people using the service and several staff, observed care, and checked care plans, medicines records, recruitment files, training records, complaints and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated kindly. Inspectors found enough staff, suitable safeguarding and recruitment checks, support with health appointments, personalised care plans and opportunities to build independence.

There were some smaller issues. Recent gaps in medicines records were found and corrected during the inspection. There was also not enough information showing that suggestions from house meetings had been followed up. The home had improved its management oversight since the previous inspection.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe, and staff understood how to recognise and report abuse. Risk assessments covered areas such as mental health, mobility, self-neglect and community activities.

    “All the people we spoke with indicated they felt safe at the service.” from the report
  • Kind and respectful care

    Inspectors observed respectful interactions. People were supported as individuals, with their privacy, dignity, relationships and personal choices respected.

    “We observed some tactful and respectful interactions between people using the service and staff.” from the report
  • Personalised support

    Care plans included people's needs, preferences, interests and goals. Support focused on recovery, confidence and greater independence.

    “There were short term goals, to motivate people in developing skills, achieving greater levels of independence and confidence building.” from the report
  • Good access to health support

    People were supported to attend healthcare appointments and their physical and mental health needs were monitored.

    “People had access to health care professionals when needed, they told us staff supported them with appointments.” from the report
  • Improved oversight

    The provider had introduced regular unannounced visits, records of findings and a business plan after earlier concerns about oversight.

    “At this inspection we found improvements had been made.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Inspectors found some recent unexplained gaps in medicines administration records. This meant it was not always clear whether medicines had been given, although the manager took action during the inspection.

    “We noted some recent unexplained gaps on MAR charts which meant it was not always clear the medicines had been administered.” from the report
  • Following up residents' suggestions

    minor

    People could raise matters in house meetings, but records did not clearly show how suggestions and agreed actions had been followed up.

    “There was a lack of information to show how suggestions and agreed outcomes had been followed up” from the report
Questions to ask them, based on this report
  1. 01How are medicines administration records checked now to prevent unexplained gaps?
  2. 02How are actions from house meetings recorded and reported back to residents?
  3. 03How will you adapt care plans and written information for someone who needs information in an easier format?
  4. 04What support is available for healthcare appointments, exercise and building daily living skills?
  5. 05What staffing arrangements are in place when residents' needs, appointments or activities change?

This was an unannounced comprehensive inspection covering all five CQC questions, and the report says nursing care was not provided. This explanation was written from the published report of 1 September 2018 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 Benjamin House

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

  1. September 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Benjamin House →

  2. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

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

  3. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2011

    Registered with the Care Quality Commission on 1 September 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

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