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CQC report explained · a residential care home

What the CQC found at Bloomfield Rd

Goodpublished 6 May 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were safe, with effective risk assessments, enough staff, safe recruitment and safe medicines management. The environment was clean and well maintained.
Effective?
Good
People's needs were assessed with input from relevant professionals. Staff had suitable training and supervision, and people received support with nutrition, healthcare and daily living skills.
Caring?
Good
People said staff were kind, respectful and supportive. Staff knew people's mental health and emotional needs and respected their privacy, choices, culture and independence.
Responsive?
Good
Care was personalised and regularly reviewed. The home supported people to maintain relationships, take part in education, work and leisure activities, and move towards independent living.
Well-led?
Good
Inspectors found effective management, regular quality checks and good partnership working. People, relatives, staff and professionals were asked for their views.
The latest report, explained

What inspectors found, May 2020

Bloomfield Rd was rated Good overall; inspectors found safe, kind and personalised care that supported people towards greater independence.

This was an unannounced inspection on 27 February 2020 by one inspector. The inspector spoke with people using the home, staff, a relative and a care coordinator. They reviewed care records, medicines records, recruitment and training records, audits and health and safety documents.

Inspectors rated the home Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. They found enough staff, safe medicines systems, suitable risk plans and a clean, well-maintained environment. Staff were trained and worked with health and social care professionals.

The home supported people to manage their mental health, build relationships, follow interests and develop daily living skills. People were involved in their care and encouraged to move towards independent living. The overall Good rating was unchanged from the previous inspection, published on 22 September 2017.

What inspectors praised
  • Support for independence

    People were supported to set goals, develop everyday skills and move towards semi-independent or independent living.

    “People were supported to achieve their goals and gain control of their lives.” from the report
  • Rebuilding relationships

    The home actively helped people reconnect with important relatives and supported meaningful activities during visits.

    “The service took an active role in building and reconnecting people to relationships which mattered to them.” from the report
  • Safe medicines and environment

    Inspectors found medicines were stored, administered and checked safely. The home was clean and safety checks were in place.

    “Medicine administration records (MAR) we checked were completed correctly.” from the report
  • Kind and respectful care

    People described staff as caring and respectful. Staff listened to people, protected their privacy and supported their choices.

    “People told us staff were caring and kind to them.” 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 assess and update my relative's mental health risks, including signs that their condition may be deteriorating?
  2. 02How would you support my relative to work towards their own goals and, where suitable, greater independence?
  3. 03How are staffing levels changed if a person's needs or planned activities change?
  4. 04How would you manage my relative's medicines, including any injections, blood tests or changes to treatment?
  5. 05How would you support my relative if they needed information or communication in another language or format?

This was an unannounced inspection of the care home covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 6 May 2020 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.

An earlier report, explained

What inspectors found, August 2017

Rated Good; inspectors found safe, kind and personalised support, with one medicines-record discrepancy to improve.

Inspectors visited on 2 August 2017. The visit was announced and was the home’s first inspection since it registered in 2016. They spoke with people using the service, a relative and staff. They observed care and checked care plans, medicines records, staff records and quality checks.

The home supported four adults with mental health needs, with space for up to four people. Inspectors found enough staff, suitable recruitment checks, safeguarding procedures and individual risk assessments. People were supported to make choices, manage their health, build daily living skills and take part in activities.

People said staff treated them with respect and were kind. Care plans were personalised and reviewed regularly. The home had a complaints process and quality monitoring systems. Medicines were managed safely overall, but one stock record did not match the medicine held, so inspectors recommended clearer auditing.

The overall rating was Good. Each of the five areas inspected was also rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspection found the home met the required standards at that time, but it does not mean that every part of care was perfect.

What inspectors praised
  • Personalised support

    Care plans covered individual needs and goals, including health, daily living, communication, culture and finances. They were reviewed regularly with the people using the service.

    “Care plans set out how to meet people's needs in various areas including mental and physical health, addiction, daily living sills, self-care, religion, culture, family contact, social inclusion and finances.” from the report
  • Respect and dignity

    People told inspectors they were treated well. Staff were seen interacting in a friendly and respectful way and supporting people sensitively with personal care prompts.

    “We observed staff interacting with people in a friendly and respectful manner.” from the report
  • Building independence

    The home supported people with cooking, shopping, budgeting, laundry and other daily living skills. Three people had moved on to more independent living since registration.

    “One of the aims of the service was to support people to move on to a more independent living setting and three people have done this since the service was registered.” from the report
  • Activities and community links

    People took part in activities in the home and community, including education, voluntary work, sport, groups and a holiday.

    “People were supported to take part in various activities, both in the community and at the home.” from the report
  • Staffing and oversight

    Inspectors found enough staff and appropriate recruitment checks. Senior staff provided on-call support and the home carried out audits, surveys and spot checks.

    “There were enough staff working at the service to meet people's needs and robust staff recruitment procedures were in place.” from the report
What inspectors were concerned about
  • Medicines stock records

    needs fixing

    One medicines record did not match the amount of medicine held. Inspectors recommended a clearer auditing system so stock levels could be checked accurately.

    “We recommend that the service introduces a clear auditing system so they can identify the amounts of any medicines held in stock at any given time.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to medicines stock auditing since inspectors found that one record did not match the medicine held?
  2. 02How would you support my relative to develop cooking, budgeting, laundry and other independent living skills?
  3. 03How are care plans reviewed with each person, and how are changes in needs recorded?
  4. 04What activities, education or community opportunities would be available for my relative?
  5. 05How can my relative or family raise a complaint, and how would we be kept informed of the response?

This was an announced first inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 31 August 2017 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 Bloomfield Rd

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

  1. May 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bloomfield Rd →

  2. August 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bloomfield Rd →

  3. March 2016

    Registered with the Care Quality Commission on 29 March 2016.

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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