CQC report explained · a residential care home
What the CQC found at Boughton Green Road Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2023
Boughton Green Road Limited was rated Requires Improvement; inspectors found kind, person-centred care, but gaps in risk records and management oversight meant safety was not always assured.
This was the first inspection since the home registered under its current provider. It was unannounced and took place on 20 June 2023. One inspector spoke with people, relatives and staff, observed care, and reviewed care, medicines, recruitment and management records.
The home was rated Good for effective, caring and responsive care. People were described as receiving kind support, having their choices respected, and being helped with communication, activities, relationships and cultural or religious needs. Medicines, staffing, recruitment and infection control were also found to be managed safely.
The home was rated Requires Improvement for safe and well-led care. Some risks had not been assessed or clearly recorded. Unexplained injuries had not always been investigated, and care plans contained conflicting or out-of-date information. Management checks had not found all these problems, although new procedures were introduced and the manager agreed to make changes.
Kind and respectful staff
People described staff as kind and caring. Inspectors saw positive interactions and found that staff promoted dignity, privacy and independence.
“People were supported by staff who were described as kind and caring.” from the report
Medicines and infection control
Medicines were administered, recorded, stored and checked safely. Inspectors were also assured about infection prevention and control.
“People were supported safely with medicines and staff adhered to infection, prevention and control procedures.” from the report
Communication and choice
The home assessed people's communication needs and used tools such as pictures, symbols and easy-read information. People were involved in care planning and decisions.
“People's communication needs were assessed, and strategies implemented to ensure information could be understood by all.” from the report
Safe recruitment and staff support
Staff had pre-employment checks, induction and shadow shifts before working alone. They also received regular supervision and training.
“People were supported by staff who were safely recruited, had an induction and completed shadow shifts before lone working in the service.” from the report
Unexplained injuries were not always investigated
seriousAn unexplained injury had not been investigated to identify its possible cause or reduce the chance of it happening again. Inspectors said this created a risk of potential abuse.
“When a person had an unexplained injury, the registered manager had not completed any investigations to identify the potential cause and to put mitigating factors in to reduce the risk of reoccurrence.” from the report
Risk information was incomplete
seriousSome known risks were not assessed or explained clearly enough for staff. This included risks linked to self-harm, harming others and epilepsy.
“Not all known risks had been assessed and mitigating factors recorded.” from the report
Care plans were not always accurate
needs fixingSome care plans and risk assessments contained conflicting or out-of-date information. Staff also said they did not always have time to read them.
“Care plans did not always contain up to date, factual information.” from the report
Management checks missed problems
needs fixingAudits and reviews had not identified all the concerns found by inspectors. New procedures were in place, but they had not yet been embedded and sustained.
“Systems and processes to ensure effective oversight were not embedded and sustained into practice.” from the report
- 01What checks now make sure every injury is investigated and that actions are taken to prevent it happening again?
- 02How do you make sure risk assessments cover self-harm, harm to others and epilepsy for each person who needs them?
- 03How do you keep care plans accurate and make sure staff have enough time to read them before providing care?
- 04Have all staff now completed epilepsy and dementia training?
- 05How will you show that the new management audits are finding and fixing problems consistently?
This was an unannounced inspection covering all five key questions, including infection prevention and control, and it was the first inspection of the newly registered service. This explanation was written from the published report of 26 July 2023 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 Boughton Green Road Limited
Each visit the CQC has published, newest first, back to the day the home was registered.
- July 2023Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2022
Registered with the Care Quality Commission on 16 May 2022.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of West Northamptonshire
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 £1,280 a week. 87 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.