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CQC report explained · a residential care home

What the CQC found at Bowgreave Rise Home for Older People

Goodpublished 21 February 2019, 7 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 and received help promptly. Medicines, risk assessments, equipment and fire safety arrangements were checked and found to be managed safely, although staff said they could be busy at times.
Effective?
Good
People received suitable food, health support and training-based care. Staff training records had some gaps, and further training was being sought.
Caring?
Good
Inspectors saw warm, gentle and respectful interactions. People's privacy, dignity, relationships, faith and individual choices were supported.
Responsive?
Good
Care was personalised and changed when people's needs changed. People were involved in care planning, supported to attend activities and asked about their end of life wishes.
Well-led?
Good
People, relatives and staff said the management was approachable and supportive. Audits, meetings and feedback were used to identify improvements.
The latest report, explained

What inspectors found, February 2019

Rated Good; inspectors found kind, safe and responsive care, with some staffing, training and refurbishment issues to monitor.

The inspection took place on 30 and 31 January 2019. The first day was unannounced. Inspectors spoke with people living at the home, relatives, staff and health professionals. They observed care, checked the building and reviewed care, medicine, recruitment, training and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives described good care. Inspectors saw kind interactions, prompt responses to call bells, safe medicines management and care that was adjusted to people's needs.

Inspectors found some matters to keep under review. Staff said they could be busy at times. One recruitment file did not contain a written reference from the previous employer, and the training record had some gaps. Some parts of the building needed refurbishment, which was being planned.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff offering gentle support, reassurance and attention to people's non-verbal communication. Privacy and dignity were also protected.

    “We observed interactions between people who lived at the home and staff and saw examples of kind and affectionate gestures and communication.” from the report
  • Safe medicines

    The medicines records checked indicated that people received their medicines as prescribed. Medicines were stored securely and staff had relevant training.

    “We saw medicines were managed safely. People were supported to take their medicines in a sensitive and compassionate way.” from the report
  • Personalised support

    Care plans and risk assessments gave staff information about people's needs. These records were reviewed and changed when people's needs changed.

    “Care plans and risk assessments were written and accessible to staff so they had information on how to support people.” from the report
  • Activities and relationships

    People could choose whether to join activities, including outings and events. Staff supported important relationships and helped people stay connected.

    “The residents are given plenty of stimulation. Games, parties, entertainment and outings to interesting places.” from the report
  • Management checks

    The home carried out audits covering areas such as medicines, care records, accidents, the environment and infection control. Feedback from people and relatives was used to make changes where possible.

    “A series of checks and audits were carried out to ensure areas of good practice were identified and any areas of improvement could be addressed.” from the report
What inspectors were concerned about
  • Staff could be busy

    needs fixing

    Two staff members said there were times when they were busy and had to prioritise responses. Managers said they would review how staff were deployed.

    “Two staff we spoke with said they felt there were times when they were busy and one of the staff members commented they had felt on occasion they had to prioritise who they responded to.” from the report
  • One reference was not documented

    needs fixing

    One recruitment file did not contain a reference from the previous employer. A verbal reference had been obtained but was not recorded in the staff file.

    “In one file we noted two references had been obtained, but there was no reference from the staff members previous employer.” from the report
  • Training records had gaps

    needs fixing

    The training matrix showed that not all staff had attended required training. The manager provided evidence that further training was being sought.

    “We viewed a training matrix and saw this contained some gaps as not all staff had attended the required training.” from the report
  • Refurbishment was still planned

    minor

    Some areas needed redecoration and a communal carpet was marked and faded. An extensive refurbishment programme was being planned, including work to bathrooms, windows, the kitchen and carpets.

    “We noted some places in home needed redecoration. We discussed this with the registered manager and the senior operation manager.” from the report
Questions to ask them, based on this report
  1. 01How do you review staffing deployment when staff are busy or several people need help at the same time?
  2. 02Which staff still need required training, and when will this be completed?
  3. 03How do you make sure all employment references, including verbal references, are recorded in staff files?
  4. 04What is the timetable for the planned refurbishment, including the carpets, bathrooms, windows and kitchen?
  5. 05How can residents and relatives raise concerns, and where is the complaints procedure displayed?

This was a comprehensive inspection covering all five questions; the home had also been rated Good at the previous inspection and the overall rating remained unchanged. This explanation was written from the published report of 21 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.

The story over the years

Every inspection of Bowgreave Rise Home for Older People

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

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Bowgreave Rise Home for Older People →

  2. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2011

    Registered with the Care Quality Commission on 2 February 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.

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