CQC report explained · a residential care home
What the CQC found at Boxgrove House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse, risks were assessed and reviewed, and staffing levels were sufficient. Medicines were stored safely and staff were trained, although record-keeping problems were identified under well-led.
- Effective?
- Good
- Care plans were detailed and person-centred. Staff had relevant training, people received suitable food and healthcare support, and staff followed the Mental Capacity Act.
- Caring?
- Good
- Staff treated people with kindness, compassion, dignity and respect. People were supported to communicate, make choices and maintain their independence.
- Responsive?
- Good
- Care and activities were tailored to each person. Staff knew people well, responded to changes in behaviour and supported contact with families and community activities.
- Well-led?
- Requires improvement
- The home had a clear management structure and an open culture, but its quality checks did not always identify gaps in medicines records. An action plan was provided after the inspection.
What inspectors found, January 2019
Rated Good overall; inspectors found kind, personalised care, but medicines records and quality checks needed improvement.
This was an unannounced inspection on 22 November 2018. One inspector reviewed care plans, daily notes, medicines records, staff and training records, and quality checks. They spoke with two people, seven staff members and two external professionals.
The home was rated Good for safe, effective, caring and responsive care. Inspectors found enough staff, detailed risk plans, suitable training, safe recruitment and good support with health needs. People were treated kindly, supported to make choices and helped to take part in activities.
The well-led rating was Requires Improvement. Quality checks did not always find gaps in medicines administration records, where staff had not signed to confirm medicines were given. The registered manager provided an action plan after the inspection. The overall rating remained Good, the same as at the previous inspection.
Personalised care
Care plans described people's routines, needs and preferences in detail. Staff were said to know the people they supported very well.
“People's care plans were exceptionally person centred and described people's needs and preferred routines.” from the report
Kind and respectful staff
Inspectors saw people being treated with compassion and respect. Staff supported privacy, dignity, choice and independence.
“Staff treated people with respect and kindness at all times and were passionate about providing a quality service that was person centred.” from the report
Safe staffing and risk support
There were enough staff to meet people's needs. Individual risks were recorded with guidance for staff, and recruitment checks were thorough.
“People's needs were met by sufficient staff to keep people safe.” from the report
Support for communication and activities
The home used pictures, objects and communication passports to understand people's wishes. Activities were tailored to people's interests, moods and wellbeing.
“People who use the service used a range of communication methods.” from the report
Medicines records
needs fixingSome medicines administration records had gaps because staff had not signed to show medicines were given. This had been identified before, but the problem was still present during the inspection.
“There were gaps in people's MAR records where staff had failed to sign that they had given their medications as prescribed.” from the report
Quality checks did not find the problem
needs fixingThe home's audits were not always effective. The manager was not aware of the continuing gaps and there was no recorded action in place at the time of inspection.
“The registered manager was unaware of these gaps and there were no actions in place to address the issue.” from the report
- 01What changes have been made to medicines administration records since the inspection?
- 02How are missing staff signatures on medicines records now identified and dealt with?
- 03What evidence was sent to CQC to show that the medicines-record issue had been sorted?
- 04How often are quality assurance audits carried out, and who checks that any actions are completed?
- 05How will you support my relative's communication method, routines, activities and independence?
This was an unannounced planned inspection that considered all five CQC questions and looked at both the premises and the care provided. This explanation was written from the published report of 4 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 Boxgrove House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 December 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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42 live-in carers within about an hour of West Berkshire
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 £1,020 to £1,260 a week. 36 can care for a couple. 14 years' experience on average.
“Titus has compassion, patience, a great sense of humour and a very professional attitude.”
“Barbara treated my mother-in-law with enormous love and compassion and provided an environment where she could feel safe and seen”
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.