CQC report explained · a residential care home
What the CQC found at 261 Passage Road Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2018
Brandon Trust - 261 Passage Road Care Home was rated Good; inspectors found kind, safe and flexible care, with previous fire safety and management problems improved.
This was an unannounced inspection on 31 May 2018. One inspector met four people, spoke with staff and managers, observed care, and checked care plans, medicines, risk assessments, training, staffing and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were described as safe, respected and supported by staff who knew their needs. They were helped to make choices, stay independent, manage their health and take part in activities they enjoyed.
At the previous inspection, people had raised concerns about a staff member's manner, fire drills were not regular, and quality checks had not found important problems. Inspectors found that action had been taken. Fire drills were now regular and the quality checking system was being used more effectively. Some staff performance and record-keeping shortfalls had been identified and were being addressed.
Kind and respectful care
People felt comfortable with staff, and inspectors saw warm, respectful interactions. Staff supported privacy, dignity and personal choice.
“People were very relaxed with the staff on duty.” from the report
Safe medicines and staffing
Staff were trained to manage medicines, and checks were in place. Inspectors also found enough suitably trained staff to support people safely.
“People were supported to manage their medicines safely.” from the report
Personalised support
Care plans explained what mattered to each person and how staff should support their independence, interests and goals.
“Care plans showed each person's level of independence and what mattered to them for a high quality of life.” from the report
Activities and independence
People were supported to choose activities and take part in community life. Staff encouraged people to do tasks for themselves rather than doing everything for them.
“People chose with the support of staff a variety of activities that they enjoyed.” from the report
Improved oversight
The home had improved its checks on quality and safety. Audits were finding shortfalls and actions were being put in place.
“The quality checking system in place for auditing and monitoring quality and safety was now being used much more effectively.” from the report
Some records and staff performance needed action
needs fixingThe report says the monitoring system had identified shortfalls in some record keeping and staff performance. Actions were being put in place, so families should ask what was found and whether it has been completed.
“For example, staff performance issues were identified as well as shortfalls in some record keeping.” from the report
- 01What staff performance issues and record-keeping shortfalls were identified, and have all the planned actions been completed?
- 02How often are fire drills carried out now, and how are people's personal emergency evacuation plans kept up to date?
- 03How will you make sure medicines checks continue to identify and resolve any problems without delay?
- 04How are my relative's care plan, goals, preferences and activities reviewed with them?
- 05How will you keep families informed about complaints, survey feedback and improvements to the service?
This was an unannounced inspection covering all five CQC questions, including the accommodation and the care provided; the report says Safe and Well-led had improved to Good while the other three ratings remained Good. This explanation was written from the published report of 30 June 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.
What inspectors found, April 2017
Brandon Trust - 261 Passage Road Care Home was rated Requires Improvement; inspectors found kind and personalised care, but safety and quality checks were not reliable enough.
This was an unannounced inspection on 16 March 2017. One inspector spoke with all five people living at the home, staff and managers. They observed care and checked care records, medicine records, staff files, training, rotas and other records.
The home was rated Good for Effective, Caring and Responsive. Inspectors found that staff understood people's needs, supported their choices, provided suitable food and helped people take part in activities. Care plans were detailed and included people's preferences and routines.
The home was rated Requires Improvement for Safe and Well-led. Two people said a staff member was bossy, and a fire drill had not taken place for 11 months. The quality checks had not found these problems. The provider was asked to send CQC an action report, which CQC said it would check.
Kind and respectful care
Staff were seen speaking warmly with people and supporting their privacy and dignity. People said they liked living at the home and liked the staff.
“We saw that the staff were friendly in manner and were discreet when offering support to people.” from the report
Activities and independence
People were supported to choose activities at home and in the community, including shopping, cafés, the cinema, holidays and visits to family and friends.
“People were supported and encouraged to take part in activities that they enjoyed in the home and in the local community.” from the report
Training and health support
Staff received regular training and supervision. People were supported to access health professionals and to follow dietary advice.
“The staff told us and training records confirmed, that there was regular training provided for staff.” from the report
Medicines management
Inspectors observed medicines being given safely. Records were complete and medicines were stored at suitable temperatures.
“Medicines were managed by staff and given to people safely and at the times they were needed.” from the report
Staff manner
seriousTwo people said a staff member was bossy, and a staff member had witnessed someone speaking harshly to people. The concern had been raised before but was repeated during this inspection.
“Two people said that a staff member was "bossy" towards them.” from the report
Fire safety practice
seriousA fire drill had not been carried out for 11 months. Inspectors said this meant people might not know what to do in a fire.
“When we checked the record of fire checks and tests we found that a fire drill had not been carried out for 11 months.” from the report
Quality checks
needs fixingThe home's audits did not identify the concerns about staff manner or the missed fire drills. This meant the management system was not fully effective.
“However audits that had been carried out had failed to fully pick up shortfalls in how the home was run.” from the report
- 01What action has been taken about the concerns that a staff member was bossy or spoke harshly to people?
- 02How often are fire drills now carried out, and when was the most recent drill?
- 03How does the home check that fire safety and people's views are included in its quality audits?
- 04What changes were made in response to the breaches relating to premises and equipment and good governance?
- 05How can people and their relatives raise concerns, and how are they told what action has been taken?
This was an unannounced comprehensive inspection covering all five CQC questions; the previous inspection was in January 2015. This explanation was written from the published report of 28 April 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.
Every inspection of 261 Passage Road Care Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2018Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 12 November 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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40 live-in carers within about an hour of Bristol, City of
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Most charge £1,020 to £1,300 a week. 34 can care for a couple. 11 years' experience on average.
“She became a good friend to my mother in law, chatting with her, dancing with her, knitting with her and the list goes on”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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