CQC report explained · a residential care home
What the CQC found at Bridlington
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found enough staff, suitable recruitment checks, detailed risk assessments and safe medicines arrangements. The home also monitored incidents and acted on lessons learned.
- Effective?
- Outstanding
- People's health outcomes improved considerably, including weight loss, better mobility and reduced reliance on some medicines. Staff had the skills and support needed, and care was based on detailed assessments and regular reviews.
- Caring?
- Outstanding
- People were treated with kindness, dignity and respect. Staff used creative communication and supported people to make choices, build relationships and become more independent.
- Responsive?
- Good
- Care plans were highly detailed and tailored to individual needs and preferences. People were supported with communication, family contact, community activities, education and work opportunities.
- Well-led?
- Outstanding
- Inspectors found strong leadership, motivated staff and effective quality checks. The home used feedback, action plans and reflection to improve support and develop new approaches.
What inspectors found, December 2019
Heathcotes (Bridlington) was rated Outstanding overall; inspectors found exceptionally effective, caring and well-led support, with Safe and Responsive rated Good.
This was an unannounced inspection on 6 November 2019. One inspector spoke with people living in the home, staff, managers and relatives. They reviewed care records, medicines records, staff recruitment and training records, complaints and other management documents.
The home supported 12 people with learning disabilities and/or autism, with a specialism in Prader-Willi syndrome. Inspectors found personalised support, skilled communication and strong relationships. People were supported to improve their health, take part in community activities and become more independent.
The home was rated Good for Safe and Responsive. It was rated Outstanding for Effective, Caring and Well-led. The overall rating improved from Good at the previous inspection, published in May 2017.
Personalised support
Staff knew people very well and provided support shaped around their individual needs, communication styles and preferences.
“People who lived at the service received extremely high-quality, personalised support from a passionate and committed staff team.” from the report
Improved health
Support with diet and lifestyle led to weight loss and better health outcomes for people. Some people had improved mobility or needed fewer medicines.
“All people living at the service had experienced weight loss with the majority now being classed as being at a healthy weight” from the report
Kind and respectful care
People and relatives described staff as caring and considerate. Staff used communication methods that helped people express their views and feel in control.
“People were undoubtedly treated with kindness; they were actively listened to and their choices respected.” from the report
Independence and community life
People were supported to develop skills, take positive risks and use local facilities. This included independent community access, activities, education and volunteering.
“People were supported to take positive risks to aid their independence.” from the report
Strong leadership
The management team was described as approachable and innovative. Quality checks and action plans were used to improve the service.
“There was a solid structure of governance embedded in the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you manage food and diet support for each person, and how are people involved in planning and preparing meals?
- 02How do you support positive risk-taking while keeping people safe when they use the community independently?
- 03What communication methods would you use for my relative, and how would their views be included in their care plan?
- 04How do you monitor medicines and review whether any medicines can be reduced or stopped?
- 05What has changed at the home since the November 2019 inspection?
This was an unannounced planned inspection covering all five CQC questions, including the premises and the care provided. This explanation was written from the published report of 24 December 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.
What inspectors found, May 2017
Heathcotes (Bridlington) was rated Good overall, with Outstanding care and strong support for people with Prader Willi Syndrome.
Inspectors visited without notice on 21 February and 13 March 2017. They spoke with people living in the home, relatives, staff, managers and outside organisations. They reviewed care files, staff records, medicines, safety checks, complaints and quality records. They also observed care and looked around the home.
The home was rated Good for safety, effectiveness, responsiveness and management. It was rated Outstanding for caring. Inspectors found staff were exceptionally kind and respectful. They supported people’s dignity, independence, health, activities and relationships.
The home had clear systems for safeguarding, risk, medicines, staffing and recruitment. Staff had specialist training and supported people with structured nutrition, exercise and daily routines. Physical interventions were recorded and had reduced over time, although the home used clear boundaries and close supervision to manage risks.
The overall rating stayed Good, as at the previous inspection. The caring rating improved from Good to Outstanding. Inspectors noted that some quality information had not yet been fully analysed.
Exceptional kindness
Staff were consistently described and observed as caring, respectful and empowering. They protected people’s dignity and supported their independence.
“Staff were exceptionally caring, paying attention to people's well-being, privacy, dignity and independence.” from the report
Specialist support
The home understood the needs linked to Prader Willi Syndrome. Staff used structured programmes involving food, exercise, routines and clear boundaries.
“The service was very effective at meeting the needs of people that lived with the medical condition Prader Willi Syndrome.” from the report
Good staffing and training
Inspectors found enough staff on the inspection day and thorough recruitment checks. Staff had relevant specialist training and regular support.
“Staff were skilled to carry out their roles and received induction, training and support, which enabled them to care for people to a high standard.” from the report
Individual activities
People had personal activity programmes, including outings, exercise, entertainment, education and employment where possible. The home also created similar events for people unable to attend some community activities.
“People told us they had their own activities programmes and enjoyed a variety of occupations and entertainments.” from the report
Quality information was not fully up to date
minorThe latest analysed satisfaction survey information was from 2015, and the 2016 quality report had not yet been completed. Families may wish to ask how feedback is now collected, analysed and acted on.
“The overall quality monitoring and assurance system for 2016 had not yet been completely analysed and reported on” from the report
- 01How does the current nutrition and exercise programme work, and how are people supported to make choices within it?
- 02How often has physical intervention been used recently, and what alternatives are tried first?
- 03How are Deprivation of Liberty Safeguards arrangements reviewed and explained to the person and their family?
- 04How do you collect and analyse feedback from people, relatives and healthcare professionals now?
- 05How will my relative’s individual activities, community visits and family contact be planned and recorded?
This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality of the home. This explanation was written from the published report of 20 May 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 Bridlington
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- December 2019Outstandingcurrent ratingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: GoodWell-led: Outstanding
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- December 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 20 March 2012.
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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16 live-in carers within about an hour of East Riding of Yorkshire
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 £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
“What truly stands out is how mindful and attentive she is to all of my medical needs, always going above and beyond to ensure I’m comfortable and well cared for.”
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.