CQC report explained · a residential care home
What the CQC found at Cabrini House 1 (Diagrama Healthcare)
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, November 2018
Cabrini House 1 (Diagrama Healthcare) was rated Good; inspectors found safe, kind and personalised care, with some quality-checking work still needed.
This was an unannounced inspection on 22 October 2018. The inspector spoke with people living at the home, relatives, staff, managers and health and social care professionals. They observed care and checked care plans, staff records, medicines records, audits and other documents.
The home supported six people at the time, with learning disabilities and some physical disabilities or health needs. Inspectors found good arrangements for safeguarding, medicines, staffing, infection control, staff training, consent, nutrition and healthcare.
People were treated with kindness and encouraged to make choices, build independence and take part in activities. Care plans were personal and up to date. The home was rated Good in all five areas and overall. This was unchanged from the previous inspection in April 2016.
The provider did not carry out its own separate recorded quality checks. It relied on the registered manager's audits and was reviewing its quality system. CQC recommended that the provider seek outside guidance and said it would check progress at the next inspection.
Safe care
Inspectors found good safeguarding arrangements, detailed risk guidance and safe medicines systems. Medicines records had no gaps at the inspection.
“Medicines administration records (MAR) contained important information such as any allergies and were up to date with no gaps.” from the report
Kind and respectful staff
People and relatives spoke positively about staff. Inspectors saw calm, caring interactions and support for people's dignity.
“People continued to be supported by staff who were kind and caring.” from the report
Personalised support
Care plans included people's preferences, routines and communication needs. Staff supported people to make choices and develop independence.
“People's care and support was responsive and personalised to their needs.” from the report
Activities and community life
People were supported to attend colleges and day centres, enjoy activities, build skills, maintain relationships and take part in community life.
“People were supported to socialise, learn new skills, and maintain relationships.” from the report
Provider quality checks
needs fixingThe provider did not carry out separate recorded checks of the home. Inspectors said this could mean some problems were missed or not identified quickly.
“However, the provider did not carry out their own separate recorded checks or reports of the service; which meant that it was possible some issues may be missed or not be promptly identified.” from the report
Staff changes
minorSome relatives reported that many staff had left and that replacement staff were not always familiar. Inspectors nevertheless found enough suitably experienced staff during the visit.
“Another relative said, "I think there are enough staff but they are not always familiar. A lot of staff have left.” from the report
New improvement goals
minorAn intervention manager had started work on improved goals for people's skills, independence and community involvement. Inspectors said this work was still at an early stage.
“We saw this was in the early stages of progress at the inspection.” from the report
- 01What separate quality checks does the provider now carry out, and how are the results recorded and acted on?
- 02How has staff turnover changed since the inspection, and how do you make sure new or agency staff know each person's needs?
- 03What progress has been made with goals for people's independence, skills and involvement in the community?
- 04How will you support my relative to communicate choices and make decisions about their care?
- 05What activities, college or day-centre opportunities would be available for my relative?
This was an unannounced inspection covering all five CQC questions and the overall rating, with observations, discussions and checks of care and management records. This explanation was written from the published report of 27 November 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.
Every inspection of Cabrini House 1 (Diagrama Healthcare)
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Cabrini House 1 (Diagrama Healthcare) →
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015
Registered with the Care Quality Commission on 19 January 2015.
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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