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CQC report explained · a residential care home

What the CQC found at Cantley House

Requires improvementpublished 18 March 2025, 18 months ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, October 2019

Cantley House was rated Good overall; inspectors found safe, kind and personalised care with effective leadership.

This was a planned inspection visit on 16 August 2019. One inspector spoke with two of the three people living in the home, the manager and staff. They reviewed care records, staff files, audits and other records, and observed staff and residents together.

The inspectors found all five areas were Good: Safe, Effective, Caring, Responsive and Well-led. People were protected from avoidable harm, medicines were managed safely, and there were enough trained staff. The home was clean and tidy.

Staff were described as kind and respectful. People were involved in daily choices, supported to build independence, and helped to enjoy hobbies, community activities and holidays. Care plans were detailed and personalised, and systems were in place for complaints and quality checks.

The home was also rated Good at the previous inspection in January 2017, published in February 2017. This inspection found that the good rating had been maintained.

What inspectors praised
  • Kind and respectful staff

    Staff were described as caring and inclusive. Inspectors saw strong, positive relationships between staff and the people living in the home.

    “Staff were kind and caring towards people and had developed very strong and positive relationships with them, knowing them well, including their histories, likes and dislikes.” from the report
  • Choice and independence

    People were involved in everyday decisions and supported to gain skills, stay independent and have control over their lives.

    “The service used positive behaviour support principles to support people in the least restrictive way.” from the report
  • Personalised support

    Care plans recorded people's preferences, abilities and routines. Staff supported people to take part in hobbies, community activities and trips.

    “Peoples care records were person-centred and detailed. Care plans noted information about people's daily routines, including the tasks they could do independently and where they needed support.” from the report
  • Safe medicines management

    Staff were trained and assessed as competent to give medicines. Records and regular audits were used to check that medicines were given as prescribed.

    “Medicines records were checked by the management team to make sure people received their medicines as prescribed.” from the report
  • Open leadership

    People and staff spoke positively about the management. Audits, meetings and surveys were used to monitor the service and identify improvements.

    “People and staff told us they were a good team that worked together well.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you use positive behaviour support if my relative becomes distressed, and how will you keep support as least restrictive as possible?
  2. 02How will my relative's communication needs, preferences and daily routines be recorded and updated?
  3. 03What activities, community trips and opportunities to build independence would be available for my relative?
  4. 04How would you support my relative's specific dietary, medicines or healthcare needs?
  5. 05How can my relative and our family give feedback or raise a complaint, and what happens afterwards?

This was a planned inspection covering all five CQC questions, including the premises and the care provided; the previous overall rating and all five question ratings were also Good. This explanation was written from the published report of 24 October 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.

An earlier report, explained

What inspectors found, February 2017

Cantley House was rated Good; inspectors found safe, caring and personalised support, with all five areas rated Good.

This was an unannounced comprehensive inspection on 5 January 2017. Inspectors observed care, spoke with two people, the registered manager and a support worker, and reviewed care records, medicines records, recruitment files, maintenance records and audits.

The home supported up to three people with a learning disability or autistic spectrum disorder. Inspectors found people were safe, treated kindly, supported to make choices and offered activities that suited their interests. Medicines, staffing, recruitment and risk assessments were managed safely.

The home had a registered manager and staff said they felt supported and able to raise concerns. The service remained Good, matching its rating at the previous inspection. Each of the five areas inspected was rated Good.

What inspectors praised
  • Safe medicines

    Staff were trained and assessed as competent to give medicines. Inspectors found no gaps in the medicine administration records they checked.

    “We looked at medicine administration records (MAR) for three people and found that medicines had been given consistently and there were no gaps in the MAR charts.” from the report
  • Kind and respectful care

    Inspectors saw meaningful interactions and described staff as kind, patient and caring. People's privacy, dignity and choices were respected.

    “We observed staff as kind, patient and caring.” from the report
  • Personalised support

    Support plans gave detailed information about people's preferences, routines, communication and independence. Staff used this information to provide care in the person's preferred way.

    “Support plans were detailed and personalised.” from the report
  • Activities and independence

    People took part in activities at the home and in the local community, including outings and holidays. Staff supported positive risk-taking so people could remain as independent as possible.

    “People enjoyed a range of activities, such as listening to music, going out for a drive and holidays.” from the report
  • Open management

    Staff said they could raise concerns and felt supported by the management team. Regular meetings, audits and surveys were used to review the service.

    “The registered manager created an open culture and supported staff.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are people's risk assessments reviewed when their needs or activities change?
  2. 02How do you check that medicines continue to be given safely and that records remain complete?
  3. 03What activities are currently available, including physical activities and community outings?
  4. 04How do you make sure support plans reflect each person's current preferences, routines and communication needs?
  5. 05How can my relative or our family raise a concern, and how will we be told what action was taken?

This was an unannounced comprehensive inspection covering all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 17 February 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.

The story over the years

Every inspection of Cantley House

4 rated inspections over 5 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Cantley House →

  2. February 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cantley House →

  3. August 2015Goodstayed Good
    Well-led: Good

    Read this report on cqc.org.uk

  4. December 2014Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2011

    Registered with the Care Quality Commission on 15 March 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.

Next steps

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