CQC report explained · a residential care home
What the CQC found at Caretech Community Services (No 2) Limited - 22 Prices Avenue
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from avoidable harm, and staff understood their risks and safeguarding duties. Inspectors found a problem with guidance and recording for one person's skin cream, but management acted on it.
- Effective?
- Good
- Not inspected in this visit. The report does not give a current rating for this question.
- Caring?
- Good
- Not inspected in this visit. The report describes kind and compassionate care, but the current rating was not reassessed.
- Responsive?
- Good
- Not inspected in this visit. The report describes personalised support and activities chosen by people, but it does not give a current rating.
- Well-led?
- Good
- Management understood people's needs and used audits, feedback and staff meetings to monitor the service. Inspectors found one daily record written in an authoritarian manner, which management addressed.
What inspectors found, August 2023
Caretech Community Services (No 2) Limited - 22 Prices Avenue was rated Good; inspectors found safe, kind and well-managed care, with minor record-keeping issues.
This was an unannounced inspection on 5 July 2023. One inspector spoke with people using the home, staff and others, and checked care plans, risk assessments, medicines records, recruitment files, incidents and quality checks.
The home was rated Good overall. Safe and well-led were both rated Good. People were supported by staff who knew them well, respected their choices and helped them take part in activities and community life.
Inspectors found two small record-keeping concerns. Guidance was missing about where one person's skin cream should be applied, and its application was not always recorded. One daily record used an overly authoritarian tone. Management acted on both issues after the inspection.
This inspection focused only on Safe and Well-led. The ratings for Effective, Caring and Responsive were not reassessed, so the previous ratings were used to calculate the overall rating.
Kind, personalised support
Staff treated people with respect and kindness. Care was tailored to people's needs, communication styles, choices and independence.
“People received compassionate and empowering care which was tailored to their needs.” from the report
Risks were managed
Staff understood individual risks and followed clear guidance, including guidance about choking and distress. Safeguarding concerns and incidents were reported and reviewed.
“Risks to people were identified and there was full guidance in place to mitigate the risks.” from the report
Good support with medicines
Routine medicines were given as prescribed, staff were trained and medicines audits were completed. Staff also supported people to make choices about taking medicines and avoided inappropriate over-medication.
“People's medicines had been successfully reduced and they were more settled and content.” from the report
Enough staff and continuity
Inspectors found enough staff for people's care, activities and appointments. A stable core team meant staff knew people well.
“The stable management and core staff team supported people to receive consistent care from staff who knew them well.” from the report
Open management and improvement
The manager sought feedback from people, relatives and staff, and used audits and improvement plans to identify and address shortfalls.
“Quality assurance systems were in place to monitor the service people received.” from the report
Skin cream records
needs fixingFor one person, there was no written guidance about where to apply a prescribed skin cream. Staff said they applied it, but the records did not consistently show this.
“There was no guidelines in place as to where the cream should be applied and medicine record had not been consistently completed to show it had been applied.” from the report
Tone of one daily record
minorOne recent daily record was written in a way that suggested the person was being told what to do. The manager addressed this after the inspection.
“We did find a recent entry in one person's daily record which was written in an authoritarian manner.” from the report
- 01What written guidance is now in place for applying each person's skin creams, and how do you check that applications are recorded every time?
- 02How do you make sure daily records use respectful, person-centred language?
- 03What safeguarding concern prompted this inspection, what action was taken, and how do you check that people remain safe?
- 04How have staffing levels improved, and how do you arrange cover when there are shortfalls?
- 05Which of the current care plans and risk assessments will you review with us before admission?
This was a focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 11 August 2023 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, January 2018
Caretech Community Services (No 2) Limited - 22 Prices Avenue was rated Good; inspectors found kind, personalised care and improvements since the previous inspection, with a few records needing attention.
The inspection was unannounced and took place on 10 November 2017. One inspector spoke with the six people living in the home, staff and visiting professionals. They observed care and checked care records, medicines, staffing, recruitment, training, safety checks and quality records.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found enough staff, safe recruitment, clean and suitable surroundings, safe medicines management and good arrangements for safeguarding and emergencies.
People were supported to make choices, stay as independent as possible and take part in activities they enjoyed. Staff knew people well, treated them with kindness and respected their privacy and dignity. Care plans were detailed and personalised, and families and other professionals were involved where needed.
The previous inspection in October 2016 had found breaches about consent, infection control, quality checks and staffing. Inspectors found these legal requirements had been met. A few smaller issues were identified during this inspection, including incomplete temperature records for stored medicines and some end-of-life wishes not yet recorded.
Kind and respectful staff
Staff knew people well and communicated in ways that suited them. Inspectors saw calm, caring interactions and found that privacy and dignity were respected.
“Staff spoke with people, and each other, with kindness, respect and patience.” from the report
Personalised care
Care plans included people's routines, preferences, communication needs, health needs and goals. Staff supported people in the way they preferred.
“Each person had an individual care plan which had been developed with them or their representatives.” from the report
Independence and activities
People were supported to make choices, develop communication skills, do everyday tasks and take part in activities inside and outside the home.
“People were supported to live active lifestyles.” from the report
Improvements after the previous inspection
The home had increased night staffing, improved cleanliness and the environment, and strengthened its consent, quality monitoring and infection control arrangements.
“At this inspection improvements had been made.” from the report
Good management oversight
The manager and provider carried out regular checks, acted on identified shortfalls and sought views from people, relatives, staff and professionals.
“There were quality assurance systems in place.” from the report
Medicine temperature records
needs fixingThe temperature of the cupboard holding stock medicines had not been recorded consistently. The temperature was checked during the inspection and a log was introduced.
“However the temperature where the stock medicines were stored had not been consistently recorded to make sure the medicines remained effective.” from the report
Cream application records
minorStaff recorded that creams had been applied, but there was no body map showing where they should be applied. The manager corrected this during the inspection.
“Some people were given medicines on an 'as and when basis'.” from the report
End-of-life wishes
needs fixingSome people's wishes about care at the end of their lives were recorded, but others had not yet been supported to record them. The manager recognised this as an area for improvement.
“People's wishes about the care they wanted at the end of their lives should they become unwell was recorded in some people's care plans but not in others.” from the report
Following professional advice
minorVisiting professionals said staff had not always acted quickly on suggestions about people's care. They said this had improved recently, and inspectors found that the manager had acted quickly when people's needs changed.
“Visiting professionals told us that sometimes when they made suggestions about people's care and support the staff did not always act quickly and follow advice.” from the report
- 01How do you now record and check temperatures for stock medicines?
- 02Are body maps in place for everyone who needs creams, and how do staff check that creams are applied correctly?
- 03Which people have recorded their wishes about care at the end of life, and how will you support anyone who has not done this?
- 04How do you make sure advice from visiting health professionals is acted on promptly?
- 05How will you maintain the staffing levels, including two waking night staff, when there are vacancies or staff absence?
This was an unannounced inspection of the whole service and all five CQC rating areas, including the care, accommodation, staffing, medicines and management arrangements. This explanation was written from the published report of 6 January 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 Caretech Community Services (No 2) Limited - 22 Prices Avenue
3 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- August 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Caretech Community Services (No 2) Limited - 22 Prices Avenue →
- January 2018Goodup from Requires improvementSafe: GoodWell-led: Good
Read what inspectors found at Caretech Community Services (No 2) Limited - 22 Prices Avenue →
- November 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 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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