CQC report explained · a residential care home
What the CQC found at Cascade (Stiles House)
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines management. The environment was checked, although improvements to the fire alarm system were due after an external fire risk assessment.
- Effective?
- Outstanding
- Staff worked closely with healthcare professionals and supported people to improve their health, independence and quality of life. Training and support for staff were linked to people's individual needs.
- Caring?
- Good
- Staff treated people with dignity and respect and understood their individual communication needs, routines and preferences. Inspectors observed caring and compassionate interactions.
- Responsive?
- Good
- Care plans were detailed and person-centred. Activities were based on people's interests and included support with employment, education, money management, healthy eating and daily living skills.
- Well-led?
- Good
- The manager was visible and quality checks were completed regularly. People, relatives, staff and other professionals were involved in giving feedback and shaping the service.
What inspectors found, December 2018
Cascade (Stiles House) was rated Good; inspectors found especially effective support for health, independence and meaningful lives.
This was a comprehensive inspection on 2 and 5 November 2018. It was unannounced on the first day. The inspector spoke with people, relatives, staff and healthcare professionals, observed care, and reviewed care plans, medicines records, risk assessments and management records.
The home was rated Good overall. It was rated Good for Safe, Caring, Responsive and Well-led. Effective was rated Outstanding, improving from the previous inspection. Inspectors found staff knew people well, supported them safely and worked closely with other professionals.
People were supported to build independence, find employment, manage money, eat healthily and take part in activities. Care plans were detailed and personal. Medicines, staffing, recruitment and the environment were found to be managed safely. Two notifications were sent retrospectively after the inspection, but the report says all other notifications had been submitted.
Effective support
The home helped people make progress with their health, confidence and independence. Inspectors saw examples including employment, improved mental health and reduced distress.
“This service was extremely effective and staff were proactive in ensuring people were supported to live a heathy, meaningful and fulfilling life.” from the report
Strong partnership working
Staff worked proactively with healthcare professionals to understand people's needs and plan support around them.
“The service worked proactively in partnership with other professionals to develop care based upon good practice.” from the report
Person-centred care
Care plans described people's strengths, preferences, communication and support needs in detail. Staff used this information to provide individual support.
“People's care plans we looked at were impressive in their depth of information and detail, which meant staff had the relevant information about the emotional and physical care and support needs for each person.” from the report
Respect and privacy
Staff understood people's routines and respected their privacy, personal choices and preferred ways of communicating.
“Our observations over both days of this inspection showed staff interacting with people in a caring and compassionate way.” from the report
Quality monitoring
The home had regular checks covering areas such as medicines, safety, cleanliness, accidents, complaints and care records. Actions were followed up promptly.
“This meant that systems were effective in identifying any issues, and to drive continuous improvement at the service.” from the report
Late statutory notifications
needs fixingTwo notifications were sent to CQC retrospectively after the inspection. The report says these related to a safeguarding allegation from 2016 and a deprivation of liberty safeguard.
“We received two notifications retrospectively after the inspection in relation to a safeguarding allegation from 2016 and one deprivation of liberty safeguard.” from the report
- 01How would you support my relative's specific health, mental health, communication and behaviour needs?
- 02What opportunities would my relative have to build independence, take part in activities, study or work?
- 03How do you make sure staffing levels are sufficient for each person's individual needs, including when someone needs one-to-one support?
- 04What changes have been made to ensure all safeguarding and deprivation of liberty notifications are sent to CQC on time?
- 05How would you involve my relative and our family in care planning, reviews and decisions about support?
This was a comprehensive inspection of all five key questions, using observations, discussions with people and others, and reviews of care and management records. This explanation was written from the published report of 21 December 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 Cascade (Stiles House)
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Registered with the Care Quality Commission on 26 September 2014.
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.