CQC report explained · a residential care home
What the CQC found at Cathedral View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. Staff understood safeguarding responsibilities, risks were recorded with guidance for staff, and medicines and recruitment were managed safely.
- Effective?
- Good
- People had assessments and personalised support plans based on their needs, choices and preferences. Staff had training and induction, and people could access healthcare and support with food and drink.
- Caring?
- Good
- People and relatives gave positive feedback about the care. Inspectors saw friendly conversations, respect for privacy and support for people to express views and develop independence.
- Responsive?
- Good
- Care plans included people's communication needs, interests and routines. However, some relatives wanted more structured activities, and complaints were not always recorded clearly enough.
- Well-led?
- Good
- Managers and staff understood their roles, involved relatives and used audits and action plans to monitor quality. Staff meetings and feedback were used to support improvements.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised respite care, with some improvements needed in activities and complaints records.
The inspection took place on 6 September and 3 October 2019. The inspector spoke with two people staying at the home, staff, managers, relatives and professionals. They reviewed care, medicines, recruitment, training and management records.
The home provides short breaks for up to eight people with a learning disability. Inspectors found people were safe, treated with kindness and supported to make choices. Staff understood people's needs, supported independence and helped people access healthcare, activities and suitable communication.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same rating as the previous inspection, published in October 2018. Inspectors found the rating had been sustained.
There were some shortfalls. Some relatives wanted more structured activities or said a preference had been forgotten. Complaints were not always recorded clearly enough to show learning and resolution. The manager agreed to improve oversight.
People felt safe
People staying at the home said they felt safe. Relatives also told inspectors that their family members were safe during their stays.
“People staying at the service told us they were happy and felt safe.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw staff talking with people in a friendly way, while privacy and dignity were respected.
“We observed staff chatting with people about their families and interests in a friendly manner.” from the report
Choice and independence
Support focused on giving people control, choice and opportunities to develop skills and independence. People were involved in decisions about care and activities.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Suitable support and communication
Care plans recorded people's preferences, routines and communication needs. Information was also available in an easy-read format.
“Care plans clearly described the support people needed to communicate effectively and what staff needed to do to communicate effectively with them.” from the report
Good management oversight
The home used audits, meetings and action plans to monitor the service. Managers were described as approachable and staff were generally supported.
“A range of audits were completed including a quality assurance peer review which was carried out by the manager of another of the providers services.” from the report
Activities were not always structured
needs fixingSome relatives felt people would benefit from more planned activities and experiences during respite stays. The manager had started a team plan to increase these opportunities by December 2019.
“A more structured/planned time would certainly benefit my [family member's] stay. It can be a bit boring at times.” from the report
Complaints records needed improvement
needs fixingThe complaints process was accessible, but records did not always clearly show what had happened, how issues were resolved or what the home had learned. The manager agreed to improve oversight.
“Complaints received were not always clearly recorded to ensure that there was effective learning from them and resolution applied.” from the report
- 01What structured activities and outings are now available during a person's respite stay?
- 02How will you make sure my relative's preferences are recorded, shared with staff and followed each time?
- 03How do you record complaints, the action taken and any learning from them?
- 04How will you keep us updated if my relative's support needs or health needs change during their stay?
- 05How do you involve relatives in reviewing and updating support plans?
This was a planned inspection covering all five CQC questions, with a thematic review survey about restrictive interventions; no restrictive interventions were being used. This explanation was written from the published report of 13 November 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, March 2017
Rated Good; inspectors found safe, kind and personalised care across all five areas.
The inspection was unannounced. Inspectors spoke with people staying at the home, relatives, staff and the manager. They reviewed care plans, staff files, training records, complaints and other documents.
People were described as safe, happy and well looked after. Inspectors found enough trained staff, safe recruitment, appropriate medicines support and plans for managing risks and emergencies.
Care was kind, respectful and tailored to people's needs and preferences. People were supported with their health, food, activities and contact with the community. Relatives and staff were positive about how the home was run.
The home was rated Good in every area: Safe, Effective, Caring, Responsive and Well-led. The previous inspection in February 2015 found that the home met the required standards in the areas examined.
Safety and staffing
Inspectors found enough suitably skilled staff, effective recruitment checks and regular reviews of risks to people's health and safety.
“There were enough suitably experienced, skilled and qualified staff available at all times to meet people's needs safely and effectively.” from the report
Kind and respectful care
Staff knew people well and supported them with kindness, privacy and dignity.
“People were cared for and supported in a kind and compassionate way by staff that knew them well and were familiar with their needs.” from the report
Personalised support
Care plans included people's preferences, routines, backgrounds and support needs. Staff adapted support when people's circumstances changed.
“Care plans were personalised and captured the individual well and all the details that mattered to that person were included.” from the report
Activities and community links
People were supported to attend day clubs, use activities at the home and take part in events and outings in the wider community.
“People were supported to maintain their interests and to take part in activities which they enjoyed.” from the report
Open management
People, relatives and staff were positive about the manager and how the home operated. The home used audits and action plans to monitor quality.
“Systems were in place to quality assure the services provided, manage risks and drive improvement.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess my relative's needs before their respite stay, and how will you record any changes?
- 02How will you manage my relative's medicines, including checking that there is enough for the whole stay?
- 03What training and experience will the staff supporting my relative have for their specific health needs?
- 04Which activities and community outings could my relative take part in during their stay?
- 05How will you involve my relative and our family in care planning, reviews and any complaints?
This was an unannounced inspection covering all five ratings; the report lists visit dates of 01 and 03 February 2017, although parts of the text refer to 1 February 2016, and inspectors reviewed two care plans and two staff files. This explanation was written from the published report of 10 March 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 Cathedral View
3 rated inspections over 5 years: the service has held its Good rating throughout.
- November 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- July 2012
Registered with the Care Quality Commission on 2 July 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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23 live-in carers within about an hour of Suffolk
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 £1,020 to £1,260 a week. 17 can care for a couple. 7 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
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.