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. Risks, safeguarding, staffing, medicines, fire safety and infection control were managed appropriately.
- Effective?
- Good
- People's needs were assessed and reviewed at each stay. Staff had relevant training, and people were supported with food, drink, health care and communication.
- Caring?
- Good
- Inspectors saw kind and respectful interactions. People were involved in care planning, supported to keep in touch with family and encouraged to be independent.
- Responsive?
- Good
- Care plans reflected people's routines, preferences and communication needs. People were supported with activities and community links, and had information about complaints and advocacy.
- Well-led?
- Good
- The management team monitored care through audits, visits and feedback. Inspectors found an open culture and evidence that lessons were learnt from incidents and near misses.
What inspectors found, October 2018
Cathedral View was rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns.
This was an unannounced comprehensive inspection on 28 September 2018. The inspector spoke with people staying at the home, staff and health professionals. They reviewed care and medicine records, staff recruitment and training records, and quality checks.
The home supported up to nine people for short stays. At the inspection, four people were staying. Inspectors found that people were safe, treated with kindness and involved in decisions about their care, activities, food and daily routines.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at its previous comprehensive inspection in October 2016, and this inspection found that the rating remained Good.
Choice and independence
People were involved in everyday decisions and supported to do as much as possible for themselves. Their risks were managed while promoting independence.
“People made choices about their day to day lives. They were observed choosing where to spend their time, what activities they wanted to do and what to eat and drink.” from the report
Kind relationships
People appeared relaxed with staff and said staff were kind and caring. Staff knew people's backgrounds, preferences and what could make them anxious.
“People were treated with kindness and care. They were observed spending time with staff and being relaxed in their company.” from the report
Quality monitoring
The provider used audits, visits and feedback to check the quality of care. Actions for improvement were monitored until completed.
“The provider ensured that there were effective systems in place to monitor the quality of services and care provided to people.” from the report
End-of-life care
minorThe home did not provide planned end-of-life care. The report says learning in this area was still being sourced for staff.
“Cathedral View did not provide planned care for people at the end of their lives. End of life learning was being sourced for staff.” from the report
- 01How would you support my relative if their health or care needs changed during a short stay?
- 02What staffing level would be provided if my relative needed one-to-one support?
- 03How do you check and record any changes to a person's medicines before each stay?
- 04How would you support my relative if they needed end-of-life care, given that the home did not provide planned end-of-life care at this inspection?
- 05How would you use my relative's preferred communication method in their care plan and daily support?
This was an unannounced comprehensive inspection covering all five areas, based on observations, discussions, records and checks of the home's systems; the previous overall rating from October 2016 remained unchanged. This explanation was written from the published report of 17 October 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.
What inspectors found, January 2018
Rated Good; inspectors found improved decision-making support, suitable care and stronger management systems.
This was an unannounced focused inspection on 18 December 2017. It checked whether improvements promised after the previous inspection had been made.
Inspectors looked closely at whether the home was effective and well-led. They reviewed three people's care records, staff training files and management records, and spoke with staff and managers.
The home had improved how it assessed and recorded people's ability to make decisions. Staff supported people to make choices, arranged suitable food and health support, and had training for their roles.
The overall rating was Good. The ratings for Effective and Well-led were Good. Safe, Caring and Responsive were not inspected during this visit, so their previous ratings were carried forward.
Better decision-making records
The home had improved its assessments of people's ability to make specific decisions. Staff understood how to support people in their best interests and involve them in choices.
“Records showed that people's mental capacity had been assessed when there had been concerns about their capacity to make an informed decision.” from the report
Food and health support
People's food preferences and dietary needs were considered. Staff worked with health professionals when people needed further advice or support.
“People were supported to maintain a healthy and balanced diet during their stay at Cathedral View.” from the report
Management oversight
The new manager and deputy manager supported staff and made changes to the home. Regular audits checked areas such as medicines, cleanliness and infection control.
“The registered manager carried several quality assurance audits to ensure the home ran safely and effectively.” from the report
Listening to people's views
The home changed the layout and decoration after listening to people's comments. This included creating a separate quiet area.
“A separate quite space way from the main lounge had been created to allow people to sit separately if they wished to have some quiet time to themselves.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now check that mental capacity assessments and best-interest decisions remain accurate and up to date?
- 02How will staff training and care skills be kept up to date after the planned training week?
- 03How do you involve families and health professionals when decisions about medicines or other care are made?
- 04How do you use people's comments about the environment and their stay to make further changes?
- 05What do your regular audits currently show about medicines, cleanliness and infection control?
This was an unannounced focused inspection of Effective and Well-led only; Safe, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 30 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 Cathedral View
4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- October 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodEffective: GoodWell-led: Good
- September 2016Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- October 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 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.
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38 live-in carers within about an hour of Gloucestershire
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 £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.