CQC report explained · a residential care home
What the CQC found at Church Road
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People told inspectors they felt safe. There were enough staff, detailed risk assessments, safe recruitment checks and systems for safeguarding, incidents, infection control and medicines.
- Effective?
- Good
- Staff had induction, training, supervision and appraisals. People received support with food, exercise, healthcare and decision-making, including capacity assessments and best-interest meetings where needed.
- Caring?
- Outstanding
- People and relatives gave consistently very positive feedback about staff's kindness, compassion, dignity and respect. Inspectors found examples of staff going well beyond basic care to support people's personal, cultural and emotional needs.
- Responsive?
- Outstanding
- Support plans contained detailed information about people's preferences, communication and important routines. Staff created imaginative alternatives during lockdown and supported people to continue hobbies, relationships and community activities.
- Well-led?
- Outstanding
- Inspectors found an exceptionally positive culture, with motivated staff and strong management. The home worked with community groups and other organisations, used audits and gathered views to improve support.
What inspectors found, December 2021
Rated Outstanding overall; inspectors found exceptional caring, responsive and well-led support, with safe and effective care rated Good.
The inspection took place on 29 October and 18 November 2021. Inspectors visited the home, spoke with three people, five relatives, seven staff and three healthcare professionals. They reviewed care records, medicines records, recruitment files and other management records.
The home supports up to six people with learning disabilities, autism and or mental health issues. Inspectors found people were safe, received their medicines correctly and had detailed risk assessments. Staff supported people with eating, drinking, healthcare, communication and making choices.
The strongest findings were about caring, responding to individual needs and leadership. Inspectors saw very positive relationships, creative activities during lockdown and strong involvement of people in the running of the home. The overall Outstanding rating means the inspection found exceptional service leadership and care in these areas, while Safe and Effective were rated Good.
Safe medicines management
Staff were trained and checked as competent to give medicines. Records were complete and audits were carried out.
“Medicines administration records were complete and up to date and regular medicines audits took place.” from the report
Respect and compassion
People and relatives consistently described staff as caring and respectful. Inspectors saw staff provide highly personal emotional and practical support.
“Without exception, relatives and people living at the home consistently told us how caring and compassionate the staff team were, treating them with the upmost respect.” from the report
Personalised activities
Staff adapted activities and routines around what mattered to each person, including during lockdown. They supported people to continue interests from earlier in their lives.
“The staff team had been very creative and extremely responsive in enabling people to stick to their normal routines and continue doing activities they enjoyed during lock down.” from the report
Strong leadership
Staff, relatives and healthcare professionals gave very positive feedback about management. Inspectors found staff were supported, motivated and committed to person-centred care.
“There was an exceptionally positive culture in the service.” from the report
Involvement and independence
People were involved in decisions about the home, staff recruitment, bedroom design and activities. Care plans reflected what people could do for themselves.
“The service used a number of different ways to involve people in how the home was run.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and provide the level of one-to-one or additional support my relative needs?
- 02How would my relative be involved in creating and reviewing their support plan and choosing daily activities?
- 03How do you support people with their communication needs, including easy-read information, pictures or interpreters?
- 04How do you support people with healthcare appointments, weight management and hospital visits?
- 05How do you involve people and relatives if they have a concern or want to make a complaint?
This was a planned inspection covering all five key questions and infection prevention measures; the previous October 2020 inspection was focused on Safe and Well-led and did not give an overall rating. This explanation was written from the published report of 2 December 2021 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, October 2020
Inspected but not rated; inspectors gave Good ratings for safe care and leadership.
This was the home’s first inspection. Inspectors visited on 17 September 2020 and spoke with people living there, staff, relatives and health and social care professionals. They also checked care records, medicines records, staff files and management records.
This was a focused inspection during the Covid-19 pandemic. Inspectors looked only at Safe and Well-led. Both areas were rated Good. They found that people were protected from avoidable harm and that the home was consistently managed.
The home supports up to six people with learning disabilities, autism or mental health needs. Five people were living there during the inspection. The service did not receive an overall rating because all five areas were not assessed.
Safe medicines management
Staff were trained and checked as competent to give medicines. Records were complete and audits were carried out.
“Medicines administration records were complete and up to date and regular medicines audits took place.” from the report
Person-centred support
The home used different communication methods so people could take part in decisions about their support, wishes and goals.
“A variety of communication methods were used to ensure people's full involvement in discussing their support, wishes, preferences, interests and aspirations.” from the report
Support for independence
Inspectors saw evidence of progress towards people's goals. The home supported positive risk-taking to help people have a good quality of life.
“Positive risk taking was supported at the service in order to ensure a good quality of life.” from the report
Strong oversight
The home completed many checks on care, safety, staff and the environment. Issues found were followed up with actions.
“A large number of environmental, safety, care and staff audits were completed and any issues identified were followed up with appropriate actions.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess whether the person can make progress towards their goals and become more independent?
- 02Which communication methods would you use to involve my relative in decisions about their support?
- 03How are medicines checked, and how often is staff competence to give medicines reassessed?
- 04What extra infection control measures are currently in place because of Covid-19?
- 05How will you keep me informed about my relative’s day and any concerns?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed and the home was not given an overall rating. This explanation was written from the published report of 7 October 2020 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 Church Road
Each visit the CQC has published, newest first, back to the day the home was registered.
- December 2021Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- October 2020Inspected but not ratedSafe: GoodWell-led: Good
- May 2019
Registered with the Care Quality Commission on 28 May 2019.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Bolton
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 £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
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.