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CQC report explained · a residential care home

What the CQC found at Cintre House

Goodpublished 12 June 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People said they felt safe and staff were available when needed. Medicines were stored safely, and the home had recently changed its administration process after some errors.
Effective?
Requires improvement
Staff understood the Mental Capacity Act, but records did not clearly show how some significant decisions were made or how people's views were considered. The service was recommended to review its consent and mental capacity processes.
Caring?
Good
Staff were kind and respectful. Inspectors saw positive relationships, attention to dignity and support for people's independence.
Responsive?
Good
Staff understood people's needs, preferences and signs of deteriorating mental health. People were supported to follow hobbies, activities and longer-term goals.
Well-led?
Good
Staff described good teamwork and felt able to raise concerns. The registered manager was visible, and the service used problems as learning opportunities.
The latest report, explained

What inspectors found, June 2018

Cintre House was rated Good; inspectors found kind, safe and personalised care, but records about consent and mental capacity needed improvement.

This was an unannounced inspection on 15 May 2018. Inspectors spoke with people living in the home, a relative, staff and the registered manager. They checked care records, medicines, complaints, audits and other records.

The home supported five people at the time, with space for up to seven people with mental health needs. Inspectors found people felt safe, staff were kind and respectful, and support was tailored to people's needs and interests.

The overall rating stayed Good. Safe, Caring, Responsive and Well-led were rated Good. Effective fell from Good to Requires Improvement because records did not clearly show how some important decisions were made or how people's consent and views were considered.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe and well supported. Staff knew how to recognise and report possible abuse.

    “People told us they felt safe and well supported.” from the report
  • Kind and respectful staff

    Inspectors saw staff speaking with people in a caring way and respecting their dignity and personal space.

    “Throughout the day we saw staff speaking with people in a caring and respectful manner.” from the report
  • Personalised support

    Support plans reflected people's individual needs, communication and mental health. Staff knew the signs that someone's mental health might be worsening.

    “Plans were person centred in nature and recognised the aspects of people's lives that were unique to them.” from the report
  • Support for independence

    The home helped people work towards longer-term aims, including living more independently and developing everyday skills.

    “People were encouraged to be independent as far as they were able and effort was made to support people with their long term aims.” from the report
  • Open leadership

    Staff felt senior staff were approachable and could voice concerns. The home made changes after problems were identified.

    “There was an open and transparent culture within the home where staff felt able to voice their opinions or concerns.” from the report
What inspectors were concerned about
  • Mental capacity records

    needs fixing

    Records did not clearly explain how one significant decision was made or how the person's views were taken into account. The service was asked to review its practice.

    “There wasn't a clear overall record of how the service had made the decision and taken in to account the views of the person concerned.” from the report
  • CCTV and consent

    needs fixing

    CCTV was in communal areas, but records did not show that people had been consulted about it before the inspection. The home planned to give people information about privacy and data protection.

    “It wasn't clear from records whether this had been discussed with people in the home and their views sought.” from the report
  • Recent medicine errors

    minor

    The registered manager had identified some medicine administration errors and changed the process to reduce distractions. Inspectors found medicines were being managed safely at the inspection.

    “The registered manager told us how they had made changes to the administration process recently in response to some errors that had occurred.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to record consent and mental capacity decisions since this inspection?
  2. 02How do you record the person's views when making a significant decision about their support?
  3. 03What information has been given to people about the CCTV in communal areas, and how are their views recorded?
  4. 04What medicine administration errors occurred, and how do you check that the new process is working?
  5. 05How do you carry out detailed audits, including checks on infection control and consent records?

This was an unannounced inspection of the overall service; all five key questions were assessed, with Effective rated Requires Improvement and the other four questions rated Good. This explanation was written from the published report of 12 June 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.

The story over the years

Every inspection of Cintre House

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. June 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Cintre House →

  2. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 26 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.

Next steps

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