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CQC report explained · a residential care home

What the CQC found at Conway

Goodpublished 24 August 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and risks were assessed and reviewed. However, medicines records had gaps, including storage temperatures, body maps for topical medicines and protocols for as-needed medicines.
Effective?
Good
People's needs were assessed before care began. Staff had relevant training and supervision, and people were supported with food, healthcare and their own choices.
Caring?
Good
Staff treated people with kindness, warmth, dignity and respect. People were involved in decisions and supported to develop independence.
Responsive?
Good
Care was personalised around people's needs, communication styles and preferences. People were supported to take part in activities, maintain relationships and use community facilities.
Well-led?
Good
Inspectors found strong management oversight, regular reviews and systems for involving people. A small number of relatives said communication could be improved, and managers planned steps to address this.
The latest report, explained

What inspectors found, August 2022

Rated Good; inspectors found kind, personalised care, with improvements needed in medicines records and some decision-making paperwork.

This was the first inspection of the newly registered care home. It provides short respite stays for people with learning disabilities and autistic people. Seven people were using the service when inspectors visited.

Inspectors visited on 2 and 13 July 2022. They spoke with four people, five relatives and five staff. They also reviewed care records, medicine records, recruitment files and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, kind care, personalised support and good links with health and community services.

There were some shortfalls in medicines management. Storage temperatures were not properly recorded, body maps were not used for topical medicines and some as-needed medicine protocols were missing. The provider put an action plan in place after the inspection. Some best-interest decisions also needed better recording.

What inspectors praised
  • Kind and respectful care

    People appeared comfortable with staff. Inspectors saw warm, unhurried support that protected privacy and dignity.

    “People received kind and compassionate care from staff who respected people's privacy and dignity.” from the report
  • Personalised support

    Care was based on people's individual needs, preferences, communication styles and goals.

    “People received care and support which was personalised to them, and took into consideration their needs and preferences.” from the report
  • Promoting independence

    Staff helped people build skills and make their own choices, including through cooking, laundry, activities and community access.

    “There was a strong ethos of supporting people to develop new skills and achieve independence where possible.” from the report
  • Staffing and risk management

    Inspectors found enough staff, safe recruitment checks and detailed risk plans that were reviewed when people's needs changed.

    “There were enough staff deployed to ensure people's needs were met.” from the report
What inspectors were concerned about
  • Medicines records and protocols

    needs fixing

    Medicine audits had not found all the problems. Storage temperatures were not properly recorded, body maps were not used for topical medicines and protocols for as-needed medicines were missing. The provider put an action plan in place after the inspection.

    “However, we noted that the audit system had not identified all shortfalls.” from the report
  • Best-interest decision records

    needs fixing

    Some decisions made for people who lacked capacity were not documented well enough. The provider addressed this when inspectors raised it.

    “We identified some improvement was required in the way best interest decisions were documented when people lacked the capacity to make decisions about their care.” from the report
  • Communication with relatives

    minor

    A small number of relatives felt communication could be better. Managers said they planned events to strengthen communication with relatives.

    “A small number of people's relatives told us communication could be improved.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to record medicine storage temperatures and use body maps for topical medicines?
  2. 02What protocols are now in place for medicines given on an as-needed basis?
  3. 03How do you record best-interest decisions when a person cannot make a particular decision?
  4. 04How will you keep relatives informed during a short respite stay?
  5. 05How will you support the person to take part in activities, maintain relationships and build independence during their stay?

This was the first inspection of the newly registered service and assessed all five CQC key questions, including infection prevention and control. This explanation was written from the published report of 24 August 2022 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 Conway

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. August 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Conway →

  2. December 2020

    Registered with the Care Quality Commission on 7 December 2020.

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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Most charge £980 to £1,260 a week. 80 can care for a couple. 11 years' experience on average.

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