CQC report explained · a residential care home
What the CQC found at Culliford House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, suitable risk assessments and safe medicines management. Some care records and fire safety records were incomplete at the start, but these were corrected during the inspection.
- Effective?
- Good
- People's needs were assessed and reviewed. Staff were trained and supported, people had access to suitable food and healthcare, and consent and capacity processes were followed.
- Caring?
- Good
- Staff were observed treating people with kindness, dignity and respect. People were involved in decisions and encouraged to remain independent.
- Responsive?
- Good
- Care plans reflected people's individual needs, wishes and interests. People had choices about daily life, activities and contact with family and friends.
- Well-led?
- Good
- Inspectors found an open culture, positive teamwork and systems for checking quality. Management acted quickly on the record-keeping problems and introduced a new management structure.
What inspectors found, May 2022
Culliford House was rated Good overall; inspectors found kind, safe care, with some record-keeping shortfalls corrected during the inspection.
This was an unannounced comprehensive inspection on 18, 23 and 25 March 2022. Two inspectors spoke with people, visitors, staff and a health professional. They observed care and checked care, monitoring and medicine records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People appeared comfortable and relaxed. Inspectors found enough staff, safe medicines management, personalised care plans, good support with food and healthcare, and a wide range of activities.
At the start, some care and monitoring records were not up to date. There were also some gaps in fire safety records. The provider acted immediately, and the records checked by the second inspection day were complete. The management structure was also changed to reduce the risk of this happening again.
Kind and respectful care
Inspectors saw compassionate interactions and found that staff knew people well. People and relatives said they felt safe and well cared for.
“Throughout the inspection we saw kind, relaxed, compassionate and caring interactions between people and staff.” from the report
Enough stable staff
There were enough staff to meet people's needs, and a core team had worked at the home for several years. Staff understood people's needs and responded promptly.
“There was a core stable staff team at the home. This meant people were supported by a staff team that knew them well.” from the report
Personalised daily life
Care plans included people's routines, interests and preferences. People were offered choices and supported to take part in meaningful individual and group activities.
“People said they continued to make decisions about their day to day care and people were able to follow their own routines.” from the report
Good support at the end of life
People had personalised advance care plans, and the home reviewed people's and relatives' experiences after a death. The home also held a Gold Standard Framework Platinum Award in 2020.
“These very personalised and included details of what made them most happy, any special requests and what they did not want to happen.” from the report
Care records were not initially up to date
needs fixingSome care and monitoring records did not reflect the care being provided when the inspection began. The provider corrected this by the second day.
“At the start of the inspection, some people's care and monitoring records had not been kept up to date” from the report
Fire safety record gaps
needs fixingInspectors found some shortfalls in fire safety record keeping at the start of the inspection. The provider took immediate action to address them.
“At the start of the inspection there were some shortfalls in the record keeping in relation to fire safety.” from the report
- 01How do you now check that care and monitoring records are completed and kept up to date?
- 02What changes were made to the management structure after the inspection?
- 03How are fire safety checks and records monitored now?
- 04How is nursing care arranged with the community nursing service when a resident needs it?
- 05How will you involve our family member and us in care reviews and advance care planning?
This was an unannounced comprehensive inspection covering all five key questions, including infection prevention and control. This explanation was written from the published report of 10 May 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.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection control and support for people's safety and contact with loved ones.
This was an announced, targeted inspection on 26 January 2021. It focused on infection prevention and control during the coronavirus pandemic.
Inspectors found that the home was preventing visitors from spreading infections, using protective equipment safely, following shielding and distancing rules, and supporting safe admissions. They were also assured that testing, cleaning, hygiene and outbreak arrangements were in place.
People were helped to understand infection control measures and stay in touch with loved ones. The senior team had systems and checks to support people's safety and wellbeing.
The home was inspected but not rated. This report does not provide a full overall quality rating or ratings for all five areas of care.
Infection control
People were supported to understand the infection prevention measures in place.
“People were supported to understand the measures that were in place regarding infection prevention and control.” from the report
Keeping in touch
The home helped people maintain contact with loved ones in ways that mattered to them.
“People were supported to stay in touch with their loved ones in ways that were meaningful to them.” from the report
Protective equipment
Staff understood the importance of using appropriate protective equipment and maintaining extra cleaning measures.
“Staff were committed to keeping people safe. They understood the importance of wearing appropriate PPE and ensuring all additional cleaning measures were maintained.” from the report
Safety checks
The senior team had systems and checks intended to promote people's safety and wellbeing.
“The senior team had robust systems and checks in place to promote people's safety and well being.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how have they changed since this inspection?
- 02How are visitors currently supported to prevent infections spreading?
- 03How do you arrange testing for people living here and staff?
- 04How would you manage an infection outbreak in the home?
- 05What is the home's current full CQC rating, including ratings for areas not covered by this inspection?
This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated, and the report does not cover the other areas of care. This explanation was written from the published report of 3 March 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.
Every inspection of Culliford House
3 rated inspections over 6 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Inspected but not ratedSafe: Inspected but not rated
- April 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019
Registered with the Care Quality Commission on 27 December 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.
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15 live-in carers within about an hour of Dorset
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 £1,040 to £1,340 a week. 11 can care for a couple. 10 years' experience on average.
“Even when things get a bit chaotic (as they sometimes do!), you’ve handled it with patience and a sense of humour — which is gold.”
“Nina was patient, focussed on my aunt's physical well-being, and unfazed by what at the time was a new and uncertain situation”
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.