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CQC report explained · a nursing home

What the CQC found at Cunningham House

Outstandingpublished 30 June 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors found comprehensive risk plans, enough staff, safe recruitment and suitable medicines systems. Staff understood safeguarding and how to respond when things went wrong.
Effective?
Good
Staff had training and support for the specialist needs of people living at the home. People received multidisciplinary health support, suitable food and drink, and prompt access to health professionals.
Caring?
Good
People and relatives described care as kind and compassionate. Staff respected privacy, dignity, choices and people's wish to remain as independent as possible.
Responsive?
Outstanding
Support was highly individualised and adapted to people's needs, goals and interests. Inspectors found creative work that helped people make progress, take part in meaningful activities and maintain family relationships.
Well-led?
Outstanding
The home had strong, open leadership and involved people, relatives and staff in how it was run. Quality checks were effective and shortfalls were acted on promptly.
The latest report, explained

What inspectors found, June 2018

Rated Outstanding; inspectors found highly personalised care, strong rehabilitation support and excellent leadership, with the other three areas rated Good.

The inspection took place on 3 and 4 May 2018. The first day was unannounced and the second day was announced. Inspectors spoke with people living at the home, relatives, staff and health professionals. They also observed care and checked care records, staff recruitment, training, complaints and quality checks.

The home supports up to 18 people with acquired brain injuries, neurological conditions or early onset dementia. There were 16 people living there at the inspection. Inspectors found people were safe, received their medicines, had enough staff and were supported by trained staff.

Care was kind and respectful. Inspectors found that support was built around each person's choices, goals and abilities. Staff used flexible and creative approaches to help people take part in activities, regain skills and maintain relationships.

The overall rating was Outstanding, improved from Good at the inspection on 2 and 3 March 2016. Safe, Effective and Caring were rated Good. Responsive and Well-led were rated Outstanding.

What inspectors praised
  • Personalised support

    Staff adapted care to each person's abilities, interests, triggers and goals. Inspectors found this helped people gain confidence and improve their quality of life.

    “Support was completely personalised to each individual's needs and choices.” from the report
  • Rehabilitation and activities

    The home used creative activities and therapy to help people regain skills and take part in experiences that mattered to them. This included support with exercise, communication, family visits and community activities.

    “Innovative approaches were used to maximise each person's potential, and ability to take part in meaningful activity.” from the report
  • Kind and respectful care

    People were given time to express themselves and make choices. Staff supported privacy, dignity, independence and family relationships.

    “People were treated with care, compassion and great kindness.” from the report
What inspectors were concerned about
  • Training completion

    minor

    A recent audit found that some staff had not completed mandatory e-learning promptly. The report says the monitoring arrangements were improved and completion rates increased.

    “A recent audit of staff training had identified that improvements were required to staff completion of mandatory e learning in a timely manner.” from the report
Questions to ask them, based on this report
  1. 01How would you adapt the care and rehabilitation plan to my relative's particular goals, communication needs and triggers?
  2. 02How do you make sure staff have completed the specialist and mandatory training needed for my relative's care?
  3. 03How would you support my relative to keep in contact with family and take part in activities outside the home?
  4. 04How are risks, medicines and changes in health monitored and discussed with relatives?
  5. 05How are people and families involved in reviewing care plans and suggesting changes to the home?

This was a comprehensive inspection of the whole home, carried out over 3 and 4 May 2018, with all five quality areas assessed. This explanation was written from the published report of 30 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 Cunningham House

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. June 2018Outstandingcurrent ratingup from Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at Cunningham House →

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

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

  3. January 2014

    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. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2011

    Registered with the Care Quality Commission on 15 July 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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of West Northamptonshire

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 £1,280 a week. 87 can care for a couple. 12 years' experience on average.

“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
Bridget S., about Nyarai N.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
Caroline C., about Mary K.
See live-in carers near West NorthamptonshireProfiles, rates and reviews are free to look at.

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.