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CQC report explained · a residential care home

What the CQC found at Daffodils

Goodpublished 24 July 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding systems, suitable risk assessments, enough staff, safe medicines procedures and infection control arrangements. Staff also reviewed incidents and acted on lessons learned.
Effective?
Good
The home was designed around people's needs and supported health, mobility, nutrition and access to other services. Staff had suitable training and understood how to support people with communication and decision-making.
Caring?
Good
Staff were described as kind, compassionate and person-centred. They supported people to communicate, make choices, maintain relationships and develop independence.
Responsive?
Outstanding
Care was highly personalised and flexible. Staff created activities around people's interests, supported a smooth move to the home and adapted family contact and daily life during the pandemic.
Well-led?
Good
Inspectors found clear management systems, meaningful involvement of families and staff, regular quality checks and a strong focus on learning and partnership working.
The latest report, explained

What inspectors found, July 2021

Rated Good overall, with Outstanding responsive care and strong support for people's safety, independence and wellbeing.

This was a planned inspection of the home on 24 May 2021. One inspector observed care, spoke with relatives, staff and the manager, and checked care, medicine, staff and management records. The inspection also looked at infection control during the COVID-19 pandemic.

The home supported five younger adults with a learning disability and/or autism. Inspectors found safe care, suitable staffing, trained staff, safe medicines practice and good support with health, food and communication. Staff treated people kindly and respected their privacy, dignity and choices.

The home was rated Good for Safe, Effective, Caring and Well-led. It was rated Outstanding for Responsive because staff provided highly personalised activities, maintained family contact and supported people exceptionally well during the move to the home and during pandemic restrictions.

This was the first inspection at this location. The service had previously been rated Good at its former location, under a different name, in a report published on 16 March 2018.

What inspectors praised
  • Personalised activities

    Staff adapted activities to people's interests and brought community activities into the home during pandemic restrictions. This helped people maintain wellbeing and develop daily living skills.

    “Staff recognised and met people's need for continuity of activity and structure to ensure their lives remained fulfilling and their mental well-being was promoted during the pandemic.” from the report
  • Smooth move

    Staff carefully introduced people to the new home in stages and involved them in decisions about their belongings and surroundings.

    “Staff's careful management of the transition ensured each person experienced a positive, stress-free move to their new home.” from the report
  • Suitable environment

    The building, private rooms, activity areas, garden and equipment were adapted to support people's safety, privacy, choices and independence.

    “The premises were well adapted to meet people's individual needs and maximise their safety and independence.” from the report
  • Kind and respectful care

    Staff understood people's communication, preferences and distress signals. Relatives consistently spoke positively about the care and relationships with staff.

    “Staff treated people with dignity and respect at all times.” from the report
  • Good health support

    Staff supported exercise, nutrition, appointments and specialist advice. Inspectors found examples of improved health and maintained mobility.

    “Staff had supported people to exercise and use their treadmills in their activity room throughout the lockdown, to prevent any deterioration in their physical health.” from the report
  • Strong oversight

    The manager and provider carried out regular audits, acted on improvement actions and sought outside advice to improve people's care.

    “Quality assurance arrangements were robust and used by the provider and registered manager to identify potential areas for improvement.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are activities currently planned around each person's interests, skills and communication needs?
  2. 02How do you manage epilepsy, choking risks and other health emergencies, and when was staff training last refreshed?
  3. 03How do you review medicines used to manage behaviour, and how do you involve families and health professionals in reducing them where possible?
  4. 04How are people supported to keep in contact with relatives and use local community facilities?
  5. 05How do you involve each person and their family in reviewing care plans, communication plans and best-interest decisions?

This was the first inspection at this location and covered all five CQC questions, including infection control; people could not give verbal feedback and inspectors reviewed two people's care records. This explanation was written from the published report of 24 July 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.

The story over the years

Every inspection of Daffodils

5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. July 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Daffodils →

  2. March 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. June 2017Goodstayed Good
    Effective: Requires improvement
  4. February 2016Goodup from Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
  5. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  6. April 2019

    Registered with the Care Quality Commission on 4 April 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.

Next steps

Weigh the report against the rest

Care at home

26 live-in carers within about an hour of Hampshire

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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

“I cannot recommend Prisca highly enough, she is one in a million.”
Emily B., about Prisca S.
“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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See live-in carers near HampshireProfiles, rates and reviews are free to look at.

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