CQC report explained · a residential care home
What the CQC found at 187 Nursery Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, effective risk assessments, safe medicines management, suitable recruitment checks and plans for emergencies. A safeguarding investigation had taken place before the inspection, and the report says the provider reported it and took action.
- Effective?
- Good
- People were supported through well-planned moves, with staff trained to meet their needs. Staff supported people's choices, dietary needs and healthcare, including specialist health conditions.
- Caring?
- Good
- Staff were kind, respectful and familiar with people's needs. Inspectors found that staff promoted dignity, family relationships, religious and cultural needs, and independence.
- Responsive?
- Good
- Care plans were personalised and included communication needs, activities and community involvement. Relatives said they could raise concerns and received a positive response.
- Well-led?
- Good
- Relatives, professionals and staff described the home as well managed. Inspectors found good communication, organised records, feedback systems and quality monitoring.
What inspectors found, October 2018
Elysium Care Partnerships Limited - 187 Nursery Road was rated Good; inspectors found safe, caring and personalised support with some planning still being developed.
This was an unannounced, comprehensive inspection on 19 July 2018. It was the first inspection since the home registered with CQC in June 2017. Inspectors met three people and five staff, observed care, spoke with relatives and professionals, and checked care, medicine, safety, recruitment and quality records.
The home supported five people at the time, with capacity for six people with learning disabilities and/or autism. Inspectors found enough staff, safe medicine procedures, suitable training and good support for people's health, choices and independence.
Staff were described as kind and respectful. Care was tailored to people's communication needs, interests and routines. Relatives and professionals gave positive feedback about the home, its leadership and how it worked with families and other services.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The report also says work had begun to improve end-of-life care planning, although nobody at the home was receiving end-of-life care during the inspection.
Staffing and safety
Staffing was planned around people's needs, with extra staff arranged when someone needed additional support. Inspectors also found medicines and emergency arrangements were managed safely.
“There were enough staff deployed on each shift to keep people safe and meet their needs.” from the report
Personalised care
Support was adapted to people's communication, behaviour, dietary needs and interests. Staff worked with specialist professionals to develop individual plans.
“People received care that was personalised to their needs.” from the report
Kind and respectful support
Inspectors found positive relationships between people and staff. Relatives said staff promoted dignity, respect and independence.
“Staff treated people with respect and maintained their dignity.” from the report
Leadership and oversight
The home had a registered manager and systems for gathering feedback, checking quality and sharing information between staff and professionals.
“The provider had effective systems of quality assurance and had involved people who used services in this process.” from the report
End-of-life planning was still being improved
minorNobody was receiving end-of-life care during the inspection. The report says work had started to make end-of-life plans more detailed and involve people and families in decisions.
“Enhance end-of-life care plans and preferred priorities of care to ensure people and their families are involved in every step of the decision process” from the report
- 01How many staff are planned for each shift now, and how do you arrange extra support when a person's needs change?
- 02Two DoLS authorisations were awaiting assessment at the inspection. What is the current position, and how are any restrictions kept as least restrictive as possible?
- 03How are each person's communication profile and visual choices used by all staff in daily care?
- 04How have the planned improvements to end-of-life care plans been completed, and how would families be involved?
- 05What safeguards and staff training are now in place following the safeguarding investigation mentioned in the report?
This was an unannounced comprehensive inspection covering all five CQC questions and was the first inspection since the home registered in June 2017. This explanation was written from the published report of 26 October 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.
Every inspection of 187 Nursery Road
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2018Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017
Registered with the Care Quality Commission on 29 June 2017.
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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77 live-in carers within about an hour of Surrey
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Most charge £980 to £1,250 a week. 66 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
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