CQC report explained · a nursing home
What the CQC found at Estuary House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. They found enough staff, appropriate risk management, safe recruitment, suitable medicines systems and clean premises.
- Effective?
- Good
- Staff had relevant induction and training, and people were supported with food, fluids, healthcare and oral health. Inspectors found consent and best-interest processes were followed.
- Caring?
- Good
- People and relatives described staff as kind and caring. Inspectors observed respectful interactions and support for privacy, dignity, independence and choice.
- Responsive?
- Good
- Care was personalised and plans recorded people's preferences and changing needs. People were supported with communication, activities, family contact, complaints and end of life choices.
- Well-led?
- Good
- Inspectors found visible leadership, staff who felt able to speak up, regular quality checks and action plans. The manager had informed CQC about notifiable events.
What inspectors found, February 2023
Rated Good; inspectors found safe, kind and personalised care across all five areas.
Inspectors visited without notice on 10 and 18 January 2023. They spoke with people, relatives and staff, reviewed care and medicines records, checked recruitment files and examined how the home was managed.
People told inspectors they felt safe. They found enough staff, safe medicines processes, suitable risk assessments, clean premises and appropriate infection control. Staff were trained and supported people with food, healthcare and decisions about their care.
Inspectors saw warm and respectful relationships. Care plans were personal and reviewed regularly, and people were supported to make choices, keep relationships and take part in activities. This was the first inspection since the service registered, so there was no earlier rating to compare.
People felt safe
Everyone inspectors spoke with said they felt safe. Staff could explain what they would do if they suspected abuse, and risks were assessed and reviewed.
“Everyone we spoke with said they felt safe living at the home.” from the report
Kind relationships
Inspectors saw warm, familiar interactions. People and relatives described staff as kind, caring and compassionate.
“People and their relatives told us staff were kind, caring and compassionate in their approach.” from the report
Personalised support
Care was tailored to people's choices, needs and independence. Plans included preferences such as when people wanted to get up, how they wanted to dress and what they liked to eat.
“Care and support was delivered in a highly personalised way and was tailored to meet people's needs, choices and promote independence and control.” from the report
Visible leadership
The registered manager was well known and staff said they could approach management with concerns or ideas. Inspectors also found regular quality checks and action plans.
“We continuously saw how the registered manager led by example and responded with compassion, imagination and thoughtfulness to people's preferences for support.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular health needs, and how would their risk assessments and care plan be reviewed?
- 02Which staff would support my relative with medicines, and how do you check their competence?
- 03What activities and community opportunities would be suitable for my relative's interests and communication needs?
- 04How would you involve my relative and our family in decisions about care, including end of life wishes?
- 05Who should we speak to if we have a concern, and how would it be handled?
This was an unannounced first inspection of the newly registered care home, covering all five CQC questions and infection prevention and control. This explanation was written from the published report of 16 February 2023 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 Estuary House
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021
Registered with the Care Quality Commission on 10 February 2021.
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.
Weigh the report against the rest
Fees, photos and reviews from families
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What to check when you visit
91 live-in carers within about an hour of Liverpool
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 £1,260 a week. 83 can care for a couple. 10 years' experience on average.
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
“All in all Kama b cared for the owner really well, every aspect of her care was of the highest standard.”
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.