CQC report explained · a residential care home
What the CQC found at Faith House Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, January 2023
Rated Requires Improvement; inspectors found kind, effective care but unsafe night staffing and weak oversight.
This was an unannounced full inspection on 22 November 2022. One inspector spoke with four people, one relative, the manager and three staff. They also checked care, medicine, recruitment, maintenance and management records.
Inspectors found people were treated kindly and with respect. Care plans reflected people's needs and choices. Medicines were given safely, staff were trained, the home was clean, and people could access healthcare when needed.
However, one care worker was working at night for 10 people, including people who needed two staff for some care. The systems used to check quality had not identified this risk. The overall rating changed from Good to Requires Improvement. The ratings for Safe and Well-led were Requires Improvement, while Effective, Caring and Responsive were Good.
Kind and respectful care
People said staff were kind and caring. Inspectors saw polite, warm and respectful interactions, with privacy and independence supported.
“The caring and kind approach from all staff was apparent.” from the report
Medicines handled safely
Staff were trained and assessed as competent to give medicines. Records were accurate and medicines were stored correctly.
“People received their medicines in a safe way.” from the report
Staff training and support
Staff received regular training, supervision and meetings. New staff completed shadowing shifts before providing care independently.
“People received care and support from appropriately trained staff with the skills necessary to meet their needs.” from the report
Good care planning
Care plans included people's needs, preferences, communication methods and routines. People were involved in decisions about their care.
“People were very much included in the writing of their care plans.” from the report
Access to healthcare
Staff arranged GP and other professional support when needed. Care records reflected advice from healthcare professionals.
“People were supported to access healthcare services when needed and staff worked well with other agencies to ensure effective care.” from the report
Unsafe night staffing
seriousOne night care worker was responsible for 10 people, including people whose records said they needed two staff for some care. This created a risk that people might not receive safe support.
“There was one care staff for the 10 people living at the home. A senior staff member was on call in the event of an emergency.” from the report
Weak quality checks
seriousThe provider's systems did not identify the staffing risk or other shortfalls. Formal quality monitoring was not recorded.
“No records of formal quality monitoring of care at the home were maintained.” from the report
Limited activity records
needs fixingInspectors found that records did not show meaningful activities or one-to-one time. They asked the provider to review the activities plan and recording system.
“No meaningful activities were being recorded or one to one time with people.” from the report
- 01Are there now always two waking staff at night, including when someone is off sick or on leave?
- 02How do you make sure people who need two staff for repositioning or personal care receive this support at night?
- 03What formal quality checks are now completed, and how are actions recorded and followed up?
- 04How do you plan activities around each person's hobbies and preferences?
- 05How do you record meaningful activities and one-to-one time for each person?
This was the first full inspection of all five key questions; a focused inspection in June 2021 had rated Safe and Well-led Good, but those ratings changed to Requires Improvement at this inspection. This explanation was written from the published report of 10 January 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.
What inspectors found, February 2022
Faith House Residential Home was inspected but not rated; inspectors found strong infection control and vaccination checks, with some staffing pressure.
This was an unannounced, targeted inspection on 12 January 2022. Inspectors looked at infection prevention and control, staff vaccination arrangements, and whether staffing pressures affected people's care.
The home had checks for visitors, including temperature checks, personal protective equipment and negative lateral flow tests. Inspectors were assured that the home was using protective equipment safely, supporting visits, testing people and staff, and keeping its infection control policy up to date.
The home had experienced some pressure from unplanned staff sickness and was recruiting for three care posts. Staff worked extra hours to cover this, and inspectors found no impact on people's care.
The home was inspected but not rated. This means the visit did not give a new overall quality rating or ratings for the five key questions.
Infection control
The home had enhanced cleaning, daily and deep-cleaning schedules, testing arrangements and an up-to-date infection control policy.
“There was ongoing enhanced cleaning of the home, this included of high touch point areas.” from the report
Safe visiting
Visitors were checked, tested and asked to use protective equipment. People were supported to keep in contact with family and friends in line with guidance.
“People were supported to see friends and family in accordance with government guidance.” from the report
Vaccination checks
The home checked vaccination status and had risk assessments for staff with exemptions. Inspectors found the vaccination requirement was being met.
“The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
Staff teamwork
Although there were staffing pressures, staff covered extra hours and inspectors found this had not affected people's care.
“We plan rotas and muck in to get everything covered” from the report
Staffing pressure
minorThe home had unplanned staff sickness and was recruiting for three care posts. Staff overtime was being used to cover shifts, although inspectors found no impact on people's care.
“The home was recruiting for three 21 care hours posts.” from the report
- 01Have the three care posts now been filled?
- 02How often are shifts currently covered by staff working overtime?
- 03What happens if unplanned staff sickness leaves fewer staff on duty?
- 04How are visitor testing, protective equipment and vaccination checks being maintained now?
- 05How does the home support family visits when someone is isolating?
This was a targeted inspection of infection prevention and control, COVID-19 vaccination arrangements and staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 3 February 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.
Every inspection of Faith House Residential Home
5 rated inspections over 7 years: the service has held its Requires improvement rating throughout.
- January 2023Requires improvementcurrent ratingSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
Read what inspectors found at Faith House Residential Home →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Faith House Residential Home →
- August 2021GoodSafe: GoodWell-led: Good
- November 2020Inspected but not ratedSafe: Inspected but not rated
- January 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- December 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2020
Registered with the Care Quality Commission on 15 January 2020.
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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39 live-in carers within about an hour of South Gloucestershire
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 £1,280 a week. 32 can care for a couple. 11 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.