CQC report explained · a residential care home
What the CQC found at Fallings Heath
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care with strong management.
This was an unannounced planned inspection on 13 August 2019. One inspector spoke with a person living at the home, staff, a health professional and relatives. Records about care, medicines, staffing and management were also checked.
The inspectors found people were safe. Staff knew how to respond to abuse and challenging behaviour, medicines were managed safely, there were enough staff, and the home was clean. Staff had the training and skills to meet people's needs and people received enough food, drink and healthcare.
People were treated with kindness and respect. Staff knew them well, supported their choices and encouraged independence, activities and community involvement. Care plans were individual and regularly reviewed, and communication methods included easy-read information and Makaton.
The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating and the same rating in every area as at the previous inspection, published on 18 February 2017.
Safe support
Staff knew how to recognise abuse and manage risks. The home also learned from incidents, including improving its door alarm after someone left the building alone.
“Accidents and incidents were recorded and investigated to reduce the risk of occurrence in the future.” from the report
Skilled staff
Staff received ongoing training in areas including autism and epilepsy. Inspectors found that staff had the skills and knowledge to support people's individual needs.
“Staff received regular on-going training in specific areas such as autism and epilepsy in order for staff to be able to support people's individual needs.” from the report
Kind and respectful care
People were supported by staff who knew them well and treated them with patience and kindness. Their privacy, dignity and independence were respected.
“We saw that people were supported by kind, patient and caring staff.” from the report
Personalised lives
People had individual care and activity plans. They were supported to choose activities, use local services and develop greater independence.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Good communication and oversight
The home used easy-read documents and knew people's preferred communication methods. Management used checks, reviews and feedback to monitor quality.
“Regular checks and reviews on the service took place to ensure the service people received was of the highest quality.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative if they showed behaviour that challenged, and what positive behaviour plan would be used?
- 02How would you communicate with my relative, including whether you can use their preferred method such as easy-read information or Makaton?
- 03How would my relative be involved in care reviews and decisions about their daily activities?
- 04What training have staff completed that is relevant to my relative's needs, such as autism or epilepsy?
- 05How would you support my relative to stay independent and take part in activities and the local community?
This was an unannounced inspection covering all five CQC questions, with the previous Good ratings reviewed and retained. This explanation was written from the published report of 18 September 2019 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 2017
Fallings Heath rated Good; inspectors found safe, kind and personalised care, and the previous consent breach had been resolved.
This was an unannounced inspection. One inspector visited the home, observed care, spoke with one resident, staff, the manager and a healthcare professional, and checked care, medicine, staff and quality records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, trained staff, kind relationships and care that reflected people's choices, needs and interests.
The home had previously breached the regulation about gaining consent at the June 2015 inspection. At this inspection, inspectors found that this requirement had been met. They found no complaints since the last inspection, but a complaints process was in place.
Safe staffing
Inspectors found enough staff to meet people's care needs and support their interests. Recruitment checks were completed before staff started.
“People were supported by adequate numbers of staff who had been recruited safely.” from the report
Kind and respectful care
Staff knew people's preferences and supported their choices, privacy and independence. Inspectors saw positive relationships between staff and residents.
“People had positive relationships with staff and staff were kind and caring towards people.” from the report
Skilled support
Staff received training, induction and ongoing support. They understood people's individual needs and how to communicate with them.
“People were supported by staff who had the skills and training to meet their individual needs.” from the report
Quality checks
The provider used audits, feedback and reviews of accidents and incidents to monitor the service and identify improvements.
“Regular checks were undertaken to monitor the quality of the service and these were effective at identifying improvement required.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure my relative is asked for consent in a way they understand?
- 02How would staff recognise and respond if my relative was unhappy or unable to make a complaint?
- 03How will you support my relative's particular interests, activities and daily choices?
- 04How do you monitor changes in a person's health and make sure they reach the right healthcare professional?
- 05What staffing arrangements are used when people's needs change or staff are absent?
This was an unannounced inspection covering all five key questions; the report says the previous consent breach from June 2015 had been met, and its background section contains a conflicting 2016 inspection date. This explanation was written from the published report of 18 February 2017 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 Fallings Heath
3 rated inspections over 4 years: the service has held its Good rating throughout.
- September 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 December 2010.
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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What to check when you visit
At least 100 live-in carers within about an hour of Walsall
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 £950 to £1,200 a week. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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.