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CQC report explained · a residential care home

What the CQC found at Ferriby Lane

Goodpublished 8 August 2019, 7 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, suitable risk assessments, safe medicines systems and enough staff to meet people's needs. Accidents and incidents were reviewed for lessons and patterns.
Effective?
Good
People's needs were assessed and reviewed, and staff had appropriate training and supervision. People had access to food, drinks, healthcare and support to maintain their independence.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people's preferences and supported choice, independence, relationships and involvement in care decisions.
Responsive?
Good
Care records were personalised and regularly updated. People were supported with communication, activities, community access, complaints and planning for end of life care.
Well-led?
Good
Inspectors found clear leadership, low staff turnover and an open culture. The home sought feedback from people and relatives and used it to improve the service.
The latest report, explained

What inspectors found, August 2019

Rated Good; inspectors found safe, kind and person-centred care, with improvements since the previous inspection.

The inspection was unannounced and took place on 2 July 2019. One inspector spoke with three people living at the home, two staff members, managers and one relative. They also reviewed care and medicines records, staff files and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found good relationships between people and staff, safe medicines management, suitable staffing and personalised care plans.

People were supported to make choices, build independence and take part in activities, education, hobbies and community life. The home was clean and welcoming, although some areas were described as a little tired in appearance.

The previous rating was Requires Improvement, published in July 2018. Inspectors found the required improvements had been made and that the home was no longer in breach of regulations.

What inspectors praised
  • Kind relationships

    People and staff had trusting and respectful relationships. The atmosphere was described as homely.

    “There was a homely atmosphere and people and staff had developed good and caring relationships built on trust and mutual respect.” from the report
  • Safety systems

    Safeguarding, risk management, recruitment, staffing and medicines systems were working well.

    “The provider had effective safeguarding systems in place. Staff received appropriate training in this topic and had a good understanding of what to do to protected people from harm or abuse.” from the report
  • Skilled staff

    Staff had completed induction and training and were described as competent and knowledgeable.

    “Staff were competent, knowledgeable and skilled, and carried out their roles effectively.” from the report
  • Personalised support

    Care plans reflected people's individual needs and were reviewed when circumstances changed.

    “Care records were personalised to a very good standard and reflected each person's individual needs.” from the report
  • Activities and independence

    People were supported to develop skills, make choices and take part in activities, education, work experience and community groups.

    “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
  • Improved leadership

    Leadership and quality monitoring had improved since the previous inspection.

    “At this inspection this key question has improved to good. This meant the service was consistently managed and well-led.” from the report
What inspectors were concerned about
  • Some décor was tired

    minor

    A relative said some areas looked a little worn, although work was under way and the garden had improved significantly.

    “Some areas are a bit jaded, décor wise, but they are tackling things, they have made massive strides with the garden.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made since the inspection to the areas described as a little jaded?
  2. 02How will staffing levels be increased if new people move into the home?
  3. 03How are medicines reviewed, particularly medicines that can affect behaviour?
  4. 04How will my relative be supported to build independence and take part in activities, education, work experience or community groups?
  5. 05How will my relative and family be involved in reviewing care plans and making decisions about care?

This was an unannounced inspection of the care, premises and management of the home, and all five CQC questions were assessed. This explanation was written from the published report of 8 August 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.

An earlier report, explained

What inspectors found, July 2018

Ferriby Lane Requires Improvement; inspectors found kind, person-centred care but safety checks and electrical maintenance needed improvement.

Inspectors visited on 9 and 14 May 2018. The first visit was unannounced and the second was announced. They observed care, spoke with people and staff, and checked care plans, medicines, training, recruitment, complaints, audits and the building.

People were supported by trained staff who knew them well. Inspectors found good care that was kind, respectful and focused on people’s choices, independence, relationships, activities and work opportunities. The effective, caring and responsive questions were rated Good.

The main problem was the safety of the building. An electrical safety certificate had urgent recommendations that had not been dealt with. Some repairs and environmental risks had also not been identified promptly. Safe and well-led were rated Requires Improvement, making the overall rating Requires Improvement.

The home told inspectors after the visit that protective cases had been put on all fire extinguishers and that electrical testing and any necessary work were planned for the week beginning 9 July 2018.

What inspectors praised
  • Kind and respectful support

    People described staff positively, and inspectors saw trusting relationships and a homely atmosphere. Staff respected privacy and dignity.

    “Throughout the inspection we observed positive interactions between staff and people living at the service.” from the report
  • Personalised care

    Care plans included people’s preferences, communication needs, health needs and interests. People were involved in reviews as much as they wished.

    “People's care plans were detailed and person-centred so staff knew how to respond to people's needs and provide support in line with their preferences.” from the report
  • Choice and independence

    Staff supported people to make decisions, take positive risks and develop everyday skills. People could pursue hobbies, access the community and take up volunteering or paid work if they chose.

    “Staff were aware of the importance of supporting people's independence and supported people to develop and build on existing skills.” from the report
  • Skilled staff and safe medicines

    Staff training and knowledge were found to be suitable for people’s needs. Medicines were stored and administered safely, with staff competency checks.

    “People received their medicines safely. Medicines were stored correctly and securely.” from the report
What inspectors were concerned about
  • Urgent electrical work

    serious

    The electrical safety certificate contained urgent recommendations that had not been completed. Inspectors said this could have been potentially dangerous and found a breach of Regulation 12.

    “However, the electrical safety certificate had urgent recommendations in place, which could be potentially dangerous.” from the report
  • Building repairs and environmental risks

    needs fixing

    Some repairs were needed, including work related to damp, a wet room, an unused kitchen and a damaged fire-extinguisher case. Not all environmental risks had been identified.

    “Some risks in the environment had not been considered.” from the report
  • Checks did not identify problems promptly

    needs fixing

    Quality and safety audits were in place, but they had not always found or addressed maintenance and safety shortfalls in good time.

    “However, systems in place to check the maintenance of the building and its safety had not always been effective.” from the report
Questions to ask them, based on this report
  1. 01Has the electrical safety testing been completed, and what work was needed to address every urgent recommendation?
  2. 02What repairs were completed in the wet room, bedroom, hallway, kitchen and individual flat?
  3. 03How do you now check that environmental risks and maintenance problems are identified and dealt with promptly?
  4. 04Are all fire extinguishers fitted with protective cases, and how often are these checked?
  5. 05How will families and residents be told about progress on the improvements required after this inspection?

This was a comprehensive inspection covering Safe, Effective, Caring, Responsive and Well-led; the previous overall rating was Good. This explanation was written from the published report of 6 July 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.

The story over the years

Every inspection of Ferriby Lane

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. August 2019Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ferriby Lane →

  2. July 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Ferriby Lane →

  3. February 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 15 November 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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