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CQC report explained · a residential care home

What the CQC found at Harelands House

Goodpublished 6 March 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found safe staffing, recruitment, risk assessment, safeguarding, medicines and infection control systems. They also found clear arrangements for investigating incidents and learning from them.
Effective?
Good
Staff had relevant induction, training, supervision and support. People were assessed before admission and supported with their health, nutrition, communication and mental capacity needs.
Caring?
Good
Staff were observed to be kind, caring and compassionate. People were supported to make choices, maintain independence, follow familiar routines and receive personal care in ways that protected their dignity.
Responsive?
Good
Care plans recorded people's needs, choices and preferences and were reviewed during stays. The home offered activities, life skills and flexible support, including responses to urgent respite requests.
Well-led?
Outstanding
Inspectors found approachable managers, strong staff support, specialist staff champions, detailed audits and involvement from people using the service and their families in improving the home.
The latest report, explained

What inspectors found, March 2018

Rated Good overall, with Outstanding leadership; inspectors found kind, safe and personalised respite care.

The inspection took place over 16 and 17 January 2018. It was announced in advance. Inspectors spoke with six relatives, the manager and six care staff. They observed care and checked records for three people.

The home provides short-term respite accommodation for adults with learning disabilities. Inspectors found safe medicines systems, suitable staff training, personalised care plans and support that followed people's routines, choices and communication methods.

All five areas were rated Good except Well-led, which was rated Outstanding. The overall rating stayed Good, as it had at the previous inspection. The report says there was no evidence of serious risks or concerns.

What inspectors praised
  • Kind and supportive staff

    Staff built positive relationships with people and their families, even though stays were usually short.

    “Staff were consistently kind, caring and supportive and although most often they only supported people for a short period of time had developed positive relationships with people who used the service and their families.” from the report
  • Good staff preparation

    Staff received induction, ongoing training, supervision and access to specialist learning about autism, learning disabilities and behaviours that challenge.

    “This ensured they had sufficient knowledge to meet people's needs.” from the report
  • Strong leadership and improvement

    The home used audits, action plans, staff development and family involvement to monitor and improve the service. This area improved from Good to Outstanding.

    “The service had improved to outstanding.” from the report
What inspectors were concerned about
  • Communication about one incident

    minor

    One family member felt the investigation into inappropriate behaviour involving their relative could have been better explained. Inspectors were satisfied that the concern had been investigated.

    “One family member also told us about an incident around a person accommodated at the home who showed inappropriate behaviour to her relative and thought the investigation could have been better communicated to them.” from the report
Questions to ask them, based on this report
  1. 01How will you assess my relative's needs before their first stay, and how will you check that they settle in safely?
  2. 02How will you support my relative's usual routines, communication methods, personal care preferences and activities during a short stay?
  3. 03What arrangements are in place for medicines, including what happens if emergency respite is needed and medicines run out?
  4. 04If there is an incident or complaint involving my relative, how will you investigate it and keep our family informed?
  5. 05If the home is full, what alternative accommodation and staffing would be offered for emergency respite?

This was an announced inspection of all five key questions and the overall quality of the service; inspectors observed care and reviewed records for three people. This explanation was written from the published report of 6 March 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 Harelands House

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

  1. March 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Harelands House →

  2. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. October 2014

    Registered with the Care Quality Commission on 8 October 2014.

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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Rochdale

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. 92 can care for a couple. 11 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
See live-in carers near RochdaleProfiles, rates and reviews are free to look at.

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.