CQC report explained · a nursing home
What the CQC found at Headingley Court Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, May 2023
Rated Good; inspectors found safe care, kind staff and effective management, but this was a focused inspection of only two areas.
The inspection was unannounced and took place on 03 May 2023. One inspector and an Expert by Experience spoke with people, staff and professionals, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good for Safe and Well-led. Inspectors found systems to protect people from abuse, clear risk assessments, safe medicines practice, enough staff, good infection control and appropriate checks on the building and equipment.
People were treated with respect and offered choices. Staff knew people well, listened to their views and acted on suggestions. Audits were used to find issues and make improvements.
This was a focused inspection because concerns had been received about leadership, person-centred care and staffing. The overall Good rating stayed the same as at the previous inspection, published on 25 November 2021. The other three areas were not inspected at this visit, so their earlier ratings were carried forward.
Clear risk management
Risks linked to people's care were identified and staff had clear instructions to reduce them.
“Risk assessments were detailed and gave clear guidance for staff to follow.” from the report
Safe medicines
Medicines were stored, given and recorded appropriately. Staff handling medicines received training and regular checks of their competence.
“Medicines were stored, administered and recorded appropriately.” from the report
People's views acted on
The home collected feedback and acted on suggestions. For example, it sourced a projector after people requested one.
“People's comments and suggestions were taken seriously and acted on.” from the report
Person-centred support
Staff knew people well, offered choices and respected people's decisions. Inspectors observed friendly and person-centred interactions.
“Staff knew people well and promoted their independence by offering choices and respecting people's decisions.” from the report
Inspectors raised no specific concerns in this report.
- 01What action has the home taken in response to the concerns about leadership, person-centred care and staffing that led to this inspection?
- 02What are the current ratings and recent review findings for Effective, Caring and Responsive, which were not inspected this time?
- 03How does the home check that staffing levels remain sufficient at different times of day and night?
- 04How are relatives' concerns recorded, reviewed and followed up through the home's feedback and meeting systems?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried over from the previous inspection published on 25 November 2021. This explanation was written from the published report of 19 May 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, November 2021
Rated Good; inspectors found safe, kind and personalised care, with the home improved from Inadequate and no longer in special measures.
This was an unannounced follow-up inspection on 27 October and 01 November 2021. Two inspectors spoke with people, relatives, staff and commissioners. They observed care and reviewed care, medicine, staffing, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safer medicines systems, detailed risk assessments, suitable training and good links with health professionals.
People were described as safe and well cared for. Staff were kind, respectful and person-centred. The home had improved since the previous inspection, when it was rated Inadequate and had multiple breaches. It was no longer in breach of regulations or in special measures.
Detailed risk planning
Risks were assessed and managed, with care plans containing detailed information. Inspectors found the home had improved enough to meet the relevant safety requirements.
“Risks were assessed and managed to keep people safe. Care plans contained detailed risk assessments to ensure people's safety.” from the report
Kind and respectful care
Inspectors saw compassionate and respectful interactions. People’s privacy, dignity, individuality and choices were supported.
“We observed staff interacting with people showing compassion, respect and empathy.” from the report
Personalised support
Care plans included people's likes, dislikes and preferences. Staff understood people's needs and supported activities that mattered to them.
“People's care plans recorded their likes, dislikes and what was important to the person.” from the report
Improving management
The home had effective quality monitoring and action plans. Staff reported better support and teamwork since the registered manager returned permanently.
“The quality assurance systems which were in place to monitor the service were effective.” from the report
Minor medicines records issues
minorInspectors identified some minor problems with medicines documentation. The registered manager improved the documentation after the inspection.
“Documentation was further improved by the registered manager following our inspection to address some minor issues we identified.” from the report
- 01What medicines documentation issues were found, and how do you check that records remain complete?
- 02How do you make sure the improvements made after the last inspection are sustained?
- 03How are staffing levels checked at busy times and when people's needs change?
- 04How are people's preferences, activities and changing needs reflected in their care plans?
- 05How are complaints, incidents and feedback used to make further improvements?
This was an unannounced follow-up inspection covering all five key questions, including infection prevention and control under Safe, after the previous Inadequate inspection. This explanation was written from the published report of 27 November 2021 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 Headingley Court Care Home
5 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2021Goodup from InadequateSafe: GoodWell-led: Good
- July 2021Inadequatestayed InadequateSafe: Inspected but not ratedWell-led: Inspected but not rated
- March 2021Inadequatedown from GoodSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- February 2020GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019
Registered with the Care Quality Commission on 10 January 2019.
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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92 live-in carers within about an hour of Doncaster
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. 77 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“I can honestly say without Petros I don't believe he would have lived an extra 2 years”
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.