CQC report explained · a residential care home
What the CQC found at Headingley Hall Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2020
Headingley Hall Care Home is rated Outstanding; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced, planned inspection over two days in November and December 2019. Inspectors spoke with people living in the home, relatives, staff and visiting healthcare professionals. They also checked care, medicines, recruitment and management records.
The home was rated Outstanding overall. Caring, responsive and well-led were rated Outstanding. Safe and effective were rated Good. Inspectors found kind and person-centred care, strong activities and community links, good healthcare support, enough staff and safe medicines arrangements.
The previous overall rating was Good, published in June 2017. Caring, responsive and well-led improved from Good to Outstanding. The report says the home will continue to be monitored through its usual re-inspection programme.
Kind and respectful staff
People and relatives consistently praised the staff. Inspectors found that staff treated people with exceptional kindness, dignity and respect.
“People and relatives were unanimous in their praise of the staff and the exceptionally high standards of care and support provided.” from the report
Personalised activities
The home offered many activities and supported people to keep relationships with family, schools and the wider community. Staff also helped people pursue individual interests and wishes.
“The service excelled in providing people with opportunities to live as full a life as possible and offered a huge range of activities to suit different tastes.” from the report
End of life care
Families received compassionate support, practical help and comfort when someone was approaching the end of life. Staff worked with healthcare professionals to keep people comfortable.
“People received exceptional end of life care due to the skills, compassion and empathy of staff.” from the report
Strong leadership
The management team was visible and encouraged staff to improve care. Inspectors found well-established systems for monitoring quality and risks.
“There was a well-established and fully embedded governance and quality assurance framework in place for monitoring performance and risk.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines were managed safely and people received them at the right time.
“There were enough staff to support people safely and to ensure their needs were met.” from the report
Care records still being improved
minorInspectors said work was still under way to ensure electronic care records fully captured people's needs and preferences. Ask to see how this work has been completed.
“Work was ongoing to make sure the electronic care records fully reflected people's needs and preferences.” from the report
- 01Have the electronic care records been updated so they fully reflect each person's needs and preferences?
- 02What progress has been made with the renovation and refurbishment of the smaller bedrooms and en suite facilities?
- 03How are staffing levels reviewed when people's needs or dependencies change?
- 04How would you support my relative to take part in activities and maintain links with family and the local community?
- 05What support is available for families if my relative needs end of life care?
This was an unannounced planned inspection that assessed all five CQC questions and looked at both the care provided and the home premises. This explanation was written from the published report of 8 February 2020 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, June 2017
Rated Good; inspectors found safe, kind care and improvements since the previous inspection, but some staff criminal-record checks had not been renewed.
Inspectors visited on 8 and 12 May 2017 without telling the home in advance. They spoke with people living there, relatives, staff and a health care professional. They observed daily care and activities and checked care records, staff files, medicines, staffing and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines arrangements, suitable training, respectful care, personalised care plans, activities and systems for handling complaints and improving the service.
The home had improved since the February 2016 inspection, when it was rated Requires Improvement overall and in two key questions. Inspectors found that some criminal-record checks had not been renewed after staff started work. The provider took immediate action to address this. They also found one fridge above the recommended temperature, which was dealt with during the inspection.
Enough staff
Inspectors found staffing levels were adequate and flexible enough to meet people's needs.
“There were enough staff on duty to provide people with the support they needed” from the report
Kind and respectful care
Staff knew people well and supported their dignity, privacy, choices and independence.
“People were treated with respect, kindness and understanding.” from the report
Personalised support
Care plans covered people's individual needs, preferences and routines, and staff used this information when providing care.
“Care plans recorded people's needs and preferences and staff followed this information when providing support.” from the report
Complaints handled
People knew how to raise concerns. The two complaints recorded in 2017 had been investigated and followed up.
“Two complaints had been made to the registered manager or registered provider and we saw these had been investigated and information fed back.” from the report
Some criminal-record checks were not renewed
needs fixingAlthough checks had been completed when staff were appointed, they had not always been renewed afterwards. The provider began renewing checks and introduced a yearly renewal process.
“Although the original DBS forms had been completed at the point of appointment, they had not always been renewed.” from the report
One fridge was too warm
minorInspectors found one fridge above the recommended temperature and no action had been taken at that point. The issue was resolved during the inspection.
“We noted one fridge was above the recommended temperature and that no action had been taken” from the report
- 01Have all long-serving staff now had their criminal-record checks renewed, and how is this checked each year?
- 02What process is used to record and respond to fridge and other food-storage temperatures?
- 03How are care plans reviewed with each person and their relatives when needs or preferences change?
- 04Which activities are currently available, and how are people supported to choose activities or go out?
- 05How can relatives raise a concern, and how will they be told what action has been taken?
This was an unannounced inspection covering all five key questions, including observations, four care records, five staff files and discussions with people, relatives, staff and a health care professional. This explanation was written from the published report of 29 June 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 Headingley Hall Care Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Outstanding.
- February 2020Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 21 January 2011.
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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At least 100 live-in carers within about an hour of Leeds
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 £1,250 a week. 89 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.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
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.