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CQC report explained · a residential care home

What the CQC found at Henley House

Goodpublished 17 April 2025, 17 months ago

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

The latest report, explained

What inspectors found, February 2021

Henley House was inspected but not rated; inspectors were assured about infection prevention and control during the coronavirus pandemic.

This was an announced, targeted inspection on 28 January 2021. Inspectors looked at how the home prepared for and managed infection prevention and control during the pandemic.

Inspectors found that staff, managers and visitors used protective equipment correctly. The home had testing, visitor checks, hand sanitiser, cleaning arrangements and updated infection control procedures.

Inspectors were assured that people were protected from infection, including through safe admissions, social distancing, shielding and plans for managing outbreaks. The home was clean and there were enough staff to maintain support.

The home was inspected but not rated. This report does not provide an overall quality rating or ratings for the other four areas that CQC usually considers.

What inspectors praised
  • PPE and hygiene

    Staff, managers and visitors were using PPE correctly. Inspectors also found good arrangements for disposing of PPE and other waste.

    “Staff, management and visitors were using personal protective equipment (PPE) correctly and there were procedures in place around the use of PPE.” from the report
  • Testing and visitor checks

    The home tested staff weekly and residents at least every 28 days. Visitors had their temperatures checked and entry was refused if the reading was outside the permitted range.

    “The provider had processes to minimise the risk to people, staff and visitors from catching and spreading infection.” from the report
  • Clean environment and staffing

    The home was clean and hygienic, with a full-time cleaner and extra staff available if needed. Inspectors found enough staff to maintain support and safeguards during a shortage.

    “The home was clean and hygienic. A designated full-time cleaner was in post and additional staff could be used if this was required.” from the report
  • Keeping people connected

    The home used social media and tablets to support people's mental wellbeing and contact with relatives and friends. It had also created an outdoor visiting pod.

    “People's mental wellbeing had been promoted by innovative use of social media and electronic tablets so people could contact their relatives and friends.” from the report
What inspectors were concerned about
  • Activities programme was pending

    minor

    The activities coordinator was away at the time of the inspection. The manager said a programme would be introduced shortly, so families may wish to check whether this happened.

    “At the time of inspection, the home's activities coordinator was away from the home but the registered manager said a programme of activities was to be introduced shortly” from the report
Questions to ask them, based on this report
  1. 01What activities programme is now in place, and how are residents encouraged to take part?
  2. 02How often are residents and staff currently tested for infections?
  3. 03What visiting arrangements are now available, and is the visiting pod still used?
  4. 04How does the home manage a suspected or confirmed infection outbreak?
  5. 05How are PPE supplies, use and disposal checked?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 19 February 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.

An earlier report, explained

What inspectors found, August 2019

Rated Good; inspectors found safe, kind and person-centred care, with some mixed views about meals and activities.

The inspection was unannounced and took place on 23 July 2019. One inspector spoke with people, relatives, managers and care staff. They reviewed care records, staff recruitment files, policies and other records, and checked the safety of the building.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staff were safely recruited and there were enough staff to meet people's needs.

People were treated with kindness and respect. Care was tailored to people's needs and preferences. Staff worked with health and social care professionals, supported people's choices and provided activities, including special events and entertainment.

There were some mixed views about the variety of lunchtime meals and activities. The manager said they would seek further feedback about meals and appoint a new activities coordinator. The overall Good rating was unchanged from the previous inspection.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe. Staff had safeguarding training and understood what to do if abuse was suspected.

    “People were protected from abuse and other types of harm.” from the report
  • Safe medicines and staffing

    Medicines records were accurate and showed people received medicines as prescribed. Recruitment checks were robust and staffing levels were considered sufficient.

    “Records showed staff were up to date with medicines training.” from the report
  • Kind and respectful care

    People were treated with compassion, dignity and respect. Staff knew people well and supported them to make everyday choices.

    “We observed positive interactions between people, relatives and staff.” from the report
  • Person-centred support

    Care plans reflected people's needs, preferences and communication requirements. Relatives were involved where appropriate.

    “Care planning was person-centred and reflected people's needs.” from the report
  • Good leadership and improvement

    Managers were approachable and used meetings, feedback and quality checks to identify and act on issues.

    “There was effective management oversight in the service.” from the report
  • End of life support

    The home had an end of life policy and trained staff. It worked with relatives and health professionals to plan this support.

    “The service had a comprehensive policy around end of life care.” from the report
What inspectors were concerned about
  • Lunchtime meal variety

    minor

    Some people were unhappy with the quality and variation of lunchtime meals. The manager said a residents' meeting would be arranged to gather more feedback.

    “There was however some mixed feedback about the quality and variation of lunch-time meals.” from the report
  • Activities were not always varied

    minor

    One person said activities were irregular and very similar. The activities coordinator was due to leave, and a replacement was expected to arrange a fuller programme.

    “There was one person who provided a mixed view about the quality of the activities at the home saying they were irregular and very similar.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to the variety and quality of lunchtime meals since the inspection?
  2. 02Who now organises activities, and how do you make sure they are regular and varied?
  3. 03How would you support my relative's specific health needs and involve outside health professionals?
  4. 04How would you involve my relative and our family in care planning and reviews?
  5. 05What support could you provide for end of life care if my relative needed it?

This was an unannounced comprehensive inspection covering the home, the care provided and all five CQC questions; the previous overall rating was Good, published on 25 July 2017. This explanation was written from the published report of 7 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.

The story over the years

Every inspection of Henley House

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Henley House →

  2. August 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Henley House →

  3. July 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2015Inspected but not rated
    Safe: Good

    Read this report on cqc.org.uk

  5. January 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 28 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.

Next steps

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