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CQC report explained · a residential care home

What the CQC found at 34 Shipston Road

Goodpublished 18 November 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, medicines, infection control and risk management were satisfactory.
Effective?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection when calculating the overall rating.
Caring?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection when calculating the overall rating.
Responsive?
Good
This key question was not inspected during this focused visit. Its rating was carried over from the previous inspection when calculating the overall rating.
Well-led?
Good
Inspectors found an open, positive culture, good communication with relatives, and management checks aimed at maintaining and improving care.
The latest report, explained

What inspectors found, November 2023

HF Trust - 34 Shipston Road rated Good; inspectors found safe, kind and person-centred care, with a recommendation about analysing feedback.

The home provides accommodation and personal care for up to four people with learning disabilities or autistic spectrum disorder. Four people lived there at the inspection.

This was an unannounced focused inspection of Safe and Well-led. The inspector spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.

Inspectors found people were safe, supported by staff who knew them well, and involved in decisions about their lives. Medicines, staffing, infection control and safeguarding arrangements were satisfactory.

The overall rating was Good, the same as at the previous inspection in 2018. The report recommends that feedback surveys are analysed by individual location, because the provider could not easily tell which service the feedback related to.

What inspectors praised
  • Safe support

    People were protected from abuse and avoidable harm. Staff understood how to report concerns and inspectors found appropriate risk and safeguarding arrangements.

    “People were safeguarded from abuse and avoidable harm.” from the report
  • Kind and individual care

    Staff knew people's needs and preferences and supported independence while balancing safety. Relatives spoke positively about the care.

    “People were supported by staff who knew them well and were kind and attentive to them.” from the report
  • Safe medicines

    Staff who gave medicines were trained and assessed as competent. Records showed medicines were given as prescribed.

    “People's Medication Administration Records (MAR) showed people's medicines were administered as prescribed.” from the report
  • Good communication

    Relatives said they could communicate well with staff and be involved in decisions about their family member's care.

    “Relatives highlighted how good communication was with the staff team and told us about the positive and inclusive approach taken by staff.” from the report
  • Support for independence

    People were involved in the running of the home, including staff recruitment and choices about activities and menus.

    “People told us they enjoyed taking part in recruiting new staff.” from the report
What inspectors were concerned about
  • Feedback records

    minor

    The provider's surveys were not analysed in a way that clearly showed which location the feedback came from. CQC made a recommendation to improve this.

    “Owing to the way these were analysed by the provider, it was not possible to easily identify which location/service the information related to.” from the report
Questions to ask them, based on this report
  1. 01How will you analyse feedback surveys specifically for this home?
  2. 02How will you show families that feedback leads to improvements?
  3. 03How are people and relatives involved in care planning and decisions about safety?
  4. 04How do you check that medicines continue to be given as prescribed?
  5. 05How can relatives raise concerns with the registered manager and receive an update?

This was an unannounced focused inspection of Safe and Well-led only; the other key question ratings were carried over from the previous inspection when calculating the overall rating. This explanation was written from the published report of 18 November 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.

An earlier report, explained

What inspectors found, September 2018

HF Trust - 34 Shipston Road was rated Good; inspectors found safe, caring support, with an urgent medicines fridge issue dealt with during the visit.

Inspectors visited on 24 August 2018. This was a comprehensive, announced inspection. They spoke with two people living at the home, the manager and two care staff. They observed care and reviewed care plans, daily records, medicine records and quality checks.

The home supported up to four people with a learning disability or autistic spectrum disorder. Inspectors found enough trained staff, suitable care plans, safe medicines administration and good support with health, food, activities and personal choices.

People appeared happy and had friendly relationships with staff. The home was clean and well maintained. People were supported to stay in touch with family and friends, make choices and remain independent.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was the same rating as at the previous inspection in February 2016.

What inspectors praised
  • Enough skilled staff

    Inspectors found enough staff to meet people's needs safely and support their chosen activities. Staff had training, supervision and checks before starting work.

    “There were sufficient staff to meet people's needs safely and support them to participate in activities of their choosing.” from the report
  • Kind relationships

    People appeared happy and comfortable with staff. The home had a friendly atmosphere, and people were supported to keep important relationships.

    “The atmosphere in the home was one of familiarity and friendship.” from the report
  • Personalised support

    Care plans explained people's needs, choices and ways to support independence. Communication plans helped staff share information in ways people could understand.

    “Care plans were personalised and provided clear guidance for staff about how to support people with their identified needs.” from the report
  • People's choices

    People chose meals, activities, outings and holidays. They could also help with household tasks and take part in staff recruitment.

    “People remained as independent as they wanted to.” from the report
  • Quality checks

    The home used regular audits and checks to identify improvements and monitor whether action had been completed.

    “There was a system of internal audits and checks completed within the home to ensure the safety and quality of service was maintained.” from the report
What inspectors were concerned about
  • Medicines fridge temperature

    needs fixing

    The medicines fridge was consistently warmer than the recommended temperature for safe storage. The manager took immediate action and said a replacement fridge would be ordered urgently.

    “However, we found the temperature of the medicines fridge was reading consistently higher than the recommended temperature for safe medicines storage.” from the report
Questions to ask them, based on this report
  1. 01Was the medicines fridge replaced, and how are its temperatures checked now?
  2. 02Has the new manager completed the application to become registered with CQC?
  3. 03How are people's risk management plans reviewed when their needs or abilities change?
  4. 04How are people involved in reviewing their care plans and communication plans?
  5. 05How are people's end of life wishes now discussed and recorded?

This was a comprehensive inspection covering all five key questions, and the ratings remained Good from the previous inspection in February 2016. This explanation was written from the published report of 14 September 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 34 Shipston Road

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 34 Shipston Road →

  2. September 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at 34 Shipston Road →

  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Registered with the Care Quality Commission on 24 October 2012.

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

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