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CQC report explained · a residential care home

What the CQC found at Hickathrift House

Goodpublished 21 May 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, appropriate risk assessments and safe medicines management. The premises were clean, equipment was checked and accidents and incidents were reviewed.
Effective?
Good
Care plans covered people's health, social needs, preferences and interests. Staff received relevant training, people were supported with food and drink, and healthcare was arranged when needed.
Caring?
Good
People and relatives said staff were kind and respectful. Inspectors saw staff supporting dignity, independence, choice and contact with relatives.
Responsive?
Good
Care was personalised and records were reviewed monthly or when needs changed. Activities were provided, end of life wishes were discussed, and complaints were responded to, although some issues had to be raised again.
Well-led?
Good
Inspectors found an approachable and visible manager, good teamwork and systems for checking quality. Feedback from people, relatives and staff was used to support improvement.
The latest report, explained

What inspectors found, May 2019

Hickathrift House was rated Good in all five areas, with safe, kind and personalised care and only minor issues about meal timings and repeated complaints.

The CQC made an unannounced inspection visit on 10 April 2019. Inspectors spoke with people living at the home, relatives, staff and visiting health professionals. They observed care, reviewed three people's care records and checked records about staffing, medicines, incidents and quality checks.

The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, clean premises and suitable equipment. Staff were described as kind and respectful, and people were supported to make choices, stay independent and keep contact with family and friends.

The report also records that lunch was served later than advertised on the inspection day, and some people felt lunch and tea were too close together. People and relatives said complaints were dealt with, but sometimes improvements did not last and the issue had to be raised again. The manager said some issues needed to be revisited before they were fully resolved.

What inspectors praised
  • Enough staff

    Staffing was assessed against people's needs and inspectors saw enough staff to provide prompt care. Staff were also familiar to people because recruitment and retention were stable.

    “We observed that there was enough staff to ensure that people received prompt care and support.” from the report
  • Kind and respectful care

    People and relatives described staff as kind. Inspectors saw staff protecting dignity, encouraging independence and offering people choices.

    “Staff were respectful towards people they supported, ensuring that preferred names were used, and checking with people first before providing them with care.” from the report
  • Strong management and oversight

    The manager was described as visible and approachable. Audits, incidents, feedback and quality checks were used to identify improvements.

    “The registered manager positively encouraged feedback, reviewed the quality of the service and acted on any identified shortfalls to continuously improve the service.” from the report
What inspectors were concerned about
  • Meal timings

    minor

    Lunch was later than advertised on the inspection day. Some people also felt lunch and tea were served too close together, and the manager said this would be discussed with residents.

    “On the day of our inspection, we observed that the lunchtime meal was served later than the advertised time.” from the report
Questions to ask them, based on this report
  1. 01What has changed since the inspection to make sure meals are served at the advertised times?
  2. 02How do you check that lunch and tea are spaced appropriately for residents?
  3. 03How do you make sure improvements continue after a complaint, so families do not need to raise the same issue again?
  4. 04How would you assess and record my relative's needs, preferences, hobbies and interests before admission?
  5. 05How would you involve my relative and our family in decisions if my relative could not make a particular decision?

This was an unannounced scheduled inspection that looked at all five CQC questions, and the ratings for all five areas were Good. This explanation was written from the published report of 21 May 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 Hickathrift House

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

  1. May 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hickathrift House →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2011

    Registered with the Care Quality Commission on 15 February 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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