CQC report explained · a residential care home
What the CQC found at Holy Cross Care Homes Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection control, including protective equipment, testing, safe admissions, hygiene, social distancing and outbreak management.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, January 2021
Inspected but not rated; inspectors found effective infection control during the coronavirus outbreak, with some further development signposted.
This was an announced, targeted inspection on 11 December 2020. It checked infection prevention and control because of coronavirus outbreaks in care homes.
Inspectors found that staff used protective equipment properly and had infection control training. The home had arrangements for testing, safe admissions, isolation, social distancing, cleaning and managing outbreaks.
People could visit relatives in a separate visiting room and take part in socially distanced activities. Inspectors also found that risk assessments were used when people could not follow isolation rules because of their cognitive needs.
The service was inspected but not rated. This means the visit did not give an overall quality rating or a rated score for Safe.
Protective equipment
Staff used protective equipment in line with the guidance in place at the time.
“People were supported by staff who wore Personal Protective Equipment (PPE) in line with current guidance.” from the report
Infection control training
Staff had infection control training and regular updates.
“People were supported by staff who were fully trained in Infection Prevention and Control.” from the report
Managing isolation risks
People who tested positive were supported to isolate. The home used risk assessments where cognitive needs made this difficult.
“Where people were not compliant due to their cognitive needs, risk assessments were completed and measures were put in place to mitigate risk to people of transmission of infection.” from the report
Visiting and activities
The home had a separate visiting room and supported socially distanced activities to promote people's social and emotional wellbeing.
“People were supported to see their relatives in a visiting room that ensured social distancing and enabled visitors to access the home from the outside via a separate entrance.” from the report
Further development
minorInspectors signposted the provider to resources to develop its approach. The report does not explain what specific changes were needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What infection prevention and control changes have been made since the inspection?
- 02How do you manage isolation when a person with dementia cannot understand or follow the rules?
- 03How are relatives currently able to visit, and what happens if visiting arrangements change?
- 04How do you make sure staff receive regular infection prevention and control updates?
- 05What resources or improvements did CQC signpost the home to after this inspection?
This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 15 January 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.
What inspectors found, January 2019
Rated Good; inspectors found safe, kind and personalised care, with some areas of décor looking tired.
This was an unannounced inspection on 28 November 2018. Two inspectors and an expert by experience spoke with people living in the home, relatives and staff. They also checked care, medicine and staff records, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable care plans, good support with food and healthcare, and respectful care.
People were involved in decisions about their care and had access to activities, religious support and end of life planning. The home had clear management arrangements and regular checks to identify shortfalls.
The overall Good rating was unchanged from the previous inspection published in November 2015. Good means inspectors found consistently good care and that legal requirements were met.
Safe staffing and medicines
Inspectors found enough staff to respond to people's needs and found that medicines were ordered, stored, administered and recorded safely.
“We saw that there were enough staff to care for people and to respond to their needs in a timely way.” from the report
Kind and respectful care
Staff had positive relationships with people and supported their dignity, privacy and independence.
“Throughout the inspection we observed positive interactions between staff and people.” from the report
Personalised support
Care plans included people's health, social and personal preferences. People and their families were involved where appropriate.
“The care and support plans that we saw reflected people's individual health and social needs.” from the report
Activities and choice
People were offered daily activities and could follow their interests and religious beliefs. Activities were also available for people cared for in their rooms.
“There were daily activities inside the service for those able to participate and for those who were cared for in their room.” from the report
Strong oversight
The home had clear leadership and audits covering care quality, medicines, infection control and safety.
“The quality of the service continued to be monitored.” from the report
Some décor looked tired
minorThe report says some areas needed improvement in appearance. A programme of improvement was in place and was being developed with people living in the home.
“The registered manager told us that some areas of décor were looking 'tired'.” from the report
- 01Which areas of décor looked tired at the inspection, and has the planned improvement programme been completed?
- 02How will you assess and review my relative's individual needs, preferences and care plan after they move in?
- 03How do you make sure there are enough staff on each shift when residents' needs change?
- 04What activities would be available for my relative, including if they spent much of their time in their room?
- 05How would you record and respect my relative's wishes about end of life care and hospital treatment?
This was an unannounced comprehensive inspection covering all five CQC questions, with the overall rating and each question rating assessed during the visit. This explanation was written from the published report of 1 January 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.
Every inspection of Holy Cross Care Homes Limited
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Holy Cross Care Homes Limited →
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Holy Cross Care Homes Limited →
- November 2015Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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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