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CQC report explained · a residential care home

What the CQC found at Homeland

Goodpublished 6 October 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and reviewed, safeguarding procedures were understood, staffing was sufficient and medicines were safely managed.
Effective?
Good
Staff were trained, supervised and supported. People were helped to access health professionals, maintain a balanced diet and make decisions about their care.
Caring?
Good
Staff were caring, respectful and supportive. They promoted privacy, independence, choice and meaningful involvement in daily life.
Responsive?
Good
Care plans were personal, current and easy for staff to follow. People took part in varied activities, used individual communication tools and were supported to maintain family relationships.
Well-led?
Good
Inspectors found positive teamwork, good communication and regular checks on care, medicines, incidents, risks and health and safety.
The latest report, explained

What inspectors found, October 2018

Homeland was rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns identified.

This was an announced comprehensive inspection on 5 and 7 September 2018. One inspector spent time with all three people living in the home, observed care, and spoke with a relative, six staff members and two health and social care professionals.

Inspectors reviewed care files, staff files, training records, medicines arrangements, policies and other records. They found that people were safe, received effective support and medicines, and were treated with dignity and respect.

Care was personalised. People were supported to make choices, maintain relationships, take part in activities and use their preferred ways of communicating. Staff were trained and supported, and the home used checks and feedback to improve.

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

What inspectors praised
  • Personalised care

    Care plans included people's preferences, history, communication methods and health needs. Staff used this information to provide consistent support.

    “Care plans reflected people's health and social care needs and demonstrated that other health and social care professionals were involved.” from the report
  • Kind and respectful staff

    Staff supported people with warmth and respect. They protected privacy and used individual communication methods to involve people in decisions.

    “Staff treated people with dignity and respect when helping them with daily living tasks.” from the report
  • Meaningful activities

    People were supported to take part in activities at home and in the local community, and to maintain relationships with family and friends.

    “People engaged in a wide variety of activities and spent time in the local community going to specific places of interest.” from the report
  • Staff training

    Staff received induction, training, supervision and appraisals. Training covered areas linked to people's needs, including safeguarding, behaviour management and catheter care.

    “Staff received a range of training, which enabled them to feel confident in meeting people's needs and recognising changes in people's health.” from the report
  • Good management checks

    The home regularly checked care plans, risks, medicines, incidents and safety. Actions identified through these checks were followed up.

    “Checks were completed on a regular basis as part of monitoring the service provided.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you provide at least one-to-one daytime support for my relative, and how will staffing increase when activities are planned?
  2. 02How will you support my relative to communicate choices, changes in mood and any concerns?
  3. 03What activities and community trips would be available, and how would you match them to my relative's interests?
  4. 04How would you involve our family in care plan reviews and decisions about health or support needs?
  5. 05What is the current position on any Deprivation of Liberty Safeguards assessment or authorisation that my relative may need?

This was an announced comprehensive inspection covering all five key questions, and the ratings in all five areas were Good. This explanation was written from the published report of 6 October 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 Homeland

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

  1. October 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Homeland →

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

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

  3. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 18 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

Weigh the report against the rest

Care at home

17 live-in carers within about an hour of Devon

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 £1,020 to £1,270 a week. 15 can care for a couple. 13 years' experience on average.

“She is such a warm and gentle person while being professional and competent at the same time.”
Martin B., about Love B.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
Holly C., about Dace L.
See live-in carers near DevonProfiles, rates and reviews are free to look at.

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.