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CQC report explained · a residential care home

What the CQC found at Homelands

Goodpublished 7 July 2022, 4 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, staff knew how to protect people from harm, medicines were managed safely and infection controls were in place. Some relatives said staffing could be lower at weekends.
Effective?
Good
People's needs were assessed before they moved in. Staff had training and supervision, dietary needs were supported, and people had access to healthcare professionals.
Caring?
Good
Staff were kind, caring and patient. People were involved in decisions, their privacy and dignity were respected, and they were encouraged to remain independent.
Responsive?
Good
Care plans reflected people's lives, wishes and preferences, and staff knew people well. Families were welcomed, but one person said there was not much to do and they sometimes felt bored.
Well-led?
Good
The home had an open, person-centred culture. Audits, meetings and feedback were used to monitor care and identify improvements.
The latest report, explained

What inspectors found, July 2022

Homelands was rated Good in all five areas; inspectors found safe, kind and personalised care, with some limits on weekend staffing and activities.

This was the first inspection since the home registered in May 2021. It was unannounced and took place on 14 and 16 June 2022. One inspector spoke with people, relatives and staff, observed care, and checked care plans, medicines, recruitment files and other records.

The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, received their medicines as prescribed, and had their health, food and communication needs supported. Staff knew people well and treated them with kindness, patience, dignity and respect.

Care was personalised and people were supported to make choices, stay in touch with relatives and remain as independent as possible. The home had been redecorated and had an accessible garden. Inspectors also noted that activities were limited for some people and that staffing could be lower at weekends, although they found no impact on people's care.

What inspectors praised
  • Safe care and medicines

    Inspectors found that risks were assessed, staff were trained in safeguarding, and medicines were ordered, stored, given and recorded safely.

    “There were sufficient numbers of trained staff to meet people's care and support needs.” from the report
  • Kind and respectful staff

    People and relatives described staff as kind and caring. Inspectors saw staff respond calmly when people became upset and support their dignity.

    “People were treated well and supported by kind, caring and patient staff.” from the report
  • Personalised support

    Care plans included people's histories, families, wishes and preferences. Staff used this information to provide individual support.

    “People received personalised care that met their needs and preferences.” from the report
  • Good family involvement

    Relatives were encouraged to visit, give feedback and attend meetings. Complaints were recorded and followed up.

    “Complaints were logged and the outcomes were recorded to the satisfaction of the complainants.” from the report
  • Pleasant surroundings

    The home had been redecorated and had a garden with seating, shade and easy access from communal rooms.

    “Communal areas had been redecorated and provided a comfortable, light and airy environment for people to enjoy.” from the report
What inspectors were concerned about
  • Limited activities

    minor

    Activities such as karaoke, exercises and games were provided, but outings were only starting again and one person said they sometimes became bored.

    “There's not a lot to do and I do get bored sometimes, but I'm not keen to go out or anything.” from the report
  • Lift repair

    minor

    The lift was being repaired during the inspection. Most people upstairs could use the stairs, but ask about the lift if your relative has mobility difficulties.

    “A relative told us, "It is safe, except when the lift wasn't working, but they did seem to get the lift repaired very quickly".” from the report
Questions to ask them, based on this report
  1. 01How many care staff are normally on duty at weekends, and what happens if someone is off sick?
  2. 02What activities and outings are currently available for people who may become bored or prefer individual activities?
  3. 03Has the lift repair been completed, and what arrangements are in place for anyone who cannot safely use the stairs?
  4. 04How will you support my relative's specific health, dietary, communication and mobility needs?
  5. 05How are relatives involved in care reviews, residents' meetings and feedback about the home?

This was the first comprehensive inspection of the newly registered home and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 7 July 2022 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 Homelands

4 rated inspections over 6 years: the service has improved, from Requires improvement to Good.

  1. July 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Homelands →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. October 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. February 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
  5. May 2021

    Registered with the Care Quality Commission on 5 May 2021.

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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Most charge £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.

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