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CQC report explained · a residential care home

What the CQC found at Huthnance Park

Goodpublished 18 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found systems to protect people from abuse, clear risk plans, enough staff and safe medicines arrangements. Some refurbishment and water-quality work was still being addressed.
Effective?
Good
Care plans reflected people's needs and choices. Staff had suitable training and supervision, and people were supported with food, health appointments and least restrictive decision-making.
Caring?
Good
People appeared relaxed and happy with staff. Staff respected privacy, dignity and communication needs, and supported people to make decisions and remain independent.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were supported with communication, relationships, activities and interests, and relatives felt able to raise concerns.
Well-led?
Good
Inspectors found strong leadership, supportive staff relationships and effective quality checks. Managers used feedback and information about people's needs to improve care.
The latest report, explained

What inspectors found, March 2020

Rated Good; inspectors found safe, kind and personalised care, with some refurbishment and water-quality work ongoing.

The inspection was unannounced and took place on 24 February 2020. One inspector spoke with two people, staff and managers, and reviewed care, medicine, staff and management records. Feedback was also sought from relatives and health and social care professionals.

The home supported four people with complex learning disabilities and autism. Inspectors found that people received personalised care, were safe, treated with kindness and supported to make choices, pursue interests and develop independence.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good outcomes and care, but the rating does not mean every part of the service was perfect.

What inspectors praised
  • Personalised support

    Care plans gave staff detailed information about each person's preferences, needs and wishes. Inspectors found that care was adjusted to individuals.

    “People received personalised care which met their needs.” from the report
  • Kind relationships

    People appeared relaxed and happy with staff. Staff showed affection, respect and understanding of people's ways of communicating.

    “People smiled, laughed and actively sought the company of staff.” from the report
  • Choice and independence

    People chose activities, took part in daily tasks and were supported to develop skills and do as much as possible for themselves.

    “The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion.” from the report
  • Skilled and sufficient staff

    There were enough staff to meet people's care and social needs. Recruitment checks, induction, training and supervision were in place.

    “Staff were recruited safely and there were sufficient numbers to ensure people's care and social needs were met.” from the report
What inspectors were concerned about
  • Refurbishment and water quality

    minor

    Some areas of the home were worn or damaged and a refurbishment programme was in place. External works had affected the water system, although the issue had been risk assessed and action was being taken.

    “There was a programme of refurbishment in place to address those areas of the home that were worn or damaged.” from the report
Questions to ask them, based on this report
  1. 01Which areas of the home were worn or damaged, and has the refurbishment programme now been completed?
  2. 02What was the effect of the external works on the water system, and how was water safety checked?
  3. 03How will you support my relative to communicate choices, concerns or complaints if they cannot raise them verbally?
  4. 04How will you make sure agency staff understand my relative's individual care and communication needs?
  5. 05How are changes in my relative's health, behaviour or anxiety recorded and shared with staff?

This was an unannounced inspection covering all five CQC questions and both the care provided and the care home premises. This explanation was written from the published report of 18 March 2020 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, August 2017

Huthnance Park was rated Good; inspectors found safe, kind and personalised care, but relatives reported delays in putting agreed ideas into practice.

This was an unannounced inspection on 1 August 2017. Inspectors observed care, spoke with relatives, staff and professionals, looked around the home, and checked care, staff and management records. Three people were living there at the time, although the home could support up to four people.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough skilled staff, safe medicines practices, detailed care plans and good support for people's health, independence, communication and activities.

People appeared relaxed and happy. Staff treated people with kindness and respect, knew their needs well and supported them to make choices. Relatives were positive overall, but some were frustrated that agreed ideas could take a long time to happen.

What inspectors praised
  • Kind and respectful care

    Staff knew people well and supported them patiently, while respecting their privacy, dignity and independence.

    “People were treated with kindness, compassion and respect.” from the report
  • Safe staffing and medicines

    There were enough skilled staff, recruitment checks were completed, and medicines were stored, given and recorded safely.

    “Medicines were managed safely to ensure people received them in accordance with their health needs and the prescriber's instructions.” from the report
  • Good staff training

    New staff had a thorough induction, followed by house induction and shadowing. Staff received regular training, supervision and appraisals.

    “Staff were well supported through a system of induction and training.” from the report
What inspectors were concerned about
  • Delays with agreed ideas

    minor

    Relatives said the home listened to their ideas but could take too long to put them into practice. The report gives an example of a simple idea taking over two years.

    “Relatives told us their ideas were listened to, however, there was some frustration about the length of time it could take for agreed ideas to be implemented.” from the report
  • Changes in support workers

    minor

    One relative felt that too many changes in the support team could unsettle their relative. Management said it had put a plan in place to improve consistency.

    “Another relative agreed that overall the level of care was good but felt there was too much change in their relative's support team which could unsettle the person.” from the report
Questions to ask them, based on this report
  1. 01How quickly do you act on suggestions from families, and how do you keep them updated if there is a delay?
  2. 02How will you provide a consistent support team for my relative?
  3. 03How would you support my relative to communicate choices about food, activities and daily care?
  4. 04How do you assess and review risks while still supporting people to be independent in the community?
  5. 05What training and experience would the staff supporting my relative have with their specific health and communication needs?

This was an unannounced inspection covering all five questions, but inspectors could not obtain verbal views from some people because of their complex health needs and instead observed care and reviewed communication tools. This explanation was written from the published report of 30 August 2017 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 Huthnance Park

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Huthnance Park →

  2. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Huthnance Park →

  3. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2012

    Registered with the Care Quality Commission on 2 December 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

Care at home

10 live-in carers within about two hours of Cornwall

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 £980 to £1,200 a week. 8 can care for a couple. 12 years' experience on average.

“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
Karen S., about Nicola H.
See live-in carers near CornwallProfiles, 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.