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CQC report explained · a residential care home

What the CQC found at Innova House -CBIR

Goodpublished 1 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Staff understood safeguarding and people's individual risks. Medicines were managed safely overall, but inspectors found some gaps in one person's medicines administration records and were told action was being taken.
Effective?
Good
Staff had relevant training and people received support from health professionals, including physiotherapy. People's nutrition, decision-making and support needs were assessed and planned.
Caring?
Good
Staff treated people with kindness, dignity and respect. Inspectors saw staff provide reassurance, encouragement and emotional support, although records of relatives' regular involvement in care reviews were limited.
Responsive?
Good
Care plans reflected people's needs, preferences and communication methods. People had personalised activities and progression plans intended to support independence and well-being.
Well-led?
Good
Inspectors found clear leadership, an open culture and quality audits. The manager maintained an action plan and used feedback and checks to support improvement.
The latest report, explained

What inspectors found, February 2019

Rated Good; inspectors found safe, kind and personalised care, with some medicines records needing improvement.

This was an unannounced comprehensive inspection on 8 January 2019. One inspector reviewed records, staffing, training, medicines, audits and information from other agencies. They also spoke with people using the service, a relative and staff, and observed care.

The home cared for nine people at the time, with space for up to 12 because three bedrooms were not in use. Inspectors found all five areas were Good: Safe, Effective, Caring, Responsive and Well-led.

They found staff understood people's complex needs, treated people kindly and supported independence. Care plans were detailed, activities were personalised, and safety, staffing, training and medicines systems were generally effective.

There were some gaps in one person's medicines administration records. The report also says records of relatives' regular involvement in care reviews were limited. The overall Good rating continued from the previous inspection in August 2016.

What inspectors praised
  • Personalised care

    Staff knew people's individual needs, preferences and ways of communicating. Care plans were detailed and were updated when people's needs changed.

    “Care plans provided a very good level of detail about the amount of support the person required and their personal preferences in relation to their care.” from the report
  • Supporting independence

    The home used individual progression plans, activities and practical support to help people achieve personal goals and become more independent.

    “People were encouraged to maintain or increase their independence.” from the report
  • Kind and respectful staff

    Inspectors observed staff responding to people's communication, offering reassurance and treating them with dignity.

    “Staff were quick to understand when people tried to communicate their wishes and they treated people with dignity and respect.” from the report
  • Good safety arrangements

    The home had risk assessments, safeguarding processes, suitable staffing and regular safety checks. Staff knew how to report concerns and incidents.

    “We found systems and processes were in place to keep people safe.” from the report
  • Positive leadership

    Staff described an open culture with good communication and support. Audits and an action plan were used to monitor and improve the service.

    “Effective systems were in place to monitor the quality of the service and the care provided.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Inspectors found some gaps in one person's medicines administration records. The home had identified the issue and was taking action, including further staff training.

    “We identified some gaps in the medicines administration records for a person, which we discussed with a member of staff.” from the report
  • Recording relatives' involvement

    minor

    Relatives were involved in care reviews, but the report says their regular involvement was not fully documented.

    “People were encouraged to be involved in decisions about their care and relatives were involved in care reviews, however, documentation of their regular involvement was limited.” from the report
Questions to ask them, based on this report
  1. 01What action was taken after the gaps in medicines administration records, and how do you now check that records are complete?
  2. 02How will you involve and keep relatives informed during care reviews?
  3. 03How do you learn each person's communication methods, especially when they cannot fully express themselves verbally?
  4. 04What individual progression goals and activities would you offer my relative?
  5. 05How do you involve health professionals, such as physiotherapists, in reviewing my relative's care?

This was an unannounced comprehensive inspection covering all five key questions, and all five ratings remained Good from the previous inspection in August 2016. This explanation was written from the published report of 1 February 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 Innova House -CBIR

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Innova House -CBIR →

  2. August 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. August 2015Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 12 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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