CQC report explained · a residential care home
What the CQC found at John Turner House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Risks, staffing, recruitment, medicines, infection control and emergency arrangements were managed safely.
- Effective?
- Good
- This area was not inspected during this visit. Its rating was carried forward from the previous inspection.
- Caring?
- Good
- This area was not inspected during this visit. Its rating was carried forward from the previous inspection.
- Responsive?
- Good
- This area was not inspected during this visit. Its rating was carried forward from the previous inspection.
- Well-led?
- Good
- Inspectors found effective management and quality checks. Staff and relatives described approachable managers and an open, inclusive culture.
What inspectors found, January 2023
Rated Good; inspectors found safe, respectful care and strong management, but this inspection covered only Safe and Well-led.
The inspection visit took place on 6 December 2022. One inspector visited the home, spoke with staff and managers, looked around, observed care and checked two people's care records. Four family carers were also contacted by telephone.
The home provides short breaks for autistic people and people with a learning disability. Inspectors found enough trained staff, safe recruitment, suitable risk planning and safe medicines systems. People were treated with respect and supported to be as independent as possible.
Inspectors also found positive leadership. Relatives and staff described an open and supportive culture. Managers used checks, feedback, meetings and incident reviews to monitor and improve the service.
The overall rating was Good, the same as at the previous inspection published in October 2018. This was not a full review of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection.
Person-centred support
Staff knew people well and supported their independence, communication needs and choices. Care was adapted when people's needs changed.
“Staff supported people to be as independent as possible and maximise the benefits of their break.” from the report
Respectful care
People's privacy, dignity and confidentiality were respected. Inspectors saw staff working with people in a respectful way.
“People received person-centred care that met their individual needs.” from the report
Safe staffing and medicines
There were enough staff to meet people's needs, recruitment checks were completed and medicines were given, recorded and stored safely.
“People received the correct medicines at the right time.” from the report
Open management
Relatives and staff described a positive culture. Managers used supervision, feedback, team meetings and incident reviews to support improvement.
“Managers understood their roles and responsibilities and there were effective quality assurance systems and processes in place to monitor quality performance and ensure good governance.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you record and respond to any changes in my relative's needs between short stays?
- 02How will you check my relative's medicines in and out of the home and make sure they are given at the right time?
- 03How will you meet my relative's specific communication needs and support them to make choices?
- 04How do you decide which guests stay together, and how do you manage possible incompatibility?
- 05What recent incidents have led to changes in practice or risk assessments?
This was a focused inspection of Safe and Well-led; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 12 January 2023 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, October 2018
Rated Good; inspectors found safe, kind and personalised respite care, with two earlier medicines errors addressed.
This was an unannounced comprehensive inspection on 11 and 12 September 2018. The inspector observed care, spoke with people, relatives and staff, and reviewed care and management records.
The home provides respite care for up to seven people with a learning disability. Inspectors found people were protected from harm, medicines were managed safely, staffing was sufficient and the home was clean.
People were supported to make choices, build independence and take part in activities. Relatives and people described staff as kind, and care was tailored to individual routines and preferences.
The home was rated Good in all five areas and overall. This was unchanged from the previous inspection in August 2015. No serious risks or concerns were found.
Detailed risk planning
Risks were assessed before people stayed and plans were reviewed each time they returned for respite care.
“Where there were risks identified, there were individualised and detailed plans in place to reduce the risk.” from the report
Enough staff
Staffing levels were adjusted to people's needs, including support for activities and community visits.
“The staffing level changed regularly according to the needs of people coming to stay at the service.” from the report
Choice and independence
People were supported to make everyday decisions, prepare food and drinks, and develop independent living skills.
“People were enabled to be independent and develop independent living skills whilst staying in the service” from the report
Kind and personal care
Staff took time to understand people's routines, interests and preferences, even though stays were short.
“Despite people only using the service for short periods of time, we observed that the staff had taken the time to fully understand people's routines, likes and dislikes.” from the report
Activities and community links
People were supported to attend day services, clubs and activities in the home and local community.
“Staff told us and records confirmed that people were offered support to go out most evenings.” from the report
Earlier medicines errors
minorTwo medicines errors had happened before the inspection. The home investigated them, sought advice where needed and provided further staff supervision and development.
“There had been two medicines errors prior to the inspection.” from the report
- 01What checks are now in place to prevent a repeat of the two medicines errors?
- 02How will you review my relative's risk assessments and care plan before each respite stay?
- 03How will you support my relative's particular routines, interests and preferred activities?
- 04What staffing level would be provided for my relative's specific needs, including outings and community activities?
- 05How can my relative and our family give feedback or make a complaint in an accessible format?
This was an unannounced comprehensive inspection covering all five questions, with further documents reviewed on 12 September 2018. This explanation was written from the published report of 11 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.
Every inspection of John Turner House
3 rated inspections over 7 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Goodstayed GoodSafe: GoodWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015
Report published without a new overall rating.
- June 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- July 2012
Registered with the Care Quality Commission on 2 July 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.
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23 live-in carers within about an hour of Suffolk
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 £1,260 a week. 17 can care for a couple. 7 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
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.