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CQC report explained · a residential care home

What the CQC found at Keate House Residential Home

Goodpublished 8 February 2020, 6 years ago

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

The latest report, explained

What inspectors found, February 2021

Keate House Residential Home was inspected but not rated; inspectors were assured about infection prevention and control arrangements.

This was an announced, targeted inspection on 27 January 2021. It looked at how the home was prepared to prevent and control COVID-19 infections.

Inspectors were assured that visitors were supported safely, including through an outdoor visitor pod and other ways to communicate. The home had created areas for visiting professionals, staff changing protective equipment and people who needed to isolate.

Inspectors were also assured that testing, vaccinations, personal protective equipment, social distancing, cleaning and the infection control policy were being managed appropriately.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Safe visiting

    The home provided an outdoor visitor pod and other ways for people to keep in touch when visits could not take place.

    “There was a visitor's pod outside the home so they did not need to enter the building.” from the report
  • Adapted building

    The home created separate areas to reduce infection risks for visitors, staff and people who needed to isolate.

    “A treatment room had been created at the front of the house so that visiting professionals did not need to enter the living area.” from the report
  • PPE and staff training

    Inspectors found that PPE stocks were maintained and that staff used and disposed of PPE correctly. Staff had also received infection control training.

    “Stocks of the right standard of personal protective equipment (PPE) were well-maintained and staff used and disposed of it correctly.” from the report
  • Up-to-date policy

    Inspectors were assured that the infection prevention and control policy was current.

    “We were assured that the provider's infection prevention and control policy was up to date.” 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 are visits arranged now, and can relatives visit inside the home?
  2. 02What testing and vaccination arrangements are currently in place for residents and staff?
  3. 03How would you support my relative if they needed to isolate?
  4. 04How do visiting health professionals enter the home while protecting residents from infection?
  5. 05How do you check that staff use PPE and follow infection control procedures correctly?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 18 February 2021 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, February 2020

Rated Good overall, with Outstanding responsiveness and inspectors finding safe, kind and personalised care.

This was an unannounced planned re-inspection on 20 and 24 January 2020. Inspectors spoke with people using the service, relatives, staff and visiting professionals. They observed care and reviewed care plans, medicines records, staff files and management records.

The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found people were safe, staff were trained, medicines were administered safely, and people were treated with kindness, dignity and respect.

Responsiveness was rated Outstanding. Inspectors found activities were built around people's interests and past experiences, with strong links to the local community. The overall rating was Good. The previous rating was Good in 2015. A 2018 inspection report was withdrawn because of an issue with some information gathered.

What inspectors praised
  • Personalised activities

    Activities were based on people's interests and life histories. Staff supported people to attend family celebrations, visit community places and enjoy experiences that brought back positive memories.

    “Arrangements for social activities were innovative and met people's individual needs, enabling people to live as full a life as possible.” from the report
  • Kind and respectful care

    Inspectors saw staff respond calmly to distress and treat people with dignity. People and relatives gave very positive feedback about the care.

    “Everybody we spoke to spoke positively about the care people received.” from the report
  • Safe medicines practice

    Medicines were stored securely and given by trained staff who had been assessed as competent. Administration records were complete and well maintained.

    “Records of administration were well maintained, in line with best practice and completed comprehensively.” from the report
  • Good management oversight

    The home used audits, meetings, suggestion boxes and other feedback to monitor quality and identify improvements.

    “There was a robust framework of governance underpinning the service.” from the report
  • Support with food and drink

    People's nutrition and hydration needs were assessed. Staff offered choices and supported people to eat and drink at their own pace.

    “People's nutritional and hydration needs had been assessed and were being met.” 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 use my relative's life history, interests and preferences to plan activities and daily care?
  2. 02How will you support my relative's particular communication needs, including any hearing, eyesight or dementia-related needs?
  3. 03What checks make sure my relative receives the right medicines safely and that records remain complete?
  4. 04How will you involve my relative and our family in reviewing the care plan and making decisions?
  5. 05How will you record and review my relative's wishes about end-of-life care and respond if their needs change?

This was an unannounced planned re-inspection covering all five CQC questions and both the premises and care provided; the 2018 inspection report had been withdrawn. This explanation was written from the published report of 8 February 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.

The story over the years

Every inspection of Keate House Residential Home

3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Keate House Residential Home →

  2. February 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Keate House Residential Home →

  3. August 2015Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2011

    Registered with the Care Quality Commission on 12 April 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

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At least 100 live-in carers within about an hour of Warrington

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Most charge £980 to £1,260 a week. 90 can care for a couple. 10 years' experience on average.

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