CQC report explained · a residential care home
What the CQC found at Khaya Project (Hillreach)
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Inspectors found suitable safeguarding, staffing, recruitment, infection control and medicines arrangements, although some risk assessments lacked detail about how risks should be reduced.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff received induction, training, supervision and appraisals, and people were supported with food, health care and independence.
- Caring?
- Good
- Staff treated people respectfully and supported their privacy, dignity, choices and independence. People and, where appropriate, relatives and healthcare professionals were involved in care decisions.
- Responsive?
- Good
- Care was described as personalised and responsive to people's needs, interests and communication styles. Some care-record wording was not person centred, and the provider was advised to improve its care planning documentation.
- Well-led?
- Good
- The management team carried out audits, gathered feedback and worked with health and social care professionals. The home had plans to improve record keeping through a new electronic care planning system.
What inspectors found, June 2022
Rated Good; inspectors found safe, caring support, with some care-record wording needing improvement.
This was the first inspection of the newly registered home. One inspector visited on 8 April 2022, spoke with three people, staff and a healthcare professional, and reviewed care plans, risk assessments, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, respectful care and support for people to make choices and live more independently.
There were some weaknesses in record keeping. Parts of some care plans used language that was not person centred, and some risk guidance did not explain clearly enough how risks should be reduced. The home said it planned to move records to an electronic system and update them.
Safe medicines
Medicines were stored securely, records showed people received them as prescribed, and staff had their competence checked.
“Medicines administration records (MARs) showed people received their medicines as prescribed by healthcare professionals.” from the report
Choice and independence
People were supported to make decisions, go out independently and take control of parts of their lives, including their finances.
“People were supported to make decisions about their care and how they wanted to lead their lives.” from the report
Kind and respectful care
Inspectors saw staff listen to people, respond patiently and respect their privacy, dignity and personal choices.
“During the inspection, we observed people were treated respectfully.” from the report
Joined-up health support
The home worked with health and social care professionals to support people's health needs.
“The service worked in partnership with other services and a range of health and social care professionals to ensure people's health was maintained.” from the report
Care plan language
minorSome wording in care records was not person centred. The provider was recommended to seek advice and improve its care planning documents.
“some aspects of people's care records contained language which was not person centred.” from the report
Risk guidance
needs fixingSome risk assessments did not give enough detail about the steps staff should take to reduce risks. The home said these would be updated as part of its move to electronic records.
“However, some guidance did lack detail on how to minimise risk.” from the report
- 01Have all care plans been rewritten in person-centred language since the inspection?
- 02Is the new electronic care planning system now in use, and how are records checked for accuracy?
- 03How do risk assessments give staff clear instructions about reducing risks for my relative?
- 04How will you make sure staffing remains sufficient when people have healthcare appointments or community activities?
- 05How will my relative be supported to make choices, maintain relationships and live as independently as possible?
This was the first inspection of the newly registered home and covered all five CQC key questions, including care and the premises, as well as infection prevention and control. This explanation was written from the published report of 24 June 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.
Every inspection of Khaya Project (Hillreach)
3 rated inspections over 6 years: the service has held its Good rating throughout.
- June 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2019
Registered with the Care Quality Commission on 14 August 2019.
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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What to check when you visit
At least 100 live-in carers within about an hour of Greenwich
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 £1,250 a week. 87 can care for a couple. 11 years' experience on average.
“She cared for my mum with Alzheimer's with endless patience and kindness, always arriving with a smile and a positive attitude”
“Usha rapidly became 'one of the family' and is sorely missed.”
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.