CQC report explained · a residential care home
What the CQC found at L'Arche Bognor Regis Zacchaeus
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably skilled staff, safe recruitment checks, appropriate risk plans and safe medicines and infection control arrangements. They also found that incidents were reviewed and used to improve practice.
- Effective?
- Good
- This area was not assessed during this focused inspection. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not assessed during this focused inspection. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not assessed during this focused inspection. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found effective quality checks, visible management and a staff team that understood people's needs. People, families and staff were asked for their views and feedback was used to develop the service.
What inspectors found, September 2022
L'Arche Bognor Regis Zacchaeus was rated Good; inspectors found safe, kind and person-centred support, with effective management.
This was an unannounced focused inspection on 16 August 2022. Two inspectors spoke with all three people living in the home, four staff members, families and professionals. They reviewed care, medicines, staff recruitment and management records.
The inspectors checked Safe and Well-led. Both were rated Good. They found enough trained staff, safe recruitment, suitable risk planning, safe medicines procedures and good infection control. People were supported to make choices, take part in activities and access health and social care services.
This was not a full inspection of all five areas. The ratings for Effective, Caring and Responsive were carried forward from the previous inspection. The overall rating stayed Good, the same as at the last inspection published in December 2018.
Kind and respectful care
People received compassionate support. Staff respected privacy and dignity and responded to individual needs.
“People received kind and compassionate care. Staff protected and respected people's privacy and dignity.” from the report
Choice and independence
Staff supported people to make decisions, use communal areas freely and take part in activities that mattered to them.
“People were supported to have maximum choice and control of their lives” from the report
Safe staffing
There were enough staff to provide one-to-one support, daily care and community activities. Recruitment checks were completed.
“The service had enough staff, including for one-to-one support for people to take part in activities and visits how and when they wanted.” from the report
Strong management checks
Managers monitored medicines, care plans, finances and the care being delivered. Issues found were acted on promptly.
“Quality monitoring processes and registered manager oversight kept people safe and provided good quality care and support.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you support my relative's specific health needs, communication methods and personal goals?
- 02Have the medicine cabinets for people's bedrooms now been installed, and how do you check medicines are stored safely?
- 03How will my relative receive one-to-one support for activities, visits and time in the community?
- 04How do you involve people and families in reviewing care plans and making best-interest decisions?
- 05What changes have you made after the incident where medicines were left in a person's bag after a visit?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 7 September 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.
What inspectors found, December 2018
L'Arche Bognor Regis Zacchaeus was rated Good; inspectors found safe, caring and well-managed support, with previous management concerns resolved.
This was an unannounced comprehensive inspection on 20 November 2018. One inspector observed care, spoke with people, relatives and staff, and checked care plans, medicines records, recruitment files, training records, complaints and other records.
The home supported four people at the time of the visit, although it had space for five adults with learning disabilities or autistic spectrum disorders. Inspectors found suitable staffing, safe medicines systems, personalised care, kind interactions and support for people's choices, health, independence and activities.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The overall rating stayed Good. The previous inspection had found the management rating needed improvement because there was no registered manager, but a registered manager was now in post.
Safe recruitment and staffing
Inspectors found enough trained staff and safe recruitment checks. New staff completed induction and shadow shifts.
“Recruitment systems at the home continued to be safe and robust.” from the report
Kind relationships
People appeared relaxed with staff. Staff understood people's histories, preferences and communication needs, and supported their dignity.
“We observed kind and caring interactions between people and staff.” from the report
Personalised support
Support plans included people's wishes, goals, interests and preferred ways of communicating. People were supported to make choices and build independence.
“People received care that was personalised and responsive to their needs.” from the report
Health and wellbeing
The home worked with health professionals and supported people to attend health checks. Staff recorded advice and monitored changing health needs.
“The service had good links with other healthcare professionals and specialists such as; occupational therapists, learning disability professionals, psychologists, GPs and dentists.” from the report
Improved leadership
A registered manager was in post, with regular audits, staff meetings and feedback from people and relatives used to improve the service.
“The registered manager was accessible, supportive and had good leadership skills.” from the report
Previous minor medicines errors
minorThe report says minor medicines errors had occurred. The home responded by adding extra counting and weekly audit checks, and inspectors found the medicines records clear at this visit.
“We saw additional protocols were introduced to ensure medication was managed safely as a result of minor errors that had occurred.” from the report
- 01How will you assess and review my relative's communication needs and preferred way of receiving information?
- 02What extra medicines checks are now carried out following the minor errors mentioned in the report?
- 03How will my relative be involved in planning meals, activities and their care plan?
- 04How do you support people to maintain independence while keeping them safe?
- 05How will relatives be told about changes in my relative's health or care?
This was an unannounced comprehensive inspection covering the premises and care, with ratings given for all five key questions. This explanation was written from the published report of 7 December 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 L'Arche Bognor Regis Zacchaeus
3 rated inspections over 6 years: the service has held its Good rating throughout.
- September 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at L'Arche Bognor Regis Zacchaeus →
- December 2018Goodstayed GoodSafe: GoodWell-led: Good
Read what inspectors found at L'Arche Bognor Regis Zacchaeus →
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 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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28 live-in carers within about an hour of West Sussex
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 £1,170 a week. 23 can care for a couple. 11 years' experience on average.
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.