CQC report explained · a residential care home
What the CQC found at Machlo
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was using PPE safely, supporting testing, following shielding and social distancing rules, and keeping the premises clean. They also found arrangements for preventing and managing infection outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, April 2021
Machlo was inspected but not rated; inspectors found good infection-control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 18 March 2021. It looked at infection prevention and control in response to the COVID-19 pandemic.
Inspectors found good arrangements for visitors, keeping in touch with relatives, staff training, personal protective equipment, testing, cleaning and responding to staff sickness. The home also had plans for outbreaks and staff shortages.
The home was not given an overall quality rating. Safe was inspected but not rated, so this report does not provide ratings for care, effectiveness, kindness, responsiveness or leadership.
Keeping in touch with relatives
The provider arranged visits in another unoccupied care home and supported people to stay in contact electronically when visits were not taking place.
“People were supported to keep in touch with relatives and friends through electronic means when visits were not taking place.” from the report
Staff pandemic support
Staff received guidance and training about working safely during the pandemic and said they felt supported.
“Staff told us they felt supported by the provider and registered manager during the pandemic.” from the report
Personal protective equipment
Staff were trained to use PPE and the provider checked their knowledge.
“Staff had received training in the use of PPE and their knowledge of its use was checked by the provider.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently arranged, and what support is available if visits cannot take place?
- 02How do you check that staff continue to use PPE safely?
- 03What happens if staff are absent because of illness or a COVID-19 outbreak?
- 04How often are people and staff tested, and how are infection outbreaks managed?
- 05What were the findings of the last full inspection covering care, effectiveness, kindness, responsiveness and leadership?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the other areas were not assessed in this report. This explanation was written from the published report of 7 April 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.
What inspectors found, June 2018
Rated Outstanding overall; inspectors found exceptionally caring and responsive support, with safe, effective and well-led care rated Good.
This was an unannounced inspection on 27 February 2018. Inspectors reviewed records, spoke with the three people living at the home, staff, relatives and health and social care professionals.
The home supported people with learning disabilities in a four-person adapted building. Inspectors found enough staff, safe medicines management, suitable training and good support for health, nutrition and personal safety.
The strongest areas were caring and responsiveness. Staff supported people to communicate, build confidence, learn life skills, become more independent and work towards their own goals. The home was rated Outstanding overall, improving from Good at the previous comprehensive inspection in December 2015.
The well-led rating was Good. Inspectors found strong leadership and effective quality checks, but recommended that management practices continue to develop so this area could become Outstanding.
Personalised communication
Staff used creative approaches to help people express their views and take part in decisions about their care. This included communication books and video care plans.
“Staff worked creatively and in a highly personalised way to support people to make their views known” from the report
Kind and respectful staff
People and relatives described staff as compassionate and caring. Inspectors observed staff respecting people's privacy and wishes.
“Staff treated people with understanding, kindness and compassion.” from the report
Building independence
People were supported to develop practical skills, including cooking, using cash machines and managing medicines where suitable. One person also gained employment after building confidence and skills.
“The culture throughout the service was one of inclusion where people were encouraged to be as independent as possible.” from the report
Safe staffing and medicines
Inspectors found enough staff to meet people's needs. Medicines were given as prescribed, and staff were trained and assessed before administering them.
“The administration and management of medicines was safe.” from the report
Good improvement systems
The manager carried out checks on care plans, incidents, complaints, training, meals and the environment. These checks led to actions such as redesigning the kitchen to improve independence.
“The audits were used to develop action plans to address any shortfalls and plan improvements to the service.” from the report
Leadership development
minorLeadership was rated Good rather than Outstanding. Inspectors recommended continuing to develop and embed management practices.
“We recommend the provider continues to develop and embed their management practices to enable the service to become outstandingly well-led.” from the report
- 01What has been done since the inspection to develop and embed the home's management practices?
- 02How would staff help my relative communicate their wishes and take part in decisions about their care?
- 03How does the home assess whether someone can safely learn to self-manage their medicines?
- 04How would my relative be supported to build independence through cooking, community activities or employment?
- 05How are staffing levels and risk assessments adjusted if my relative's needs change?
This was an unannounced inspection of the overall service, including the premises and care, with checks of records and discussions with people, staff, relatives and health professionals. This explanation was written from the published report of 26 June 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 Machlo
2 rated inspections over 2 years: the service has improved, from Good to Outstanding.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2018Outstandingup from GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- June 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 December 2010.
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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38 live-in carers within about an hour of Gloucestershire
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 £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.