CQC report explained · a residential care home
What the CQC found at Mary & Joseph House
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Outstanding
- The inspectors were assured that infection prevention and control arrangements were good. This included visitor checks, testing, protective equipment, cleaning, safe admissions and plans to prevent outbreaks.
- Effective?
- Outstanding
- This area was not covered by the targeted inspection.
- Caring?
- Outstanding
- This area was not covered by the targeted inspection.
- Responsive?
- Outstanding
- This area was not covered by the targeted inspection.
- Well-led?
- Outstanding
- This area was not covered by the targeted inspection.
What inspectors found, February 2021
Mary & Joseph House: targeted infection-control inspection, not rated; inspectors found strong COVID-19 precautions.
The inspection took place on 3 February 2021 and was announced. It was a targeted check of infection prevention and control during the COVID-19 pandemic.
The inspectors found good practice. They were assured that the home had an up-to-date infection control policy, used protective equipment safely, managed visitors, supported testing and followed shielding and social distancing rules.
The home offered activities during lockdown and promoted equality, diversity and human rights. Its entrance was managed carefully, with protective equipment and hand-cleaning supplies available.
This was not a full inspection of the home. The service was inspected but not rated, so the report does not give an overall quality rating.
Good infection control
Inspectors were assured that the home had effective arrangements for preventing and controlling infection, including safe use of protective equipment and testing.
“We were assured that this service met good infection prevention and control guidelines.” from the report
Well-managed entrance
The entrance had protective equipment and hand-cleaning supplies. Staff checked that people followed infection-control rules.
“The entrance to the home was well managed.” from the report
Visitor testing
Visitors had to receive a negative COVID-19 test before entering the home.
“Visitors to home needed to complete a COVID-19 test with a negative result before entrance” from the report
Activities during lockdown
The home provided a wide range of activities and opportunities while people followed lockdown rules.
“There was an excellent range of in-house activities and opportunities available to people while they followed the COVID-19 lockdown rules.” from the report
Respect and inclusion
The report describes an open and supportive approach to equality, diversity and people's human rights.
“The open, inclusive and supportive nature of the service meant that promoting equality and diversity and respecting people's human rights was a golden thread that ran through every aspect of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the home's current infection-control arrangements for visitors and testing?
- 02What activities are available now, and how are residents involved in choosing them?
- 03What ratings did the home receive at its last full inspection?
- 04How does the home check the quality of care outside infection prevention and control?
- 05How are residents involved in decisions about the home, such as uniforms and daily routines?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas were not covered. This explanation was written from the published report of 24 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.
What inspectors found, August 2019
Mary & Joseph House was rated Outstanding in every area; inspectors found exceptionally safe, caring and person-centred support.
This was a planned inspection on 10 and 14 June 2019. One visit was unannounced and the second was announced. Inspectors spoke with people living at the home, relatives, staff and professionals. They also observed care and checked care plans, staff records, medicines records and other documents.
The home provided accommodation and personal care for adult men with enduring mental health needs. Inspectors found exceptionally kind staff who knew people well and supported their choices, independence and personal goals. There was a wide range of activities, including gardening, art, music, cooking and volunteering.
The home was found to be exceptionally safe and effective. Medicines, staffing, infection control, risk management and safeguarding were well managed. Inspectors also found strong leadership, good healthcare support, clear records and an open culture where people could raise concerns.
The overall rating was Outstanding, as were all five areas inspected: Safe, Effective, Caring, Responsive and Well-led. This maintained the Outstanding rating given at the previous inspection in 2016, with further improvements to the building, activities and grounds.
Kind and personal care
Staff knew people well, including their histories, likes and dislikes. People and relatives described the care as exceptional and highly personalised.
“People, relatives and health and social care professionals continued to describe the service as exceptional and said care was extremely person-centred and responsive.” from the report
Independence and outcomes
The home helped people build confidence, regain life skills and become more independent. Staff used careful risk plans to support activities that mattered to people.
“The service was exceptional at helping people achieve positive outcomes, building confidence, independence and helping people develop and restore life skills.” from the report
Activities and environment
People had a broad choice of activities and spaces, including art, music, gardening, cooking and woodworking. The building and grounds had also been improved.
“There was an excellent range of activities and opportunities available to people.” from the report
Safe staffing and medicines
The home had a dedicated workforce and did not use temporary agency staff. Inspectors found medicines were organised and given safely.
“This meant no temporary staffing agencies were ever used, and a highly responsive level of service could be maintained.” from the report
Strong leadership
The management team had a clear focus on quality, learning and involving people in decisions about the home. Records and quality checks were well established.
“There was a well-established and fully embedded governance and quality assurance framework in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative to build or maintain independence and life skills?
- 02Which activities, hobbies or volunteering opportunities would be suitable for my relative?
- 03How would you involve my relative in decisions about their care and any risk-taking?
- 04How would you support my relative if they wanted to manage some of their own medicines?
- 05How would you involve relatives and health professionals when decisions are needed about capacity or restrictions?
This was a planned inspection that looked at all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 7 August 2019 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 Mary & Joseph House
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Outstandingstayed OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- December 2016OutstandingSafe: OutstandingEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2014Inspected but not rated
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 13 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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