CQC report explained · a residential care home
What the CQC found at Mrs P M Eales t/a Just Homes - 3 New Hill
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2019
Mrs P M Eales t/a Just Homes - 3 New Hill was rated Good; inspectors found kind, personalised care and only a minor record-keeping weakness.
This was a planned inspection on 31 October 2019. One inspector observed care, spoke with staff, relatives and professionals, and checked care records, recruitment files, training records and management systems.
The home supported three people with learning disabilities and associated needs. Inspectors found people were safe, treated kindly and supported by staff who understood their communication, health needs and preferences.
Care was personalised and helped people build skills, make choices and take part in activities. Staff supported people to access healthcare, maintain relationships and live as independently as possible.
All five areas were rated Good. The overall rating stayed Good, the same as at the previous inspection. Some audits did not clearly record what action had been taken, but the home put a new recording system in place during the inspection.
Personalised support
Care plans covered people's needs, preferences, choices and expected outcomes. Staff used this information to support people in ways that suited them.
“Care and support plans were comprehensive, considered all aspects of people's lives, clearly detailing their needs, individual preferences, choices, how they wished to be supported and expected outcomes.” from the report
Kind and respectful staff
Inspectors saw warm relationships between staff and people. Staff protected privacy and dignity and supported people to make choices.
“Staff consistently treated people with true kindness and promoted their well-being and happiness.” from the report
Good understanding of complex needs
Staff had tailored training and worked with health professionals to support people's health, communication, behaviour and mobility needs.
“Staff training was developed with external healthcare specialists and tailored to meet people's individual needs.” from the report
Choice and independence
People were supported to develop skills, access activities and make decisions about how they spent their time.
“People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
Audit records did not always show completed action
minorSome quality checks did not clearly record whether the required action had been completed. The manager discussed this with inspectors and introduced a new system during the inspection.
“However, some audits did not always effectively demonstrate that the required action had been taken.” from the report
End of life planning was still being developed
minorNobody was receiving end of life care at the time of the inspection. The home was still consulting people, families and professionals about future plans.
“At the time of inspection, the registered manager was in the process of consulting with people, their relatives, advocates, and supporting professionals to arrange best interest meetings to discuss and develop end of life care plans for people.” from the report
- 01How do you now record actions identified by audits, and how do you check that they have been completed?
- 02How would you support my relative's communication needs and recognise their choices or signs of distress?
- 03What training and competency checks do staff have for my relative's specific health, behavioural and moving needs?
- 04How would you develop an end of life care plan if my relative needed this support?
- 05How do you make sure there are enough familiar staff when someone is absent or a person's needs change?
This was a planned inspection covering all five key questions and both the care and the premises; the overall rating and all five question ratings remained Good from the previous inspection. This explanation was written from the published report of 13 December 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.
What inspectors found, April 2017
Rated Good overall; inspectors found safe, kind and personalised care, while improvement work and manager registration were still ongoing.
The inspection was unannounced and took place on 14 February 2017. One inspector observed care, spoke with two relatives, the manager and three staff, and contacted health and social care professionals. Records for the two people living there, staff files, rotas, menus and quality checks were also reviewed.
The home supported up to three people with a learning disability and did not provide nursing care. Inspectors found enough trained and experienced staff, safe medicines arrangements and suitable risk assessments. Staff understood safeguarding, consent and people's individual communication needs.
Care plans were detailed and activities were tailored to each person. Staff supported people's health, choices, independence and contact with families. Inspectors found kind care and a manager who was approachable and had made substantial improvements to records, audits, training and day-to-day practice.
The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. The report also says improvement work was continuing and the manager was still progressing through registration.
Staffing and safeguarding
Inspectors found enough trained and experienced staff to meet people's needs safely. Staff knew how to recognise and report abuse.
“There was a sufficient amount of experienced and trained staff to meet people's needs safely.” from the report
Personalised care
Care plans reflected people's needs, preferences and communication methods. Staff responded to body language and sounds and involved people in decisions as far as possible.
“People using the service had particular individual communication difficulties and specific needs, however staff ensured that they were involved in making decisions about their care as far as possible.” from the report
Kind and respectful support
Inspectors saw a relaxed atmosphere. Staff supported privacy, dignity, choice and independence.
“There was a comfortable and relaxed atmosphere as staff responded to people in a respectful manner and interpreted what people were trying to communicate.” from the report
Activities and community life
People had individual activity timetables and were supported to take part in outings, leisure interests and community activities.
“A range of activities was available to people using the service and each person had an individualised activity timetable.” from the report
Improving leadership
The manager had made major changes to records, audits, staff support, training and quality monitoring.
“It was clear throughout the inspection process that the manager had worked hard since being appointed, to address a range of issues which required improvement.” from the report
Manager registration was not complete
minorThe home was required to have a registered manager, but the manager's application was still being processed at the inspection.
“The manager had applied to register and was some way through the process.” from the report
Improvement work was ongoing
minorThe report said the changes were not yet fully established. The manager needed to keep checking that improvements were maintained.
“It was acknowledged by the manager that this was a work in progress and she needed to be vigilant in maintaining improvements whilst continuing to drive up standards across the board.” from the report
- 01Has the manager's registration with the CQC now been completed?
- 02How do you check that the improvements to care files, health and safety records and other documentation are being maintained?
- 03How would you meet my relative's specific health, behavioural, communication or feeding needs?
- 04What individual activities and community outings would be available for my relative?
- 05How are families kept informed and involved in care reviews and decisions?
This was an unannounced inspection covering all five key questions; inspectors observed care in communal areas, reviewed records and spoke with relatives and professionals, while the two people living there could not provide feedback themselves. This explanation was written from the published report of 5 April 2017 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 Mrs P M Eales t/a Just Homes - 3 New Hill
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Mrs P M Eales t/a Just Homes - 3 New Hill →
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Mrs P M Eales t/a Just Homes - 3 New Hill →
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 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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42 live-in carers within about an hour of West Berkshire
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 £1,260 a week. 36 can care for a couple. 14 years' experience on average.
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