CQC report explained · a residential care home
What the CQC found at No. 18
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2018
Rated Good; inspectors found safe, caring and personalised support, with some difficulty getting responses from external healthcare services.
This was an announced comprehensive inspection on 6 January 2018. The inspector spent time with the two people living at the home, observed staff, looked around both houses and reviewed care plans, medicines records, staff files and other records. Views were also gathered from relatives, staff and an external healthcare professional.
The inspectors found that people were safe, comfortable and treated with respect. Staff knew people well, supported their choices and helped them take part in activities. Risks were assessed and managed, medicines were stored and given safely, and there were enough staff.
Care plans were detailed and up to date. Staff received training and supervision. People were supported with food, health appointments, family relationships, hobbies and holidays. The home also used accessible information, including pictures and easy-read documents.
All five areas were rated Good: safe, effective, caring, responsive and well-led. The overall rating remained Good, the same as at the previous inspection in December 2015.
Respectful support
Staff treated people with respect and knew their needs and preferences. People appeared comfortable and at ease in their home.
“Staff were respectful and caring in their approach. They knew people well and had an understanding of their needs and preferences.” from the report
Good safety arrangements
Risks were clearly recorded and reviewed. There were enough staff, and the home had arrangements for fire safety, infection control and emergency evacuation.
“Risks to people's safety and well-being were clearly identified and well managed.” from the report
Personalised care plans
Care plans described people's routines, social needs, health needs and preferred ways of receiving support. Some information used pictures and minimal text to make it easier to understand.
“Care plans were detailed, informative and well organised.” from the report
Choice and independence
People were supported to make everyday choices and take part in household tasks, hobbies, trips and holidays. Staff used the least restrictive approach described in the report.
“People were supported to be independent and make choices in their day to day lives.” from the report
Strong teamwork and oversight
The home had clear responsibilities, regular meetings and checks on care plans, medicines and the premises. Staff said they could raise concerns and suggestions.
“There were effective quality assurance systems in place to monitor the standards of the care provided.” from the report
Delays with outside healthcare support
minorStaff had sometimes found it difficult to get responses from external healthcare services. They continued to make referrals, but the report records their frustration about these delays.
“Staff had encountered difficulties getting a response to their requests and were clearly frustrated by this but continued to make referrals.” from the report
- 01How do you follow up referrals when external healthcare services do not respond promptly?
- 02How will you involve me in reviewing and updating my relative's care plan?
- 03How do you make sure staff understand the most recent changes in a person's needs and routines?
- 04What activities and outings would my relative be supported to take part in?
- 05How do you check that medicines are given correctly and that any errors are investigated?
This was an announced comprehensive inspection covering the home, the care provided and all five CQC questions; the previous inspection was in December 2015. This explanation was written from the published report of 26 January 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 No. 18
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- July 2012
Registered with the Care Quality Commission on 17 July 2012.
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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10 live-in carers within about two hours of Cornwall
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 £1,200 a week. 8 can care for a couple. 12 years' experience on average.
“He had been a little anxious before she arrived, but has since stated that he would be very happy for her to care for him again”
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.