CQC report explained · a residential care home
What the CQC found at No 36
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including testing, PPE, cleaning, safe admissions and visits. The provider said it had measures to reduce the effect of COVID-19-related staffing pressures.
- Effective?
- Outstanding
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
No 36 was inspected but not rated; inspectors found suitable COVID-19 infection controls and support for people's daily lives.
This was an announced, targeted inspection on 03 February 2022. Inspectors gave the home 24 hours' notice.
The inspection focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the service. Inspectors were assured that the home had suitable systems for testing, PPE, cleaning, visits and managing infection risks.
The report also describes staff training and teamwork, and says people continued to take part in activities, develop skills and see friends and family safely.
The home was inspected but not rated. This means the visit did not give a new overall quality rating or a full rating for all five areas.
Infection control
The home had organised systems for testing, daily health checks, cleaning and managing infection risks during the pandemic.
“There were suitable arrangements to keep people safe during the COVID-19 pandemic.” from the report
Staff learning
Staff received training and took part in learning sessions about COVID-19, its effects and infection control.
“The provider set up learning sessions for staff where they discussed specific topics.” from the report
Supportive staff team
Staff described working together, learning from problems and supporting people, families and one another.
“The staff told us they felt a strong sense of community and support for one another, the people using the service and their families.” from the report
Activities and community access
People continued activities and developed skills such as cleaning, cooking, literacy and numeracy. They also continued to see friends and family safely.
“People using the service had continued to have active and full lives, even during periods of lockdown.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place if COVID-19 or other illness causes staffing pressures?
- 02How are visitors, testing, PPE and infection control managed now?
- 03How will you support the person to continue activities, develop skills and access the community?
- 04How often will the person be able to see friends and family, and what happens if visiting guidance changes?
- 05When was the home last given a full inspection and rating?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 11 February 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, October 2019
No 36 was rated Outstanding; inspectors found exceptional, personalised care, with safety rated Good.
This was an unannounced inspection on 17 September 2019. One inspector met people and staff, observed care, checked a sample of care and staff records, reviewed medicines and quality checks, and partly toured the home. Feedback was also gathered from relatives and external professionals.
The home supported nine adults with learning disabilities, some of whom also had autism. Inspectors found that people had highly personalised support, meaningful activities, strong family links and opportunities to build independence. Staff understood people's communication, health needs and behaviour support plans.
The home was rated Outstanding overall. Effective, Caring, Responsive and Well-led were Outstanding. Safe was rated Good, meaning inspectors found people protected from avoidable harm, but this area was not judged exceptional. The overall rating was unchanged from the previous inspection, although Effective and Caring improved from Good to Outstanding.
Personalised support
Care was planned around each person's needs, wishes, communication and interests. Staff helped people try new experiences and develop independence.
“People received personalised care and support in an exceptional way.” from the report
Meaningful lives
People were supported to take part in community activities, learning, holidays, social events and everyday household responsibilities.
“People had full and active lives which included daily outings in the community, use of sports and leisure facilities, visiting places of interest and a range of different games and activities in the home.” from the report
Respectful relationships
Inspectors saw a warm, inclusive atmosphere in which people were treated as equals and supported to maintain family and community relationships.
“All of the feedback we received spoke about a ''family atmosphere'' and this was evident as we saw staff and the people they were supporting enjoying the type of relationships grown up siblings might” from the report
Strong communication
Staff used different methods, including pictures, photographs, objects and touch, to understand what people wanted and needed.
“Each person had an individual communication plan which was regularly reviewed and updated.” from the report
Effective leadership
The home used audits, meetings and feedback to learn and improve. Families and professionals said their views were listened to and acted on.
“The provider had effective systems for monitoring the quality of the service and making improvements.” from the report
Restrictive interventions
minorThe report says some restrictive interventions were used. They were described as a last resort and person-centred, but families should understand what this means for their relative.
“The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.” from the report
- 01What restrictive interventions might be used for my relative, in what circumstances, and how are they reviewed?
- 02How would staff communicate with my relative and recognise when they are anxious or need help?
- 03How would you support my relative to build independence and take part in activities outside the home?
- 04How would you safely manage and review any medicines prescribed for my relative's mental health or behaviour?
- 05How would my family receive updates and take part in decisions about my relative's care?
This was an unannounced inspection of all five CQC questions, including care and the premises, based on observations, sampled records, medicines checks and feedback from relatives and professionals. This explanation was written from the published report of 18 October 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 No 36
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019Outstandingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- May 2017Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Registered with the Care Quality Commission on 8 January 2014.
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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At least 100 live-in carers within about an hour of Hounslow
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 £1,270 a week. 85 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult 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.