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CQC report explained · a residential care home

What the CQC found at North View

Goodpublished 28 September 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. There were enough staff, risks were assessed, and medicines were managed safely, although some recording errors were found and corrected.
Effective?
Good
Staff had the training, skills and support needed to provide care. People's health needs were met, but meal records were not completed consistently.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people well and supported them to make everyday choices.
Responsive?
Good
People received personalised care and took part in activities in the local and wider community. Some care guidance was generic and files contained duplicated information.
Well-led?
Good
The management team was open, supportive and responsive to the inspection. Quality checks were in place, although they had not identified all the issues inspectors found.
The latest report, explained

What inspectors found, September 2019

North View was rated Good; inspectors found safe, kind and person-centred care, with some records needing improvement.

The inspection took place on 6 and 12 August 2019. One inspector visited the home, spoke with one person, five staff and three relatives, observed care, and checked care, medicine, staff and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe risk management, skilled staff, respectful care, meaningful activities and good support for people's choices and independence.

There were some shortfalls, but they were not rated as breaches. Medicine records had minor errors and food records were not always complete. Some care guidance was generic or duplicated, making current information harder to find. The management team acted promptly on the issues found.

What inspectors praised
  • Consistent staffing

    People were supported by a stable group of staff, helping staff understand their needs and provide continuity.

    “There were enough staff to meet people's needs which included supporting people to go out on a frequent basis.” from the report
  • Kind, respectful care

    Inspectors found that people were comfortable with staff and were treated in a person-centred way.

    “People were comfortable in the company of staff who were supporting them.” from the report
  • Choice and community life

    People were involved in their support plans, set personal goals and took part in activities outside the home.

    “People engaged in person-centred activities which included accessing the local and wider community.” from the report
  • Accessible communication

    The home used pictures, photographs and talking aids to help people understand information and make choices.

    “The service used innovative approaches to communication which ensured people's communication needs were identified and met.” from the report
What inspectors were concerned about
  • Medicine records

    minor

    Some medicine records did not match the current instructions or were confusing. The registered manager corrected these issues promptly, and the report found no evidence of harm.

    “One person's MAR guidance did not match the record on the medicine container.” from the report
  • Meal monitoring

    needs fixing

    Food records were not completed consistently, so it was not always possible to see what people had eaten. The management team said it would review menu planning and meal monitoring.

    “Food records of meals served were usually completed, but not consistently, so it was not clear everyday what people had eaten.” from the report
  • Care plan clarity

    needs fixing

    Some newer instructions were generic rather than clearly tailored to the person. Care files also contained duplicated information, making current guidance harder to find.

    “People's care files were vast and sometimes information about people's care was duplicated; this meant it was sometimes difficult to locate up to date information.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that medicine records match current prescriptions and instructions?
  2. 02What new system is being used to record what each person eats and monitor balanced diets?
  3. 03How have you streamlined care files so staff can quickly find the latest, person-centred guidance?
  4. 04How are mental capacity assessments kept up to date, and how do staff know who has a current DoLS authorisation?

This was a planned inspection covering all five CQC questions; the home was newly registered under its current legal entity, and the previous Good rating was used to inform the inspection. This explanation was written from the published report of 28 September 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.

The story over the years

Every inspection of North View

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. September 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at North View →

  2. February 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. June 2019

    Registered with the Care Quality Commission on 18 June 2019.

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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Calderdale

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 £1,260 a week. 87 can care for a couple. 12 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
Claire A., about Carla M.
See live-in carers near CalderdaleProfiles, rates and reviews are free to look at.

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.