CQC report explained · a residential care home
What the CQC found at 19 Berryfield Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Inspectors found suitable risk assessments, safe medicine arrangements, enough staff and appropriate fire and environmental checks.
- Effective?
- Good
- People's needs and goals were reviewed, staff were trained and people were supported with meals, healthcare and healthier living.
- Caring?
- Good
- People described staff as kind and caring. Inspectors saw people being treated with dignity and involved in their care.
- Responsive?
- Good
- Care plans were personalised and supported people's choices, communication needs, independence and activities. People also had access to a complaints procedure in easy read format.
- Well-led?
- Good
- The provider's values were reflected in the home. Quality checks, feedback systems and regular staff meetings were in place.
What inspectors found, March 2019
Rated Good; inspectors found kind, person-centred care with safe systems and all five areas rated Good.
The inspection was unannounced and took place on 26 February 2019. One inspector spoke with all three people living in the home, two staff members and the service co-ordinator. They also reviewed care plans, staff files, medicines, complaints, incident records and other management records.
Inspectors found that people felt safe and were supported by enough staff. Medicines were handled safely, the home was clean, and staff had the training needed for their roles. People were treated with kindness and respect and were supported to make choices, stay independent and take part in activities.
Care plans reflected people's preferences and goals. People were involved in decisions about their care and were supported to access healthcare and the local community. The home had systems to monitor quality and seek feedback.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as at the previous inspection in September 2016.
Kind and respectful staff
People spoke positively about the staff team. Inspectors found a friendly and relaxed atmosphere, with people treated with dignity.
“All the staff are lovely, very kind. And they have a laugh with us too.” from the report
Personalised support
Care plans included people's preferences, goals and ways of communicating. People were involved in reviewing their plans.
“Care plans were person centred and included details of people's choices and preferences for the support they wanted from staff.” from the report
Promoting independence
People were supported to make choices, take part in household tasks, prepare food and access the community.
“Plans focussed on maximising people's independence.” from the report
Active social lives
People were supported to choose activities such as swimming, clubs, church coffee mornings, going to the gym and going out for meals.
“People had active and varied social lives.” from the report
Good oversight
The provider used audits, safety checks, meetings and feedback to monitor the service and identify improvements.
“Systems were in place to monitor and review the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will people's care and support be managed when the registered manager is away?
- 02How are staffing levels adjusted around each person's planned activities and support needs?
- 03How are people involved in updating their care plans and yearly goals?
- 04What activities and community opportunities would be available for my relative?
- 05How would the home support my relative if their health needs or end-of-life wishes changed?
This was a planned inspection covering all five key questions, and the previous overall rating was Good in September 2016. This explanation was written from the published report of 16 March 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, November 2016
Ordinary Life Project Association - 19 Berryfield Road was rated Good; inspectors found safe, kind and personalised care, with some reliance on temporary staff.
This was an unannounced inspection on 29 September 2016. One inspector spoke with both people living there, a staff member and the registered manager. The inspector also observed care and checked care and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe, staff understood safeguarding and risks were assessed. Medicines were administered safely and records showed they had been given as prescribed.
Inspectors found kind, person-centred care. People helped make decisions, plan meals and set personal goals. Care plans described people's preferences and changing needs, while staff supported activities, relationships and healthcare.
The previous inspection in June 2014 had required improvements to medicines management and quality assurance. The report says these actions had been completed.
Kind, personal care
Staff built trusting relationships and supported people in ways that reflected their histories, preferences and interests. This included helping one person create a life story book.
“The staff responded to people's needs in a caring and meaningful manner.” from the report
Support for independence
People were supported to make choices and take measured risks, including travelling independently and choosing activities.
“The registered manager said people were encouraged to take risk safely.” from the report
Personal goals and activities
People had person-centred goals and took part in clubs, day activities, household tasks and social activities. Staff helped people work towards important experiences.
“The staff were motivated and inspired to meet people's goals.” from the report
Safe medicines systems
Medicine records included useful information, staff signed administration records and unwanted medicines were recorded for safe disposal.
“Medicine systems were safe. The medicine file included the person's photograph to assist with the identification of the person.” from the report
Improvements completed
The provider had completed the improvements requested at the previous inspection on medicines management and quality assurance.
“At the last inspection on June 2014, we asked the provider to take action to make improvements on medicine management and quality assurance, and this action has been completed.” from the report
Temporary staffing
minorThere were long-term staff absences and vacant shifts were being covered by relief and agency staff. The report says recruitment for permanent staff was in progress.
“The registered manager said the staffing levels were maintained with relief and agency staff as there were some long term staff absences.” from the report
A recent safety concern
minorOne person said there had been recent events when they did not feel safe living at the home. Inspectors recorded that the manager and staff had taken steps to protect the person from abuse and avoidable harm.
“One person told us there had been recent events when they did not feel safe living at the service.” from the report
- 01How many permanent staff vacancies are there now, and how often are relief or agency staff used?
- 02What were the recent events that made one person feel unsafe, and what action was taken afterwards?
- 03How will you support my relative to make decisions about medicines, personal care and daily activities?
- 04How are care plans reviewed when a person's needs or wishes change?
- 05How will you support my relative to maintain relationships, activities and personal goals?
This was an unannounced comprehensive inspection covering all five CQC questions; the inspector spoke with two people and reviewed records relating to three people. This explanation was written from the published report of 25 November 2016 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 19 Berryfield Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 December 2010.
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 two hours of Wiltshire
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 £1,300 a week. 83 can care for a couple. 12 years' experience on average.
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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.