CQC report explained · a residential care home
What the CQC found at OSJCT Southfield House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitable staff, safe recruitment checks, appropriate risk management, safe medicines practices and infection control. People could receive visitors without restrictions.
- Effective?
- Good
- This area was not inspected during this visit. The report says the previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. The report says the previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. The report says the previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found an open culture, person-centred care and systems for monitoring quality. Staff, people and relatives were able to give feedback and raise concerns.
What inspectors found, January 2024
OSJCT Southfield House is rated Good; inspectors found safe staffing, medicines management and positive leadership.
This was an unannounced, focused inspection on 6 December 2023. One inspector and an Expert by Experience spoke with people living at the home, relatives and staff. They observed care and checked care records, medicines records, recruitment files and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe recruitment, appropriate risk assessments, safely managed medicines and good infection control. They also found systems for reviewing incidents and making improvements.
The overall rating stayed Good, the same as at the previous inspection published in October 2017. This inspection only looked at Safe and Well-led. The other three areas used their previous ratings when calculating the overall rating.
Safe staffing and recruitment
The home had calculated staffing needs and inspectors found staff available to support people. Recruitment checks were completed to help ensure staff were suitable to work there.
“The provider had completed checks at the point of recruitment including checking staff did not have a criminal record.” from the report
Medicines
Inspectors found that people received medicines as prescribed. Staff were trained and had their medicines practice checked.
“Staff had received training and had their competencies checked so medicines were administered to people safely.” from the report
Clean and safe environment
The home was clean and tidy, and staff used protective equipment in line with guidance to reduce infection risks.
“Staff used protective equipment such as gloves and aprons in line with guidance to minimise the risk of spreading infection.” from the report
Welcoming culture
People and relatives described the home as comfortable and welcoming. Relatives were included in activities and events.
“All family members are welcome to parties etc. They make it more like a home than an institution.” from the report
Learning from incidents
The manager reviewed accidents and incidents for patterns. Lessons and changes were shared with staff.
“The provider ensured lessons learnt from accidents and incidents, complaints and safeguarding were shared with the whole staff team.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you calculate the number of staff needed, and how do you check that call bells are answered promptly?
- 02What changes were made after the medicines mistake mentioned in the report, and how are staff competencies checked now?
- 03How are accidents, incidents, complaints and safeguarding matters reviewed and shared with all staff?
- 04What are the current ratings and findings for Effective, Caring and Responsive, which were not inspected during this visit?
- 05How can people and relatives give feedback or raise concerns, and what changes have resulted from recent feedback?
This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection when calculating the overall rating. This explanation was written from the published report of 9 January 2024 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 2017
OSJCT Southfield House was rated Good; inspectors found kind, safe care, but noted four medicine errors and incomplete refresher training.
This was an unannounced inspection on 31 August 2017. Inspectors spoke with people living in the home, relatives and staff. They observed care, checked five care records and reviewed staffing, training, medicines and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were treated with kindness and respect. Staff supported people with food, drinks, healthcare, activities and dementia care. There were enough staff in practice, although some shifts had not been filled recently.
Inspectors noted four occasions in the previous 12 months when medicines had not been given correctly. No direct harm was reported, and action had been taken after each mistake. Some staff had not completed all the refresher training the provider said they needed, but inspectors found that staff knew how to care for people properly.
Kind and respectful care
Inspectors saw staff speaking warmly with people and respecting their privacy. Staff asked people how they wished to be addressed and how they wanted support at night.
“People were treated with compassion, respect and courtesy.” from the report
Support for daily needs
People received help with food, drinks, personal care and healthcare. Staff also supported people at risk of choking with specially prepared food.
“We found that people were being supported to have enough nutrition and hydration.” from the report
Personalised activities
The activities programme was based on people's interests and included social events, exercises, arts and crafts, quizzes and games.
“Records showed that people were being offered the opportunity to enjoy a wide range of social events including arts and crafts, quizzes, gentle exercises and games such as carpet bowls.” from the report
Good management checks
The registered persons checked care, medicines, staff skills and equipment. People could suggest improvements at residents' meetings, and some suggestions were acted on.
“Records showed that the registered persons had regularly checked to make sure that people were reliably benefiting from having all of the help and facilities they needed.” from the report
Medicine mistakes
seriousFour medicines had not been administered correctly in the 12 months before the inspection. Inspectors said no direct harm had resulted and action had been taken after each incident, but families should ask how repeat mistakes are being prevented.
“Records showed that in the 12 months preceding our inspection visit there had been four occasions when a medicine had not been administered in the correct way.” from the report
Incomplete refresher training
needs fixingSome staff had not completed all the ongoing refresher training the provider said they needed. Inspectors found staff knew how to provide care in practice, but families should ask how training is kept up to date.
“Although some care staff had not then received all of the on-going refresher training the registered persons said they needed, we found that in practice care staff knew how to care for people in the right way.” from the report
Unfilled shifts
needs fixingA small number of care staff shifts had not been filled in the month before the inspection. Inspectors concluded there were enough staff in practice, partly because managers and other staff worked flexibly.
“Records showed that a small number of care staff shifts had not been filled in the month preceding our inspection visit.” from the report
- 01What has changed since the four medicine errors, and how do you check that medicines are now given correctly?
- 02Which refresher training had not been completed at the inspection, and has all of it now been completed?
- 03How do you make sure there are enough care staff when shifts are not filled?
- 04How quickly are call bells answered now, and how is this monitored?
- 05How are my relative's personal interests, routines and care plan reviewed and updated?
This was an unannounced planned inspection covering all five key questions and providing an overall rating; the home remained Good, as at the previous inspection on 28 May 2015. This explanation was written from the published report of 11 October 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 OSJCT Southfield House
3 rated inspections over 9 years: the service has held its Good rating throughout.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2017Goodstayed GoodSafe: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 16 November 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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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.