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CQC report explained · a residential care home

What the CQC found at OSJCT The Poplars

Goodpublished 30 July 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment, appropriate risk management and safe medicines procedures. The home was clean and equipment was regularly serviced.
Effective?
Good
People's needs were assessed and reviewed, and staff received training and supervision. People were supported with food, healthcare, communication and decision-making.
Caring?
Good
Staff were described as kind, patient and respectful. People were involved in their care, supported to remain independent, and treated as individuals.
Responsive?
Good
Care plans contained personalised information and people were supported with relationships, activities, communication and end-of-life preferences. This rating fell from Outstanding at the previous inspection.
Well-led?
Good
The management team knew people well, supported staff and used checks to monitor quality. Two notifications about incidents were sent retrospectively after the inspection.
The latest report, explained

What inspectors found, July 2019

Rated Good; inspectors found safe, kind and personalised care, with two incident notifications sent late.

This was an unannounced, planned inspection on 11 June 2019. Two inspectors spoke with people, relatives and staff, observed care, and checked care, medicine, recruitment and management records.

The home was rated Good overall and received Good ratings in all five areas. Inspectors found that people were safe, treated with kindness and dignity, supported to make choices, and helped to follow their interests.

Care plans were personalised and staff understood people's needs. There were enough staff, medicines were managed safely, and the home was clean. The report also says two notifications about incidents were sent retrospectively after the inspection.

The overall rating stayed Good from the previous inspection in 2016. However, Responsive fell from Outstanding to Good, meaning inspectors still found people's needs were met, but judged the service less highly in this area than before.

What inspectors praised
  • Kind and respectful staff

    Inspectors found positive relationships between staff and people. Staff understood people's personalities, rights and individual needs.

    “People were cared for and supported by staff that were kind, patient and respectful.” from the report
  • Personalised care

    Care plans included detailed information about what mattered to people. Staff spent time with people and relatives to understand their preferences.

    “Care plans contained detailed, personalised information about what was important to people.” from the report
  • Activities and relationships

    People were supported to maintain friendships and take part in activities and entertainment in the home and community.

    “The service provided a range of activities and entertainment for people.” from the report
  • Safe medicines and staffing

    Inspectors found enough staff to meet people's needs. Medicines were stored securely, administered as prescribed and checked by trained staff.

    “Records showed people received their medicines as prescribed.” from the report
What inspectors were concerned about
  • Two notifications were sent late

    minor

    The report says two notifications about incidents affecting people's safety or welfare were submitted retrospectively after the inspection. This was a shortfall in the home's reporting process, although the overall Well-led rating remained Good.

    “all notifications were submitted in a timely manner expect two which were sent in retrospectively following the inspection.” from the report
Questions to ask them, based on this report
  1. 01What were the two notifications that were sent retrospectively, and what has changed to prevent late reporting?
  2. 02How will you assess and support my relative's individual needs, preferences, beliefs and communication needs?
  3. 03What activities would be suitable for my relative, and how are people supported to continue hobbies and relationships?
  4. 04How do you make sure there are enough suitably trained staff to meet people's needs at all times?
  5. 05How are people and relatives involved in reviewing care plans and raising concerns?

This was an unannounced, planned inspection of the whole service, covering all five CQC questions; the overall rating stayed Good, while Responsive fell from Outstanding to Good since 2016. This explanation was written from the published report of 30 July 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.

An earlier report, explained

What inspectors found, November 2016

OSJCT The Poplars was rated Good; inspectors found safe, kind care and Outstanding support for activities and personal choices.

This was an unannounced inspection on 15 July 2016. One inspector and an expert by experience spoke with people living in the home, relatives, staff and healthcare professionals. They observed care and checked care plans, medicines records, staff files, complaints information and quality checks.

The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Responsive was rated Outstanding. Inspectors found enough staff, safe medicines practice, trained staff, kind relationships, suitable food and access to healthcare.

People were supported to follow their interests and stay involved in the local community. Care plans focused on individual needs and choices. The home had complaint arrangements and regular checks to monitor quality.

What inspectors praised
  • Activities and community links

    People could take part in varied activities, follow their hobbies and maintain links with local groups, schools and community organisations.

    “People were at the heart of the service. They were enabled to take part in a range of innovative activities of their choosing” from the report
  • Kind and respectful care

    Inspectors saw friendly relationships and staff taking time to listen. Privacy, dignity, personal choices and independence were respected.

    “Staff had built a positive and caring relationship with people and treated them with kindness and compassion.” from the report
  • Safe medicines and staffing

    There were enough staff to meet people's needs. Medicines records checked during the inspection showed no gaps, and staff followed safety procedures.

    “We looked at medicine administration records (MAR) for seven people and found that medicines had been given consistently and there were no gaps in the MAR charts.” from the report
  • Individual care

    People and relatives were involved in care planning. Plans focused on people's needs, preferences, independence and life stories.

    “We looked at the care plans for four people and saw that individual care plans focussed on supporting the person to live well and maintain their independence.” from the report
What inspectors were concerned about
  • Anonymous feedback

    minor

    The home had a suggestion box, but the manager said it was seldom used. Anonymous comments could make it difficult to respond directly.

    “However, the registered manager said that they seldom received comments this way and it was difficult to respond in person as they were usually anonymous.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure the wide range of activities and community links described in the report are still available?
  2. 02How often are care plans reviewed with residents and relatives, and how are changes in needs recorded?
  3. 03How do you check that there are enough suitably skilled staff on every shift?
  4. 04How can residents and relatives give feedback now, and how are complaints followed up?
  5. 05How are people's medicines checked and recorded, including any changes made by healthcare professionals?

This was an unannounced inspection covering all five CQC questions, with observations, discussions and checks of care, medicines, staffing and quality records. This explanation was written from the published report of 11 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.

The story over the years

Every inspection of OSJCT The Poplars

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

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

    Read what inspectors found at OSJCT The Poplars →

  2. November 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at OSJCT The Poplars →

  3. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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.

Next steps

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