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CQC report explained · a residential care home

What the CQC found at Overndale House

Goodpublished 24 February 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found comprehensive risk assessments, enough staff, safe recruitment and suitable infection-control arrangements. Medicines were administered by trained staff, although some recording errors were identified and corrected.
Effective?
Good
This question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Caring?
Good
This question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Responsive?
Good
This question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found an open, person-centred culture, regular audits and good partnership working with health and social care professionals.
The latest report, explained

What inspectors found, February 2023

Rated Good; inspectors found safe, person-centred care and strong management, with a medicines-recording error corrected during the visit.

This was an unannounced inspection on 2 February 2023. One inspector spoke with people, staff and managers, and checked care, medicines, recruitment, maintenance and management records.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, suitable risk assessments, safe recruitment, clean premises and safe medicines administration. They also found that incidents were investigated and lessons were shared.

Staff were described as person-centred and supportive. Care plans contained detailed information about people's needs and preferences. Managers used audits and worked with health and social care professionals.

This was a focused inspection of Safe and Well-led. The overall Good rating stayed the same as at the previous inspection, published on 5 September 2017. The other three areas were not inspected during this visit and their previous ratings were used to calculate the overall rating.

What inspectors praised
  • Risk management

    People had detailed risk assessments, including plans for self-harm and emotional distress. Staff knew people's triggers and how to support them safely.

    “People had comprehensive risk assessments in place which explored their known risks.” from the report
  • Staffing

    Inspectors found enough staff to meet people's needs. People and staff also said staffing levels felt safe and consistent.

    “There were enough staff to meet people's needs.” from the report
  • Person-centred support

    Care plans explained people's preferences and backgrounds. Staff helped people settle into the home, build life skills and work towards goals.

    “There was a strong emphasis on helping people to build life skills and reach goals.” from the report
  • Management and teamwork

    The home had regular audits, open communication and partnership working with health and social care professionals.

    “There was clear evidence of collaborative working and effective communication with other professionals in health and social care.” from the report
What inspectors were concerned about
  • Medicines records

    needs fixing

    Some controlled-medicine records did not show the exact administration time, and an error was found in records for two people's liquid controlled medicines. Staff corrected the error during the inspection.

    “On two occasions the staff had written 'N' for the time the medicines were administered.” from the report
Questions to ask them, based on this report
  1. 01What checks are now made to ensure controlled-medicine records show the exact time each medicine was given?
  2. 02How would you manage my relative's known risks, including any risk of self-harm or emotional distress?
  3. 03How would you involve my relative in decisions about their care and obtain their consent?
  4. 04What current activities and support would help my relative build life skills and reach personal goals?
  5. 05How would you keep the family informed and support contact, while respecting my relative's consent?

This was an unannounced focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings carried over into the overall rating. This explanation was written from the published report of 24 February 2023 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, September 2017

Overndale House was rated Good; inspectors found safe, kind and personalised care, with no major shortfalls identified.

This was a comprehensive, announced inspection on 23 July 2017. One inspector spoke with three people, a visitor, two staff members and the manager. They reviewed care plans, medicines records, daily records, training, supervision and quality checks.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe. Inspectors found enough staff, suitable risk plans, accurate medicines records, trained staff and access to health professionals.

Inspectors found positive relationships between staff and people. Care was tailored to people's needs and choices. People were supported with activities, independence, family contact and cooking. The home had been rated Good at the previous inspection and remained Good.

What inspectors praised
  • Safe staffing

    Inspectors found staffing levels were enough to meet people's needs and support them safely.

    “Staffing numbers were sufficient to meet people's needs and this ensured people were supported safely.” from the report
  • Personalised support

    Care was based on what mattered to each person and supported their choices, goals and independence.

    “People received good care that was personal to them and staff assisted them with the things they made the choices to do.” from the report
  • Kind relationships

    Staff knew people's preferences and encouraged them to do things for themselves while offering help when needed.

    “Our observations showed that good relationships had been established between staff and the people they provided care for.” from the report
  • Health and daily living

    People had access to health professionals and were supported to develop cooking skills and make choices about meals.

    “People were supported to maintain good health and had access to external health care professionals when required.” from the report
  • People's views

    People were involved in decisions about activities, goals, food, medicines and the running of the home.

    “Regular house meetings were held to seek people's views on the service and their thoughts on issues such as house maintenance, medication and the food.” from the report
What inspectors were concerned about
  • No registered manager in post

    minor

    There was no registered manager at the time of the inspection. The current manager had submitted an application for consideration by the CQC, so families may want to check its outcome.

    “At the time of our inspection there was no registered manager in post.” from the report
Questions to ask them, based on this report
  1. 01What is the current outcome of the manager's registered manager application?
  2. 02How often will my relative's care plan and risk assessments be reviewed, and how will they be involved?
  3. 03How will my relative be supported if they want to manage some of their own medicines?
  4. 04Which activities and independence goals could my relative work towards here?
  5. 05How will the home support my relative to keep in contact with family and access health professionals?

This was a comprehensive inspection covering all five areas, and the previous Good rating remained unchanged. This explanation was written from the published report of 5 September 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.

The story over the years

Every inspection of Overndale House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. February 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Overndale House →

  2. September 2017Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Overndale House →

  3. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2013

    Registered with the Care Quality Commission on 11 October 2013.

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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