CQC report explained · a residential care home
What the CQC found at Paradise House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks were reviewed, staffing was assessed, medicines were managed safely and infection control was effective.
- Effective?
- Good
- People had their needs assessed and received appropriate support, including help with eating, drinking and healthcare. Some staff were out of date with key refresher training, but training had been booked.
- Caring?
- Good
- People and relatives described staff as kind, caring and respectful. Inspectors saw staff supporting people's dignity, privacy, independence and choices.
- Responsive?
- Good
- Care was planned around people's needs, preferences and communication needs. Some care records were not always accurate, although the home said this was a recording issue and had arranged support for staff.
- Well-led?
- Good
- The home had a positive, person-centred culture and effective systems for checking quality and safety. People, relatives and staff spoke positively about the manager.
What inspectors found, October 2022
Rated Good; inspectors found safe, kind and personalised care, with some staff training and care records needing attention.
This was an unannounced comprehensive inspection on 12 September 2022. Inspectors toured the home, observed care and lunchtime, spoke with people, relatives, staff and a health professional, and checked care, training and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, received their medicines, had their needs assessed and were supported by kind staff.
There were some areas to improve. Some staff were behind with refresher training, and some care records did not fully reflect the care people received. The manager had identified these issues and had arranged training and support with the electronic recording system.
Safe care
Inspectors found that risks were identified, reviewed and managed. The home had also changed staff deployment after identifying the likely causes of falls, which reduced falls.
“The home had identified the probable causes of people having falls.” from the report
Kind and respectful staff
People and relatives gave strong positive feedback about staff. Inspectors observed attentiveness, kindness, dignity and respect.
“Staff go the extra mile, they are so kind and caring.” from the report
Personalised support
People and relatives were involved in decisions about care. Staff supported individual communication, choices, interests and cultural needs.
“Staff's knowledge and assessment of each and every person is superb, they treat everyone as individual.” from the report
Positive leadership
The home had a person-centred culture, regular feedback processes and governance checks to monitor quality and safety.
“The service demonstrated effective governance and accountability processes and practices.” from the report
Refresher training
needs fixingSome staff were out of date with key refresher training, including practical manual handling. The manager had identified this and booked the training.
“We did note that some staff were out of date with some key refresher training modules such as practical manual handling.” from the report
- 01How many staff still need the refresher training, particularly practical manual handling training?
- 02How do you check that electronic care records accurately reflect the care people receive?
- 03What changes were made to staff deployment after the review of falls, and are these changes still in place?
- 04How are relatives involved when care plans or people's needs and preferences change?
- 05How can families give feedback or raise a complaint, and how is the response monitored?
This was an unannounced comprehensive inspection covering all five key questions and was the first inspection of the newly registered service. This explanation was written from the published report of 6 October 2022 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, March 2022
Inspected but not rated; inspectors were assured that infection prevention and visiting arrangements were safe.
This was an unannounced, targeted inspection on 15 February 2022. It looked at infection prevention and control, and asked about staffing pressures linked to COVID-19.
The inspectors were assured that the home was using PPE safely, arranging testing, managing visitors, cleaning effectively and keeping its infection control policy up to date. They also found that visits were encouraged and supported in line with government guidance.
The home was not given an overall quality rating. The Safe question was recorded as “Inspected but not rated”. This report does not provide ratings for the other four questions.
Infection control
Inspectors found that infection control policies, audits, cleaning schedules and suitable PPE were in place.
“Infection control policies and audits were in place to ensure the home reflected best practice and current guidance.” from the report
Safe use of PPE
Staff had training in infection prevention and in putting on and removing PPE.
“Staff were trained and competent in infection prevention and control best practices and how to put on and take off PPE.” from the report
Testing and vaccination
People and staff were tested regularly. The report also says staff were vaccinated and visiting professionals met the vaccination requirement that applied at the time.
“People and staff were tested regularly for COVID-19. Staff employed at the home had been vaccinated, to help keep people safe from the risk of infection.” from the report
Inspectors raised no specific concerns in this report.
- 01What impact, if any, have COVID-19 staffing pressures had on staffing levels and people’s care?
- 02How are visitors currently screened before entering the home?
- 03How often are people and staff tested for COVID-19 now?
- 04How do you check that cleaning schedules, infection control audits and PPE practices are being followed?
- 05How are visits arranged if there is an infection outbreak or other restriction?
This was an unannounced, targeted inspection of infection prevention and control and COVID-19 staffing pressures; the service was inspected but not rated and the other questions were not rated. This explanation was written from the published report of 9 March 2022 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 Paradise House
4 rated inspections over 5 years: the service has held its Good rating throughout.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- November 2019Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2019Inadequatedown from GoodSafe: InadequateWell-led: Inadequate
- January 2018GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2021
Registered with the Care Quality Commission on 19 July 2021.
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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85 live-in carers within about an hour of Lancashire
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. 78 can care for a couple. 11 years' experience on average.
“She understands the needs of an elderly person in the early stages of dementia and has treated my mother with great kindness and skill.”
“Thanks to Tracy, Dad was always immaculately dressed and clean, his meals were all home cooked and nutritionally well balanced and his home was always kept really clean and tidy.”
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.