CQC report explained · a residential care home
What the CQC found at Paradise House Painswick
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection control, use of protective equipment, testing, safe admissions, visiting arrangements and the management of infection outbreaks. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Paradise House Painswick was inspected but not rated; inspectors found strong infection control and support for people during the pandemic.
This was an announced, targeted inspection on 26 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether staffing pressures linked to COVID-19 were affecting the home.
Inspectors were assured that the home used personal protective equipment safely, supported testing, managed admissions and visiting safely, and kept its infection control policy up to date. They were also told that measures were in place to manage COVID-19-related staffing pressures.
People were given easy-read information and social stories about the pandemic. Staff arranged activities such as cinema nights and a tuck shop to support people's wellbeing during lockdowns.
The home was inspected but not rated. This means the visit did not provide a new overall quality rating or a full rating for all five areas of care.
Clear information
The home used easy-read information and social stories to help people understand the pandemic and how to stay safe.
“People were supported to understand how to keep safe during the pandemic.” from the report
Wellbeing support
Staff considered what people missed during lockdown and arranged activities to support their wellbeing.
“Staff had set up a projector and organised cinema nights and had created a 'tuck shop'” from the report
Infection control
Inspectors were assured about the home's arrangements for preventing and managing infection, including protective equipment, testing, hygiene and visiting.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Family contact
People were supported to see their families according to their preferences and government guidance, with telephone and virtual contact also available.
“People were supported to see their families in accordance with their preferences and in line with government guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01What measures are currently in place to manage staffing pressures linked to COVID-19?
- 02How are visits arranged now, and how are individual preferences reflected in visiting risk assessments?
- 03How do you check that protective equipment, testing and infection control practices remain effective?
- 04What activities and support are available when people cannot go out or usual routines are disrupted?
- 05When were the other care quality areas last fully inspected, and what ratings did they receive?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 10 February 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, April 2019
Rated Good overall; inspectors found exceptionally caring support, with all five areas rated Good or Outstanding.
This was an unannounced inspection on 4 March 2019. One inspector and an expert by experience spoke with people living in the home, staff, relatives and health professionals. They also observed care and checked care plans, medicines records, audits and other documents.
The home supported 30 adults with learning disabilities. Inspectors found people were safe, received their medicines as prescribed, had access to health care and were supported by trained staff. Care plans were detailed and activities were varied, both at the home and in the community.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding, improving from Good at the previous inspection in October 2016. The overall rating was unchanged from that inspection.
Kind and respectful care
Inspectors saw staff treating people with warmth, respect and understanding. Staff had built long-term relationships with people and knew how best to support them.
“People were being supported by staff who were extremely kind and caring.” from the report
Promoting independence
People were supported to do everyday tasks and use the community while appropriate safety measures were put in place.
“People were encouraged to maintain their independence where appropriate.” from the report
Choice of activities
People could choose from activities at the home and in the community. These included arts and crafts, cooking, exercise, swimming, horse-riding and holidays.
“People could choose to participate in activities they enjoyed.” from the report
Safe medicines
Inspectors found systems for receiving, storing, giving and disposing of medicines. Staff were trained and their competence was checked.
“People received their medicines as prescribed and medicines were managed safely.” from the report
End of life planning
minorNo one was receiving end of life care during the inspection. The manager said care would be based on people's wishes, but families should ask how this would work in practice.
“End of life care was not being provided at the time of the inspection” from the report
- 01How would you support my relative's end of life wishes if their needs changed?
- 02What safeguarding training or easy read information is available to help people understand how to keep safe?
- 03How would you match the activities and community opportunities to my relative's interests and abilities?
- 04How would you support my relative to communicate their choices, including through their care plan and communication passport?
- 05How do you make sure medicines remain safe and that staff competence checks stay up to date?
This was a planned, unannounced inspection covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 3 April 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.
Every inspection of Paradise House Painswick
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 January 2011.
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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38 live-in carers within about an hour of Gloucestershire
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 £1,030 to £1,360 a week. 31 can care for a couple. 12 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.