CQC report explained · a nursing home
What the CQC found at Pathways Health Care Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2017
Rated Good overall, but inspectors found that limited staffing reduced people's access to community activities.
Inspectors made an unannounced visit on 23 November 2017. They spoke with one person, relatives, staff and the manager. They also reviewed care plans, medicines records, staff records and quality checks.
The home was judged safe, effective, caring and well-led. People were protected from avoidable harm, received their medicines safely, and were supported by trained staff. Inspectors saw kind and respectful care, with people's choices and privacy supported.
The responsive rating fell from Good to Requires Improvement. Staffing pressures meant some people could not go into the community as often as they wished. The overall rating remained Good, but this means the home needed to improve how well it met people's activity and social needs.
Safe care
People told inspectors they felt safe. Staff understood how to recognise and report abuse, and risks such as falls were assessed and reviewed.
“Processes were in place to reduce the risk of people experiencing avoidable harm or abuse.” from the report
Skilled staff
Staff received induction, regular training and supervision. Inspectors saw staff supporting people confidently and appropriately.
“People were supported by staff who were trained to support them safely.” from the report
Kind and respectful support
People were treated as individuals. Staff supported privacy, dignity, choices and independence, and relatives were made welcome.
“We observed staff interactions with people and we saw staff were kind and caring to people when they were supporting them.” from the report
Accessible communication
Care plans and other information used easy-read formats, pictures, symbols and short sentences to help people understand and take part.
“Easy to read information was available in a range of documents.” from the report
Community access
needs fixingPeople could not always go out as often as they wanted because staffing levels and increased care needs reduced the time available for community activities.
“The number of staff on duty restricted how often people could access the community.” from the report
Incident analysis
needs fixingOne incident that should have been referred to the local authority was not referred. Inspectors recommended improving the system for analysing incidents.
“We noted one incident which should have been referred to the local authority but had not been.” from the report
Cleaning records
minorThe home was clean and hygienic, but support staff did not always complete records to show cleaning had been done.
“Support staff were not always completing the records to show they had carried out the cleaning” from the report
Equality information
minorThe assessment of people's diverse needs did not yet fully cover all protected characteristics. The manager said this would be developed.
“The assessment of people's diverse needs to ensure there was no discrimination, including in relation to protected characteristics under the Equality Act was not yet fully embedded in the service.” from the report
- 01How have staffing levels been assessed since the inspection, and how often can each person now access the community?
- 02What changes were made to ensure incidents are analysed properly and referred to the local authority when needed?
- 03How do you check that cleaning records are completed on every day when the housekeeper is not working?
- 04Has the assessment process been updated to cover all protected characteristics and each person's diverse needs?
- 05How are people's activity choices and care plans reviewed with them and their relatives?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home; the previous overall rating was from October 2015. This explanation was written from the published report of 30 December 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 Pathways Health Care Limited
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
Read what inspectors found at Pathways Health Care Limited →
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- February 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 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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Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
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