CQC report explained · a residential care home
What the CQC found at Patrick Carr
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable safeguarding systems, detailed risk assessments and safe medicines management. Infection prevention arrangements, the condition of the home and the staffing contingency plan were also considered satisfactory.
- Effective?
- Good
- Staff had suitable skills, experience and training. The person was supported with consent, a healthy diet, healthcare appointments and a meaningful lifestyle.
- Caring?
- Good
- This key question was not inspected during this focused inspection. The overall rating used the rating from the previous inspection for key questions not inspected.
- Responsive?
- Good
- This key question was not inspected during this focused inspection. The overall rating used the rating from the previous inspection for key questions not inspected.
- Well-led?
- Good
- Inspectors found clear roles, regular reviews of support, a person-centred culture and a commitment to learning and improvement.
What inspectors found, September 2022
Patrick Carr rated Good; inspectors found safe, kind and person-centred care, with a stable two-person staff team.
The inspection took place on 15 July 2022 and was carried out by one inspector. The inspector met the person living in the home, observed staff, spoke with both staff members and reviewed risk assessments and support plans.
The home was rated Good for Safe, Effective and Well-led. Inspectors found that staff understood the person's needs, supported their choices and independence, managed risks and medicines safely, and helped them access healthcare.
The home provides accommodation and personal care for up to three people, but only one person was living there at the inspection. This was a focused inspection of Safe, Effective and Well-led. The overall Good rating remained unchanged from the previous inspection in 2018.
Good knowledge of needs
Staff had known the person for many years and understood their needs, preferences and risks.
“The person had lived in this home for more than 30 years so the two members of staff knew their needs well.” from the report
Choice and independence
The person was involved in decisions about their care and was supported to maintain their independence and chosen lifestyle.
“Staff supported the person to follow their individual interests, follow their chosen lifestyle and to maintain their independence.” from the report
Safe care
Inspectors found safeguarding arrangements, risk assessments, medicines support and infection control measures were working safely.
“There were risk assessments which included guidance on supporting the person to stay safe.” from the report
Health support
Staff supported the person with appointments, communication and monitoring their health at home.
“The service supported the person with all their healthcare appointments, including booking the appointments and accompanying them to support communication.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the contingency plan if either of the two staff members is ill or unavailable?
- 02How would you assess whether the home could meet my relative's individual needs and preferences?
- 03How are medicines managed if a person cannot safely look after their own medicines?
- 04How are support plans reviewed when a person's needs or requests change?
- 05What current evidence can you provide about the Caring and Responsive areas, which were not inspected this time?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were used when calculating the overall rating. This explanation was written from the published report of 8 September 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, September 2018
Patrick Carr is rated Good; inspectors found safe, kind and person-centred care with no serious risks or concerns.
The announced inspection took place on 14 August 2018. One inspector spoke with the providers, the registered manager and the person living in the home. They read care and other records, checked the person's room and shared areas, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, medicines arrangements were suitable, the home was clean and fire safety checks were in place.
The person living in the home was supported to make choices, stay independent, maintain relationships and receive healthcare. Care plans were reviewed when needs changed, and inspectors found kind and respectful interactions.
The overall Good rating continued from the previous inspection in December 2015. The report used a shorter format because the rating had not changed.
People felt safe
The person living in the home said they felt safe. Inspectors found suitable risk assessments, safeguarding arrangements and fire safety measures.
“The person living in the home told us they felt safe there.” from the report
Good health support
The providers supported healthcare appointments, health checks and treatment planning. They kept clear records of health needs and worked with healthcare professionals.
“The providers supported the person with all medical appointments and had a good knowledge of their past and current health needs.” from the report
Respect and privacy
The person's independence and privacy were respected. Inspectors observed kind and respectful interactions.
“They said that their privacy was very important to them and that the providers always respected their privacy.” from the report
Personalised care
The person was supported to follow their chosen routine, interests and lifestyle. Their care plan was reviewed when their needs changed.
“The service provided good person-centred care where the person lived the lifestyle they chose and the service provided whatever support was needed for them to do so.” from the report
Inspectors raised no specific concerns in this report.
- 01What alternative arrangements would be used if one of the providers was unavailable in an emergency?
- 02How would you review and change my relative's care plan if their needs changed?
- 03How would you support my relative during medical treatment and make sure health appointments and follow-up care were recorded?
- 04How would you support my relative's preferred routine, independence, relationships and privacy?
- 05What procedure would my relative and family use if they wanted to make a complaint?
This was an announced inspection of the overall service covering all five CQC questions; the report says the Good rating continued from December 2015. This explanation was written from the published report of 7 September 2018 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 Patrick Carr
3 rated inspections over 7 years: the service has held its Good rating throughout.
- September 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2018Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 22 December 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.
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At least 100 live-in carers within about an hour of Enfield
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. 79 can care for a couple. 11 years' experience on average.
“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
“Charity would take Nan on holidays day trips and shopping adventures”
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.