CQC report explained · a residential care home
What the CQC found at Paxton House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable staffing, safe recruitment, medicines management and systems for learning from accidents and incidents. Risk assessments guided support at home and in the community.
- Effective?
- Good
- Staff received induction, training and supervision. People were supported with decisions, food and drink, health appointments and personalised communication.
- Caring?
- Good
- People were described as happy with kind and caring staff. Inspectors saw privacy, dignity, choice, independence and family involvement being promoted.
- Responsive?
- Good
- Care plans recorded people's preferences and were reviewed monthly. People were supported with activities, education, voluntary work, social contact and raising concerns.
- Well-led?
- Good
- Quality checks, staff meetings and an improvement plan were in place. However, the home did not have a registered manager at the time of the inspection.
What inspectors found, January 2019
Rated Good; inspectors found safe, kind and personalised care, with no registered manager in post at the time.
This was an unannounced inspection on 13 December 2018. It was the first inspection since the home registered with the CQC in December 2017. One inspector observed care, spoke with people, a relative and staff, and reviewed care plans and quality checks.
The home supported five people with learning disabilities and had space for up to eight. Inspectors found enough suitably recruited staff, safe medicines systems, personalised care and support for people to make choices and build independence.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home did not have a registered manager because the previous manager had recently left. A deputy manager from another home and an area manager were supporting the staff.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs, including individual support where required. Medicines were stored, administered and supported safely.
“There were sufficient numbers of staff available to meet people's needs consistently.” from the report
Personalised communication
Staff understood how people communicated, including through pictures, signs and body language. These methods helped people understand information and give agreement.
“People had personalised and individualised methods of communication and these were well used by staff to provide understanding for people and to gain their agreement and consent.” from the report
Choice and independence
People were supported to make daily decisions, cook, manage laundry, travel and plan activities. Staff aimed to build skills and support greater independence.
“People were encouraged to be as independent and to take responsibility for their life and daily decisions.” from the report
Activities and community life
People chose activities such as visiting friends, attending social groups, going shopping, taking college courses and doing voluntary work.
“People were supported to participate in activities that interested them and could raise concerns where they were unhappy.” from the report
Quality monitoring
The provider checked care plans, medicines, safety, incidents, complaints and infection control. Identified actions were monitored through an improvement plan.
“The provider had an ongoing action plan that showed how the service was continually improving.” from the report
No registered manager
minorThe registered manager had left before the inspection. A deputy manager from another home and an area manager were supporting the staff, so families should check who is responsible for the home now.
“The service did not have a registered manager. The registered manager had recently left the service and notified us of this.” from the report
- 01Who is responsible for managing the home now, and has a registered manager been appointed?
- 02How will staff support the person to communicate choices, consent and any worries?
- 03How will the home support the person to go out safely while maintaining their independence?
- 04What activities, education or voluntary work could the person take part in?
- 05How are accidents, incidents, medicines and care-plan changes reviewed and followed up?
This was an unannounced first comprehensive inspection of the home since its registration in December 2017, covering all five CQC question areas. This explanation was written from the published report of 24 January 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 Paxton House
Each visit the CQC has published, newest first, back to the day the home was registered.
- January 2019Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017
Registered with the Care Quality Commission on 18 December 2017.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.