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CQC report explained · a residential care home

What the CQC found at Quiet Waters

Goodpublished 15 May 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was using PPE safely, supporting testing, managing visitors and admissions, and maintaining infection prevention measures.
Effective?
Good
This area was not rated in this targeted inspection.
Caring?
Good
This area was not rated in this targeted inspection, although people were supported to stay in touch with families.
Responsive?
Good
This area was not rated in this targeted inspection, although activities, one-to-one support and community walks continued.
Well-led?
Good
This area was not rated in this targeted inspection. Inspectors noted that the registered manager had carried out risk assessments and focused on staff well-being.
The latest report, explained

What inspectors found, March 2021

Quiet Waters was inspected but not rated; inspectors found good infection prevention measures during the COVID-19 focused visit.

This was a targeted, announced inspection on 18 February 2021. It looked at infection prevention and control in response to the coronavirus pandemic.

Inspectors found PPE, handwashing and sanitising facilities were available. Staff and residents took part in regular COVID-19 testing, temperatures were checked daily, and the home was clean and hygienic.

People were supported to keep in touch with family through garden visits, telephone calls and electronic devices. Activities, one-to-one support and community walks continued.

The home was inspected but not rated. This means the visit did not give an overall quality rating or full ratings for all five areas of care.

What inspectors praised
  • PPE and hand hygiene

    PPE and suitable facilities for handwashing and sanitising were available to staff.

    “Personal Protective Equipment (PPE) and appropriate handwashing and sanitising facilities were available to staff.” from the report
  • Clean environment

    The home was clean and hygienic, with cleaning schedules that included frequently touched areas.

    “The premises were very clean and hygienic. Cleaning schedules were in place, including for touch points.” from the report
  • Family contact

    People could keep in touch with their families through visits, calls and electronic devices.

    “People were supported to stay in touch with their families through garden visits, telephone calls and electronic devices.” from the report
  • Activities and community access

    Activities and one-to-one support had increased, and people continued to go out for walks.

    “Activities and one to one support had been increased, and people were still supported to access the community for walks.” from the report
  • Testing and monitoring

    Staff and residents took part in regular COVID-19 testing, and people's temperatures were checked daily.

    “The staff and residents were taking part in regular COVID-19 testing and people's temperatures were taken daily.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What are the current arrangements for COVID-19 testing, visitors and infection control?
  2. 02What was the home's last full inspection rating for care, staffing, medicines and management?
  3. 03How will you support my relative to keep in touch with family and take part in activities?
  4. 04How are individual risks assessed and reviewed for each person living in the home?
  5. 05How do you support people to access the community now?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was inspected but not rated and did not provide full ratings for the other areas of care. This explanation was written from the published report of 19 March 2021 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.

An earlier report, explained

What inspectors found, May 2018

Quiet Waters was rated Good overall; inspectors found safe, kind and personalised care, with no breaches reported.

This was an unannounced comprehensive inspection on 5 April 2018. One inspector observed care, spoke with staff, managers and relatives, and reviewed care records, recruitment files, training information, complaints and quality checks.

The home supported five people with learning disabilities in a building adapted to their needs. Inspectors found enough staff, safe medicines practice, suitable risk assessments and safe recruitment. Staff were trained and people could access healthcare when needed.

Inspectors saw kind and respectful staff. People were supported to communicate, make choices, keep relationships, take part in activities and live as independently as possible. Care plans were detailed and regularly reviewed.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was rated Good at the previous inspection in March 2016, so the overall rating remained the same.

What inspectors praised
  • Safe medicines

    People received their medicines correctly and on time. Staff had medicine training, regular checks and annual competency testing.

    “We saw that people received their medicines at the correct time and in the right way.” from the report
  • Kind and respectful staff

    Inspectors saw warm interactions and a calm atmosphere. Staff knew people well and supported their dignity and privacy.

    “Staff spoke in a caring, warm and respectful manner.” from the report
  • Communication and choice

    Staff used pictures, objects and other methods to help people communicate their wishes. People were supported to choose activities, meals and daily routines.

    “People were encouraged to make decisions about their care and their day-to-day routines and preferences.” from the report
  • Activities and community life

    People took part in activities outside the home, including visits, meals out, college and holidays. Staff aimed to provide new and enriching experiences.

    “People took part in activities outside the home such as visiting local country parks, going to college, garden centres and having meals out at local pubs and cafes.” from the report
  • Strong oversight

    The home had regular audits, feedback systems and involvement from the wider governance team. Inspectors found the manager had a clear view of the service.

    “The registered manager had a clear oversight of the service.” from the report
What inspectors were concerned about
  • Settling in and relationships

    minor

    The report says there had been some complaints about how people were integrating after moving into the home. It says systems were in place to handle complaints, but families may want to ask what was learned and what support is now provided.

    “There had been some complaints relating to how people were integrating after they had moved into the home.” from the report
Questions to ask them, based on this report
  1. 01How would you support my relative to communicate choices, distress or changes in their needs?
  2. 02How do you manage and review risks such as choking, falling or other risks specific to my relative?
  3. 03What happened after the complaints about people integrating after moving into the home?
  4. 04Which community activities and opportunities would be suitable for my relative, and how often could they take part?
  5. 05How will you keep me informed about changes in my relative's health, care plan or medicines?

This was an unannounced comprehensive inspection covering all five CQC questions, and all five ratings were assessed as Good. This explanation was written from the published report of 15 May 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.

The story over the years

Every inspection of Quiet Waters

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Quiet Waters →

  2. May 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Quiet Waters →

  3. April 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Registered with the Care Quality Commission on 30 June 2014.

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.

Next steps

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