CQC report explained · a residential care home
What the CQC found at Raleigh House
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, September 2019
Rated Good; inspectors found safe, kind and personalised care, with limited end-of-life planning information.
This was an unannounced inspection of a small home for up to four adults with learning disabilities. Four people were living there. The inspector spoke with people, staff, a manager and relatives, observed care, and checked care, medicine and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, medicines given as prescribed, suitable risk checks and good infection control. Staff knew people well and supported their health, choices, communication, activities and independence.
The home had suitable systems for complaints, staff training, care reviews and checking quality. Inspectors noted that some end-of-life care plans had limited information and that an application to restrict people's liberty had been awaiting review for some time. The overall Good rating was unchanged from the previous inspection, published in January 2017.
Safe medicines and staffing
Medicines records and stock checks showed that people received medicines as prescribed. Inspectors also found enough staff to support people safely.
“Our checks of medicines stocks and records showed people received their medicines as prescribed and staff recorded medicines administration appropriately.” from the report
Kind and respectful care
Staff treated people with kindness and maintained their dignity and privacy. People received consistent care from staff who knew them well.
“We saw staff treating people with kindness and people looked comfortable with staff.” from the report
Personalised support
Care plans reflected people's needs and preferences. People were supported with activities they enjoyed, holidays and daily living skills.
“People were supported to engage in a wide range of activities they were interested in most days of the week and they also had annual holidays to places of interest.” from the report
Strong knowledge of people's needs
Staff understood people's communication needs, health needs and food preferences. Relatives told inspectors staff knew people well.
“Staff understood people's communication needs.” from the report
Visible management
Managers worked alongside staff and checked the quality of care and the premises. Staff and relatives were positive about the leadership.
“The registered managers worked alongside staff and oversaw the service to check standards of care and the premises remained high.” from the report
Liberty safeguards awaiting review
needs fixingThe provider had applied to the local authority to restrict people's liberty, but the report says the application had been awaiting review for some time. Families should ask about the current status for their relative.
“The provider had applied to the local authority to deprive people of their liberty and had been awaiting a review for some time.” from the report
Limited end-of-life planning
needs fixingCare plans contained limited information about people's end-of-life care. The provider said it would look into improving this planning.
“Care plans contained limited information about people's end of life care, but there were funeral plans were in place for people.” from the report
- 01What is the current status of any outstanding liberty safeguards applications for my relative?
- 02How will you record and review my relative's end-of-life wishes?
- 03How will you support my relative to communicate choices about personal care, food and clothing?
- 04What activities and holidays could my relative take part in?
- 05How will you respond if my relative's health or eating and drinking needs change?
This was a planned, unannounced inspection covering all five CQC questions, with the overall and individual ratings unchanged from the previous inspection. This explanation was written from the published report of 25 September 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.
What inspectors found, January 2017
Raleigh House: Rated Good; inspectors found safe, caring and well-managed support for people with learning disabilities.
This was an unannounced comprehensive inspection on 8 December 2016. One inspector spoke with people using the service, managers, care staff and an aromatherapist. The inspector also reviewed care plans, staff files and other records, and received feedback from professionals and a relative.
The home supported three people at the time, in a setting registered for four people with learning disabilities and other needs, including autism. Inspectors found that risks, staffing and medicines were managed safely. Staff were trained, supported people to make choices, and helped them access food, healthcare, activities and independent living opportunities.
Inspectors found staff knew people well, communicated in ways people could understand, and treated them with dignity and respect. Care plans were current and person-centred. The home had clear management arrangements, regular audits and suitable ways to gather feedback. The overall rating was Good, as were all five key questions, continuing the ratings from the previous inspection in December 2014.
Safe medicines
Inspectors found that people received their medicines as prescribed and that medicines were stored safely. Staff had suitable training and understood safe administration.
“Our checks of stocks and records showed people received their medicines as prescribed. Medicines were stored safely.” from the report
Communication and dignity
Staff used people's individual communication methods, including Makaton and visual prompts. They respected people's appearance, choices and personal interests.
“Staff communicated with people in a way they could understand following their communication care plans.” from the report
Activities and independence
People were supported to take part in activities they enjoyed, maintain friendships and build everyday skills such as household tasks and baking.
“Staff supported people to attend a range of activities including dancing, cycling, keep fit and one person worked in a café.” from the report
Current care plans
Care plans reflected people's needs, preferences, interests and aspirations. People and relatives were involved in care plan reviews.
“Care plans were focused on people as individuals and were person-centred.” from the report
Management and monitoring
The home had clear management arrangements and regular checks covering areas such as health and safety and care records. Managers took action when audits identified this was needed.
“Our inspection of this service showed these checks were effective in assessing and monitoring the quality of service and in keeping records up to date.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure communication plans remain up to date for someone with limited verbal communication?
- 02How are medicines checked and how are staff kept trained in safe administration?
- 03How will you involve my relative and our family in care plan reviews?
- 04Which activities and opportunities for building independent living skills could you offer my relative?
- 05How can my relative or family raise a concern, and how would it be investigated?
This was an unannounced comprehensive inspection covering all five key questions; the report says the Good ratings continued from the previous inspection on 12 December 2014. This explanation was written from the published report of 12 January 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 Raleigh House
3 rated inspections over 5 years: the service has held its Good rating throughout.
- September 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 6 April 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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At least 100 live-in carers within about an hour of Sutton
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 £1,230 a week. 81 can care for a couple. 11 years' experience on average.
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“Terry has been of invaluable help to our family while working as a part-time live-in carer for our mother for approximately 6 months”
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