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CQC report explained · a care home with nursing

What the CQC found at RecoveryHub@NorthwestLeeds

Goodpublished 10 April 2020, 6 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 infection prevention and control measures were in place. This included safe admissions, PPE, testing, hygiene, social distancing and managing possible outbreaks.
Effective?
Outstanding
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not rated, although inspectors observed staff supporting people's care and wellbeing.
Responsive?
Good
This area was not assessed as a rated question. Inspectors did note that staff adapted communication to individual needs.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors found good infection prevention and control measures during the COVID-19 pandemic.

This was an announced, targeted inspection on 22 October 2020. Inspectors looked only at infection prevention and control measures because the home was being used for people discharged from hospital with a positive COVID-19 test.

Inspectors were assured that the home used PPE safely, admitted people safely, supported testing, followed shielding and social distancing rules, and kept its infection control policy up to date. They also found clear signs showing the COVID-19 area and the PPE needed.

Staff supported people's wellbeing and helped them keep in touch with family and friends. They adapted communication for individual needs, including using face shields, picture cards and access to a British Sign Language interpreter.

The home was inspected but not rated. This report does not provide a full quality rating for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had good infection prevention and control arrangements for its role as a designated care setting.

    “We were assured that this service met good infection prevention and control guidelines as a designated care setting.” from the report
  • PPE and clear signs

    The home clearly marked the COVID-19 area and the PPE needed. Inspectors saw staff wearing appropriate PPE.

    “There was clear signage throughout the home to identify the COVID-19 area and the Personal protective Equipment (PPE) required.” from the report
  • Family contact

    Staff helped people stay in touch with family and friends by phone or video call.

    “Staff supported people in relation to their care and wellbeing. People were supported to contact family and friends by phone or video call.” from the report
  • Individual communication

    Staff changed how they communicated to meet people's needs, including using face shields, picture cards and access to a British Sign Language interpreter.

    “Staff adapted to each person's individual need, for example one costumer was deaf and staff were wearing face shields so the person could lip read.” from the report
  • Reablement

    The home supported people to stay mobile and independent, with the aim of helping them develop skills to return home.

    “People were supported to be mobile and independent and encouraged to develop their skills to return to their home as soon as possible.” 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. 01How do you now separate and manage areas for people with infectious illnesses?
  2. 02How do you check that staff use PPE correctly and that people and staff receive the testing they need?
  3. 03How will you support my relative to keep in contact with family and friends?
  4. 04How will you adapt communication if my relative has hearing, speech or other communication needs?
  5. 05How will you support my relative's mobility, independence and plans to return home?

This was a targeted inspection of infection prevention and control measures only, so the home was inspected but not rated overall and the other four questions were not assessed. This explanation was written from the published report of 10 November 2020 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, April 2020

RecoveryHub@NorthwestLeeds was rated Good overall; rehabilitation was Outstanding, but call bell problems were not clearly explained to everyone.

This was an unannounced inspection over two days. Inspectors spoke with 14 people, five relatives and 16 staff. They looked around the home, observed medicines being given and a meal, and checked care, medicines, recruitment and management records.

The home provided short-term nursing and personal care for up to 40 people. Its main purpose was rehabilitation after illness or injury, to help people return home. Inspectors found highly effective rehabilitation, with nurses, therapists, social care staff and pharmacy support working together. People often returned home sooner than expected and were less likely to go back to hospital.

The overall rating was Good. Safe, caring, responsive and well-led were all rated Good. Effective improved from Good to Outstanding. Caring fell from Outstanding to Good, while the other ratings stayed the same as at the previous inspection.

What inspectors praised
  • Strong rehabilitation

    The home had a skilled team of therapists, nurses, social care staff and pharmacy staff. Inspectors found that people made better progress towards returning home.

    “The service was highly effective in achieving positive outcomes for people in promoting their recovery and well-being.” from the report
  • People felt safe

    Inspectors found systems to protect people from abuse and avoidable harm. Staff understood how to recognise and report abuse.

    “People were protected from the risk of abuse. The provider had systems to record, report and analyse any allegations of abuse.” from the report
  • Independence and choice

    Promoting independence was central to the service. People helped set their rehabilitation goals and were supported to make their own choices.

    “People were treated very much as individuals and made their own choices about how they wanted to spend their time.” from the report
  • Kind and respectful care

    People and relatives described staff as kind, attentive and encouraging. Staff responded quickly when someone became anxious or upset.

    “Staff interaction with people was attentive, kindly, encouraging and appropriate.” from the report
What inspectors were concerned about
  • Call bell communication

    needs fixing

    Several people complained that the call bell system was not working effectively. The provider had taken steps to replace or repair it, but had not explained those actions clearly to everyone. Alternative measures were promised while this was addressed.

    “However, the communication of these actions had not been communicated clearly to all people in the service.” from the report
Questions to ask them, based on this report
  1. 01Is the call bell system now working reliably, and what alternative arrangements are in place if it stops working?
  2. 02How will you set and review my relative's rehabilitation goals with them and with our family?
  3. 03What support will continue after discharge, and who will coordinate equipment or home adaptations?
  4. 04If my relative manages their own medicines, how will you check that this is safe and suitable?
  5. 05What changes have been made following the difficult period of changes in how the home was run?

This was an unannounced inspection covering all five CQC questions, including the care and the premises; the previous overall rating was published on 10 August 2017. This explanation was written from the published report of 10 April 2020 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 RecoveryHub@NorthwestLeeds

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. November 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at RecoveryHub@NorthwestLeeds →

  2. April 2020Goodstayed Good
    Safe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at RecoveryHub@NorthwestLeeds →

  3. September 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2011

    Registered with the Care Quality Commission on 3 May 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Leeds

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 £1,250 a week. 89 can care for a couple. 11 years' experience on average.

“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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