CQC report explained · a residential care home
What the CQC found at Reevy Road Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included visitors, PPE, testing, admissions, hygiene, social distancing, outbreak management and visits.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, June 2021
Inspected but not rated; inspectors were assured about infection prevention and control at Reevy Road Care Home.
This was an unannounced targeted inspection on 25 May 2021. It followed concerns about infection prevention and control. Inspectors looked only at these measures.
Inspectors were assured that visitors were tested or showed a recent negative COVID-19 test. They also found suitable PPE, staff training, safe laundry processes and arrangements for testing, social distancing and visits.
The home had an up-to-date infection prevention and control policy. It had been audited during the pandemic. The service was inspected but not rated, so this report does not provide an overall quality rating.
Visitor safety
Visitors were tested on arrival or had to show a negative COVID-19 test completed just before arriving. Signage explained the infection control measures to follow.
“Visitors were tested on arrival or had to present a negative COVID-19 test which was completed just before they arrived at the service.” from the report
PPE and staff training
PPE was available throughout the building and staff were seen wearing it correctly. Staff had infection prevention training and worked only at this service.
“PPE was situated throughout the building and staff were observed wearing appropriate PPE.” from the report
Up-to-date policy
The infection prevention and control policy was current and had been audited during the pandemic.
“The service had an Infection Prevention and Control policy that was up to date and had been audited during the pandemic to reflect best practice.” from the report
Keeping people in touch
The home used video and telephone calls to help friends and relatives keep in contact when they could not visit.
“Alternative forms of maintaining social contact were used for friends and relatives who were unable to visit; for example: keeping in touch using video and telephone calls.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently tested, and what evidence of a negative test is needed?
- 02How are visits currently arranged in line with infection control guidance?
- 03How do you make sure PPE is available and used safely throughout the home?
- 04How often is the infection prevention and control policy audited now?
- 05Do staff still work only at this home, and how is infection prevention training kept up to date?
This was an unannounced targeted inspection of infection prevention and control measures under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 23 June 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.
What inspectors found, May 2019
Reevy Road Care Home was rated Good; inspectors found safe, kind and personalised care, with some concerns about how welcome new staff made relatives feel.
This was an unannounced inspection on 24 and 30 April 2019. One inspector spoke with people, relatives and staff, observed care, and checked care plans, medicines, complaints, audits, accidents and incidents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed risk assessments, clean surroundings and care that respected people's choices, dignity and independence.
The registered manager had made an action plan after starting in October 2018, and inspectors found improvements were being made. Some staff training updates were still in progress, and some relatives did not always feel welcome when new staff arrived.
Safe care
Inspectors found that people were protected from avoidable harm. Staff understood people's risks, and systems for medicines, recruitment and safety checks were in place.
“People were safe and protected from avoidable harm. Legal requirements were met.” from the report
Kind and respectful staff
People were treated with kindness and dignity. Staff offered choices, sought consent and supported people's independence and privacy.
“People were well-treated by staff who understood their needs and were able to anticipate their requirements.” from the report
Personalised support
Care plans and health plans recorded individual needs and preferences. Staff adapted their support when people could not communicate verbally.
“Staff delivered personalised care.” from the report
Improving leadership
The manager had reviewed the service and created an action plan. Relatives and staff welcomed the changes being made.
“The registered manager had devised a robust action plan to improve the service which had been reviewed and updated.” from the report
Some relatives felt less welcome
minorRelatives had different experiences of the welcome they received. Some wanted new staff to introduce themselves when they arrived, and the manager said this would be raised with staff.
“Relatives had differing experiences of the staff.” from the report
Training updates were still in progress
needs fixingThe manager had found gaps in staff training and set a deadline for updates. Staff were still working through this task during the inspection.
“The registered manager had identified where there had been gaps in staff training and had set a date by which all staff were required to update their training.” from the report
- 01How have you made sure all staff training identified as needing an update has now been completed?
- 02How are new staff introduced to residents and their relatives?
- 03How do you check that people's individual choices and communication methods are followed in daily care?
- 04How are relatives' comments from meetings and telephone calls turned into actions, and when are families told what changed?
- 05How do you review the improvement action plan and show that the changes are working?
This was an unannounced scheduled inspection covering all five CQC questions, including both the premises and the care provided; the previous rating was also Good. This explanation was written from the published report of 24 May 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 Reevy Road Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 1 March 2012.
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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