CQC report explained · a residential care home
What the CQC found at Resolve
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found people were safe and protected from avoidable harm. Risk management, safeguarding, recruitment, staffing and medicines systems were effective, and the home did not use agency staff.
- Effective?
- Outstanding
- Care planning was thorough and involved several professionals. People achieved strong outcomes through training, healthy eating, activities, qualifications and support to access healthcare.
- Caring?
- Outstanding
- People and relatives described staff as exceptionally kind, supportive and compassionate. People were helped to understand their care, choose keyworkers and maintain family relationships.
- Responsive?
- Outstanding
- Care plans reflected people's likes, dislikes and choices. The home used individual communication systems and offered a wide range of activities, work, volunteering and community opportunities.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, an open culture and strong quality checks. Leaders supported staff development, worked with other organisations and involved people in shaping the home.
What inspectors found, April 2020
Resolve was rated Outstanding overall; inspectors found exceptional, person-centred care, with safety rated Good.
This was a planned inspection over 11, 12 and 14 February 2020. One inspector spoke with five people, six staff members, five relatives and four health or social care professionals. They also reviewed care plans, risk assessments, medicines records, staff files and management records.
The home supported six adult men with learning disabilities. Inspectors found highly personalised care that helped people build confidence, independence, life skills and friendships. People were involved in their care, activities, food, communication plans and decisions about who supported them.
The home was rated Good for Safe and Outstanding for Effective, Caring, Responsive and Well-led. The overall Outstanding rating was maintained from the previous inspection. Effective and Caring improved from Good to Outstanding, while Responsive and Well-led remained Outstanding.
Building independence
People were supported to gain confidence, learn life skills and take part in meaningful work and activities. Inspectors found this led to positive outcomes.
“The service was exceptional at helping people achieve positive outcomes, building confidence, independence and helping people develop and restore life skills.” from the report
Personalised support
Care plans reflected individual preferences and needs. People could choose who supported them and had regular time to review their plans.
“People received exceptionally and highly personalised care that was specifically responsive to them and respected their individuality.” from the report
Involvement and choice
People were supported to understand their rights and take part in decisions about their care, activities, food and relationships.
“People were empowered and enabled to take control of shaping the service they received.” from the report
Skilled staff
Staff received lengthy inductions, specialist training and support to gain qualifications. The home also developed leadership skills across the staff team.
“Inductions were lengthy and extensive to ensure that staff had the right knowledge, skills and values before supporting people.” from the report
Strong relationships
People and relatives told inspectors that staff were kind and caring. Inspectors also saw very strong relationships between staff and people.
“Staff were exceptionally kind and caring towards people and had developed very strong relationships with them.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess whether the home can meet my relative's specific needs before they move in?
- 02How are people involved in assessing their own anxiety, mood and risks before activities?
- 03How could my relative be supported to manage their own medicines, and how would staff check this remains safe?
- 04What communication tools, easy-read information or sensory support would be provided for my relative?
- 05What activities, qualifications, volunteering or community opportunities could my relative take part in?
This was a planned inspection covering all five CQC questions, including the premises and care provided; inspectors reviewed a sample of two people's records and two staff files. This explanation was written from the published report of 1 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.
What inspectors found, August 2017
Rated Outstanding; inspectors found safe, respectful and highly personalised care, with particularly strong support for independence and community life.
This was an unannounced inspection on 23 and 31 May 2017. Inspectors spoke with people living at the home, family members, staff and health and social care professionals. They looked at care records, staff files, medicines arrangements and quality checks.
The home was rated Good for safe, effective and caring services. Inspectors found enough staff, suitable recruitment checks, safe medicines arrangements, trained staff and good support with nutrition and healthcare. People were treated with dignity and encouraged to remain as independent as possible.
The home was rated Outstanding for responsive and well-led services. Care was built around each person's choices and goals. People were supported to take part in community activities, education, work and meaningful projects. Inspectors said the home had sustained outstanding practice since the previous inspection in November 2014.
Personalised care
Care plans contained meaningful information about how each person wanted to be supported. Staff could describe people's needs, preferences and ways of communicating in detail.
“People's care plans were very person centred and contained meaningful information about how a person wished to be supported.” from the report
Independence and community life
People were supported to develop practical skills and confidence through gardening, cooking, sport, education and community activities.
“People received care and support to enable them to develop and become an active part in the local community.” from the report
Respect and choice
Inspectors saw staff behaving politely and respectfully. People were involved in decisions and were encouraged to maintain their independence and privacy.
“We saw staff speaking with people in a polite and respectful manner and staff interacted with people at every opportunity.” from the report
Strong leadership
The home had a positive, inclusive culture and a strong focus on improving practice. People and staff were asked for their views.
“The service had a positive culture that was person centred, open and inclusive.” from the report
Staffing and safety
Inspectors found enough staff to meet people's needs and support them to access the community. Recruitment checks, risk assessments and medicines systems were in place.
“There were sufficient numbers of staff on duty to keep people safe and to support people to access the local community.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you make sure my relative's care plan reflects their current wishes, communication needs and goals?
- 02What training and supervision will the staff supporting my relative have, and are any training gaps currently being covered?
- 03How do you support people who manage some of their own medicines, and how are these arrangements risk assessed?
- 04What education, work, sport or community activities could my relative take part in?
- 05How will my relative be involved in house meetings, complaints and decisions about their care?
This was an unannounced inspection covering all five CQC questions, with visits on 23 and 31 May 2017 and additional contact with families and professionals on 12 June 2017. This explanation was written from the published report of 11 August 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 Resolve
3 rated inspections over 5 years: the service has held its Outstanding rating throughout.
- April 2020Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- August 2017Outstandingstayed OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- January 2015OutstandingSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Outstanding
- August 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- October 2010
Registered with the Care Quality Commission on 1 October 2010.
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
47 live-in carers within about an hour of County Durham
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 £960 to £1,210 a week. 42 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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.