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CQC report explained · a residential care home

What the CQC found at 145 Kingsley Road

Goodpublished 12 July 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable safeguarding, medicines, recruitment, risk assessment, accident reporting, staffing and building safety arrangements.
Effective?
Good
Staff had relevant training, supervision and appraisals. People received support with food, drink, healthcare, communication, capacity and legally authorised restrictions where needed.
Caring?
Good
Relationships between people and staff were warm and friendly. Staff were respectful, patient and supported privacy, dignity, personal choice and family relationships.
Responsive?
Good
Care plans gave detailed information about people's needs and were reviewed when circumstances changed. People had personalised activities, key workers and information about how to complain.
Well-led?
Good
The home had an experienced management team, an open culture and quality checks. Feedback from people, relatives and staff was used as part of ongoing improvement.
The latest report, explained

What inspectors found, July 2018

Rated Good; inspectors found safe, kind and personalised care, with no breaches reported.

The inspection was unannounced and took place on 13 June 2018. One inspector observed care, spoke with people, relatives, managers and staff, and checked care plans, training, incidents, complaints and quality checks.

The home supported eight people with learning disabilities. Inspectors found enough trained staff, safe medicines systems, suitable risk assessments and a clean, well-maintained building. People were supported to make choices, stay independent and access food, healthcare, activities and family relationships.

Staff were described as kind, patient and respectful. Care records were personalised and regularly reviewed. The home had a registered manager and systems to monitor quality, respond to complaints and make improvements.

The overall rating was Good, as were all five areas: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found the service met the required standards at the time of this inspection, but it does not mean that every aspect of care was perfect.

What inspectors praised
  • Kind and respectful care

    Staff were patient and treated people with dignity. Inspectors saw relaxed, friendly relationships and said staff understood people's individual communication and preferences.

    “The relationships between people who used the service and staff were warm and friendly.” from the report
  • Choice and independence

    People were supported to make choices about their routines, activities and lifestyle. Staff encouraged people to do things for themselves with the right level of support.

    “People were supported and encouraged to maintain relationships with their friends and family.” from the report
  • Staff skills and support

    Staff received induction, training, supervision and appraisals. Inspectors found that staff knew people's needs and had the skills to support them.

    “People received care and support from staff who knew them well and had the skills and training to meet their needs.” from the report
  • Personalised care

    Care plans covered personal, health, financial and social needs. They were reviewed and updated when people's needs or health changed.

    “People's care records provided detailed information about their needs and how they were to be supported.” from the report
  • Activities and community links

    People had a busy programme that included daily living skills, exercise, leisure activities, day services and outings. Staff also supported people to try new things.

    “We saw people had a busy weekly programme of activities which including regular scheduled activities as well as ad hoc sessions where people choose what they wanted to do during those times.” from the report
What inspectors were concerned about
  • Training was not fully up to date

    minor

    The training tracker showed that staff training was 96% up to date. This was a small gap rather than a reported breach, but families may want to ask which training was outstanding and when it would be completed.

    “There was a tracker in place for monitoring training which showed that overall staff were 96% up to date with this.” from the report
  • End of life wishes still being planned

    minor

    The manager said they planned to speak with people and families about end of life care. Families may want to check whether this discussion has now happened and how wishes are recorded.

    “The registered manager told us they planned to speak with people and their families.” from the report
Questions to ask them, based on this report
  1. 01Which staff training was not up to date at the inspection, and has all of it now been completed?
  2. 02How will you involve my relative and our family in recording their end of life wishes?
  3. 03How do you review staffing levels when a person's needs change or they go out for activities and appointments?
  4. 04How will my relative be supported to make choices if they communicate without speech?
  5. 05How are care plans reviewed with the person and their family when needs or health change?

This was an unannounced inspection covering all five CQC areas, with observations, conversations and checks of care, staff and management records. This explanation was written from the published report of 12 July 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 145 Kingsley Road

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

  1. July 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 145 Kingsley Road →

  2. May 2016Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2011

    Registered with the Care Quality Commission on 2 March 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

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