CQC report explained · a residential care home
What the CQC found at 21a and 21b Johnson Avenue
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection control, PPE, testing, visiting and vaccination arrangements. They identified a potential risk because staff were deployed between services during a COVID-19 outbreak.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection control arrangements but a potential risk from staff working across services during a COVID-19 outbreak.
This was an announced, targeted inspection on 20 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting the home.
Inspectors were assured that the home used personal protective equipment safely, arranged testing, kept its infection control policy up to date and supported visits in line with current guidance. Staff had refresher training and competency checks.
Inspectors also found that, during a recent COVID-19 outbreak, staff were deployed between services in the organisation. They said this created a potential risk of outbreaks spreading to other services. The service was inspected but not rated, so this report does not give an overall quality rating.
Infection control systems
The home had systems covering COVID-19 testing and visiting professionals.
“There were effective systems to ensure compliance with national policy requirements in areas including COVID-19 testing and arrangements for visiting professionals.” from the report
PPE arrangements
Additional PPE stations helped staff use and dispose of PPE effectively.
“The registered manager had set up additional PPE stations around the home enabling staff to don and doff their PPE effectively” from the report
Staff training
Staff received refresher training and regular checks of their competence.
“Regular refresher training sessions were held in-house as well as regular competency checks.” from the report
Staff working across services
needs fixingDuring a recent COVID-19 outbreak, staff worked between services in the organisation. Inspectors said this created a potential risk of outbreaks in other services.
“However, during resent COVID-19 outbreak staff were deployed between other services within the organisation, meaning a protentional risk of outbreaks in other services.” from the report
- 01During a COVID-19 outbreak, how will you prevent staff working across services from spreading infection?
- 02How do you decide whether staff can work at another service during an outbreak?
- 03How often are staff given refresher training and competency checks for PPE and infection control?
- 04How are COVID-19 testing, visiting and vaccination requirements checked for staff and visiting professionals?
- 05What changes have you made after inspectors identified the potential risk from staff deployment between services?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 2 March 2022 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 2019
Rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns identified.
The home provides accommodation and personal care for up to six people with learning disabilities, autism and sensory impairments. Six people were living there during the inspection. The visit was unannounced and inspectors reviewed care records, staff files, training, medicines, complaints and management checks. They also spoke with staff, managers and a relative.
Inspectors found people were safe and received effective care. There were enough staff, medicines were administered safely, risks were assessed and the home was clean. Staff had suitable training and supported people's health, nutrition, communication, independence and community activities.
People were treated with kindness, dignity and respect. Care plans recorded personal preferences in detail. Relatives could give feedback and the home had systems for complaints and quality checks. All five areas were rated Good, continuing the Good rating from March 2016.
Enough consistent staff
Staffing levels were consistent and inspectors found there were enough staff to meet people's needs. The report also says staff understood people's complex needs.
“There were enough staff on shift to meet people's needs.” from the report
Kind and respectful care
Staff were seen to understand people's needs and treat them respectfully. Relatives also gave positive feedback about the care and relationships.
“Our observation during inspection was of staff who clearly understood the needs of the person they were supporting, and were respectful and kind in their approach.” from the report
Personalised support
Care plans included detailed information about what mattered to each person. People were supported with their interests, communication, technology and independence.
“People's preferences about how they wanted to receive care and support were recorded in detail.” from the report
Good quality checks
The home used regular audits to check the quality of care. Inspectors saw that identified improvements had been dealt with promptly.
“We saw where issues had been identified, these had been addressed promptly.” from the report
No registered manager in post
minorThere was no registered manager at the time of the inspection. A manager was applying to register with the CQC and was not available on the inspection day.
“There was not a registered manager in post.” from the report
- 01Has the manager now completed the CQC registration process, and who is responsible for the home while this is pending?
- 02How will staff communicate with and involve my relative if they cannot communicate verbally?
- 03How are staffing levels maintained when people have complex needs or are going on trips and outings?
- 04How are medicines checked when people take them away from the home to day services or outings?
- 05How will my relative's sensory impairment, communication preferences and need for accessible information be supported?
This was an unannounced inspection covering all five CQC areas; the report gives 20 October 2018 as the inspection date in its summary but 20 November 2018 in the inspection background. This explanation was written from the published report of 4 January 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 21a and 21b Johnson Avenue
2 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 November 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.
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Fees, photos and reviews from families
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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.