CQC report explained · a residential care home
What the CQC found at 25 Horsegate
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, April 2018
SENSE - 25 Horsegate was rated Good; inspectors found kind, personalised care, with a medicines storage check put right during the inspection.
Inspectors visited on 18 December 2017. The visit was announced because people living there had complex needs and benefited from knowing in advance. The inspector spent time with all five people, spoke with staff and managers, observed care, reviewed care records and management records, and later spoke with two relatives.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable risk assessments, good safeguarding arrangements, trained staff, respectful care and personalised support. People were supported to communicate, make choices, stay healthy and take part in activities.
Inspectors found one medicines shortfall. Staff were not regularly checking that most medicines were stored at the correct temperature. The registered manager introduced a new system immediately after inspectors raised this. The home was rated Good, as the inspectors judged that the service was meeting the relevant standards overall.
People felt safe
People appeared relaxed and relatives were confident that their family members were safe. Staff understood how to recognise and report abuse.
“People showed us by their relaxed manner that they felt safe living in the service.” from the report
Kind and respectful care
Staff gave emotional support and treated people with kindness. They respected privacy and helped people personalise their rooms and home.
“We saw that the service ensured that people were treated with kindness and that they were given emotional support when needed.” from the report
Personalised communication
Care plans used pictures and colours where needed, and staff supported people to express choices and wishes. People were helped to take part in activities and community life.
“Some parts of the care plans presented information using pictures and colours so that they were more accessible to the people concerned.” from the report
Good support with health
People received help to see healthcare professionals and to eat and drink enough. Special food and drinks were prepared for a person at risk of choking.
“Records confirmed that people had received all of the help they needed to see their doctor and other healthcare professionals such as specialist nurses, dentists, opticians and dietitians.” from the report
Strong management systems
The home had a registered manager, staff support arrangements and quality checks. People and relatives were involved in suggesting improvements.
“We found that people who lived in the service and their relatives had been engaged and involved in making improvements.” from the report
Medicine storage checks
needs fixingStaff were not regularly checking whether most medicines were stored at the correct temperature. The home introduced a new checking system immediately after inspectors raised the issue.
“However, we noted that care staff were not regularly checking to make sure that most medicines were stored at the right temperature.” from the report
- 01How is the new system for checking medicine storage temperatures completed, and who reviews the records?
- 02How will you make sure care plans remain up to date as a person's communication needs and wishes change?
- 03How are people supported to make everyday choices and take informed risks while staying safe?
- 04How are relatives involved in care reviews and in suggesting improvements to the home?
This was an announced inspection of the overall service and all five CQC areas, using observations, discussions and records, including three people's care records. This explanation was written from the published report of 18 April 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.
Every inspection of 25 Horsegate
2 rated inspections over 2 years: the service has held its Good rating throughout.
- April 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- July 2012
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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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.