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CQC report explained · a residential care home

What the CQC found at Seven Steps Short Breaks

Goodpublished 9 July 2021, 5 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found people were protected from abuse and avoidable harm. Risks, staffing, recruitment, medicines and infection control were managed safely.
Effective?
Good
People's needs and choices were assessed before they started using the home. Staff had relevant training, although some staff wanted more training about supporting people who became agitated in the community.
Caring?
Outstanding
Inspectors found exceptionally compassionate and kind support. People were treated with dignity, supported to express their views and helped to gain confidence and independence.
Responsive?
Good
Care plans reflected people's preferences and were reviewed when needs changed. People were supported with communication, activities, relationships and complaints.
Well-led?
Good
The home had an open, inclusive and person-centred culture. Managers used audits and feedback to monitor quality and took action when issues were identified.
The latest report, explained

What inspectors found, July 2021

Seven Steps Short Breaks was rated Good overall, with Outstanding care; inspectors found safe, kind and person-centred support.

This was the first inspection since the home registered. Inspectors reviewed records, care and medicines documents, recruitment files, policies and quality checks. They spoke with managers, staff and nine relatives, and visited the home.

The home provides respite and short stays for adults with learning disabilities, including people who are autistic or have a dual diagnosis. Inspectors found that people were safe, supported by trained staff and helped to develop daily living skills and independence.

Care was rated Outstanding. Inspectors found an exceptionally strong person-centred culture, with people treated with dignity and supported to make choices. The other four areas, Safe, Effective, Responsive and Well-led, were rated Good.

There were no breaches of regulations and no enforcement action is described. One area for possible improvement was that some staff wanted more training about supporting people who became agitated while out in the community.

What inspectors praised
  • Exceptional kindness

    Inspectors found a strong culture focused on each person. Relatives and health professionals also gave very positive feedback about the care.

    “There was an exceptionally strong, visible person-centred culture.” from the report
  • Building independence

    People were supported to learn everyday skills such as cooking, cleaning and personal care. Their achievements were recognised and celebrated.

    “People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
  • Safe medicines

    Medicines records were checked regularly, and staff were assessed as competent to give medicines.

    “Regular checks of people's Medication Administration Records (MARs) had been completed, to make sure full and safe procedures had been adhered to.” from the report
  • Meaningful activities

    People took part in activities linked to their interests and were supported to maintain relationships and avoid social isolation.

    “People had been provided with meaningful activities, linked to their hobbies and interests.” from the report
What inspectors were concerned about
  • More community support training

    minor

    Some staff said they would benefit from further training on supporting people who may become agitated while out in the community. Inspectors shared this feedback with the manager.

    “Some staff suggested they would benefit from further training on how to support people who may become agitated whilst out in the community.” from the report
Questions to ask them, based on this report
  1. 01What further training have staff received, or will they receive, about supporting people who may become agitated while out in the community?
  2. 02How will you make sure my relative's care plan reflects their communication needs, preferences and any changes in their needs?
  3. 03How are relatives involved in reviewing care plans and risk assessments?
  4. 04What activities would be available during a short stay, based on my relative's hobbies and interests?
  5. 05How do you check that medicines are given and recorded safely during each stay?

This was the first comprehensive inspection of the newly registered home and covered all five key questions, including infection prevention and control. This explanation was written from the published report of 9 July 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.

The story over the years

Every inspection of Seven Steps Short Breaks

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. July 2021Goodcurrent rating
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good

    Read what inspectors found at Seven Steps Short Breaks →

  2. July 2019

    Registered with the Care Quality Commission on 25 July 2019.

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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