CQC report explained · a residential care home
What the CQC found at Siesta
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and risks such as choking, epilepsy and self-harm were documented. Inspectors found safe recruitment, enough staff, safe medicines handling and a well-maintained environment.
- Effective?
- Good
- Staff received training, supervision and specialist guidance. People were supported with consent, health needs, eating and drinking, and had access to equipment suited to their mobility needs.
- Caring?
- Good
- People and relatives were positive about the care. Staff were described as kind and respectful, while people were supported to maintain relationships, make choices and develop independence.
- Responsive?
- Good
- Support was personalised and focused on people's preferences, communication needs and goals. People were supported to take part in community activities and learn new skills.
- Well-led?
- Good
- The management team was approachable and used meetings, feedback and checks to monitor quality and safety. Some records needed more detail to reflect staff knowledge of people's needs and preferences.
What inspectors found, October 2018
Siesta was rated Good overall; inspectors found safe, kind and personalised respite care, with some care records needing more detail.
This was an announced comprehensive inspection on 30 August 2018. It was the first inspection since the service registered with CQC in April 2018. Inspectors met all five people staying there, spoke with staff, relatives and professionals, and reviewed care, medicines, finances, recruitment and management records.
Inspectors found that people were safe and supported by enough suitably trained staff. Medicines and finances were handled safely. People were treated kindly and with respect, and were supported to make choices, keep relationships, join community activities and develop new skills.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Some care plans did not contain all the detail staff knew about people's needs and preferences. The report says this had not harmed people's wellbeing or safety, and the service had an action plan to improve the records.
Safe support
Staff understood people's risks and how to support them safely. Inspectors found safe recruitment, sufficient staffing and safe medicines arrangements.
“People received safe care and support while staying at Siesta.” from the report
Choice and independence
People were supported to make choices, take part in everyday tasks and build confidence in the community.
“Siesta respite service has been developed and designed in line with the values that underpin Registering the Right Support and other best practice guidance.” from the report
Kind and respectful care
People appeared happy to return, enjoyed spending time with staff and were treated with dignity. Relatives gave positive feedback.
“People and relatives were positive about the care and support provided and felt staff were kind, caring and treated them with respect.” from the report
Personalised activities
Staff knew people's routines, communication methods and goals. The home supported people to use public transport, shop, cook and try new activities.
“People were supported to be involved in community activities and to develop new skills.” from the report
Accessible management
Relatives and staff said the management team was approachable. Regular meetings and quality checks were used to review the service.
“People benefited from having a registered manager who was accessible and approachable.” from the report
Care plans needed more detail
minorInspectors found that care plans did not always record everything staff knew about people's needs and preferences. The service had identified this and was transferring records to a computer system and following an improvement timetable.
“The level of detail described to us by staff was not always recorded into the care plans.” from the report
- 01How far has the action plan to add more detail to care plans progressed?
- 02How will you make sure staff can find the latest information about my relative's needs and preferences?
- 03What specialist training will staff have for my relative's health needs, communication and any risks?
- 04How will my relative be supported to make choices and develop independence during each respite stay?
- 05How will you share information with our family and any day-care or health services after each stay?
This was an announced comprehensive inspection covering the premises and care provided, with ratings given for all five key questions. This explanation was written from the published report of 13 October 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 Siesta
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2018Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2018
Registered with the Care Quality Commission on 10 April 2018.
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
21 live-in carers within about an hour of Torbay
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 £980 to £1,400 a week. 17 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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.