CQC report explained · a residential care home
What the CQC found at SignHealth Bowfell Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were assessed and regularly reviewed. Staffing, recruitment, medicines and fire safety systems were also found to be managed safely.
- Effective?
- Good
- People's mental health, physical health and social care needs were assessed and reviewed. Staff had up-to-date training, and interpreters were arranged for healthcare appointments when needed.
- Caring?
- Good
- People were treated with patience, kindness, dignity and respect. Staff knew people's preferences and supported them to express their views and become more independent.
- Responsive?
- Outstanding
- Care was tailored closely to each person. The home used visual care plans, role play, British Sign Language and interpreters to support communication, choice and involvement.
- Well-led?
- Good
- Inspectors found an open and positive culture. Regular checks, audits, staff involvement and improvement plans were used to monitor and improve the home.
What inspectors found, July 2019
SignHealth Bowfell Road was rated Good overall, with Outstanding responsiveness and highly person-centred support.
Inspectors made an unannounced visit on 19 June 2019. They spoke with people living at the home, staff, an advocate, a relative and health professionals. They observed care and checked care, medicines, recruitment and management records.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found that people were safe, received their medicines as prescribed, had their health and nutrition needs met, and were treated with kindness and respect.
Responsive was rated Outstanding. People were closely involved in their care plans and activities. The home used British Sign Language, pictures, role play and interpreters so people could understand information and make choices.
The overall Good rating means inspectors found a consistent standard of care across the home. Responsive improved from Good at the previous inspection, published in December 2016. The other four ratings stayed Good.
Highly personalised care
People were actively involved in creating and agreeing their own support plans. Pictures, photographs and role play helped people understand choices and decisions.
“The service provided highly person-centred care and support.” from the report
Accessible communication
All staff used British Sign Language. Visual information, adapted alarms and interpreters helped people communicate and take part in appointments.
“The service was excellent at using visual information to aid the people living at the service.” from the report
Choice and independence
People were supported to take part in activities, use local services and develop daily living skills. Staff helped people take positive risks in the community.
“People were supported to participate in a wide range of activities and to increase their independence at home and in their wider community.” from the report
Kind and respectful staff
Inspectors observed positive relationships. Staff knew people well and supported their privacy, dignity, preferences and personal interests.
“Staff were patient, kind and friendly.” from the report
Good oversight
The management team used regular checks, audits and improvement plans. Staff said they were well supported and could raise concerns.
“The management team had a robust quality assurance system to monitor and improve the service.” from the report
Inspectors raised no specific concerns in this report.
- 01Are all current care staff fluent in British Sign Language, and how would communication be supported if a staff member could not sign?
- 02How are visual care plans reviewed with each person, and can the person choose or change the pictures used?
- 03How do you assess and manage risks when someone wants to go out independently?
- 04How often can residents meet the independent advocate, and how are complaints or concerns followed up?
- 05How are the weekly and monthly checks, audits and improvement plans used to address any problems?
This was an unannounced inspection of the care home covering all five CQC questions; the previous overall rating was Good, and Responsive improved from Good to Outstanding. This explanation was written from the published report of 31 July 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.
What inspectors found, December 2016
SignHealth Bowfell Road was rated Good; inspectors found safe, caring and highly personalised support for deaf people with mental health needs.
Inspectors visited the home without warning on 28 September 2016. They spoke with five people living there, staff, a manager, a relative and health and social care professionals. They also observed care and checked care records, medicines records, training, complaints and audits.
The home supported up to six deaf people with mental health needs. Inspectors found that staff communicated using British Sign Language and supported people to make choices, build independence and take part in community, education and work activities.
People told inspectors they felt safe and were treated with kindness and respect. Medicines, staffing, recruitment, risk assessments and healthcare support were found to be managed well. Care plans were written in clear English and people were involved in decisions about their support.
All five areas were rated Good: safe, effective, caring, responsive and well-led. This means the inspection found a good standard of care, although the report does not give any area an Outstanding rating.
Accessible communication
Staff could communicate using British Sign Language, and information and care plans were adapted so people could understand and take part.
“Staff were very skilled at communications skills, including BSL, to maximise engagement with people.” from the report
Strong healthcare support
Staff noticed changes in people's health and worked closely with health professionals. Inspectors found that people received very good ongoing support for complex physical and mental health needs.
“We found that people received excellent ongoing healthcare support.” from the report
Kind and respectful care
People said staff were caring and respectful. Inspectors saw a relaxed atmosphere and staff who knew people's preferences and personal histories.
“People told us that staff were kind, caring and supportive.” from the report
Safe medicines arrangements
Medicines were stored securely, staff had received training and records checked by inspectors were complete. People were supported to manage their own medicines where this was safe.
“These were all complete and signed by staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and support my relative's current British Sign Language and communication needs?
- 02How will you help my relative work towards their own goals and greater independence?
- 03What support would my relative receive if their physical or mental health changed?
- 04How would you assess whether my relative could safely manage some or all of their own medicines?
- 05How would you support my relative to take part in community activities, education, work or volunteering?
This was an unannounced inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 30 December 2016 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 SignHealth Bowfell Road
2 rated inspections over 3 years: the service has held its Good rating throughout.
- July 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 January 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.
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At least 100 live-in carers within about an hour of Trafford
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 £1,260 a week. 91 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
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.