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CQC report explained · a residential care home

What the CQC found at SignHealth Claridge Road

Goodpublished 18 October 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Risks were assessed and managed, although some gaps in risk assessments were found and addressed promptly.
Effective?
Good
Staff had the skills, training and support needed to provide care. People were supported with meals, healthcare, communication and making their own decisions.
Caring?
Good
People said they were happy with the care and enjoyed talking to staff. Staff respected privacy, dignity and independence.
Responsive?
Good
People were involved in planning their support and had personalised plans. They were supported to take part in activities and use the local community, but some records were duplicated and difficult to follow.
Well-led?
Good
People and staff gave positive feedback about the management team. Audits and improvement plans were in place, and managers acted quickly on the medicine and support-plan issues found.
The latest report, explained

What inspectors found, October 2019

SignHealth Claridge Road was rated Good; inspectors found safe, kind and personalised care, with some medicine and record-keeping improvements needed.

The inspection took place on 17 and 24 September 2019. One inspector visited, with a sign language interpreter. Inspectors spoke with four people and seven staff, and checked care, medicine, recruitment and management records.

The home was supporting six Deaf people with mental health needs. Inspectors found enough staff, safe care, good support with health needs and meals, and staff who understood people well. People were supported to communicate, make choices and live as independently as possible.

Some medicine records did not contain all the necessary detail, and information in some support plans was duplicated or confusing. The management team acted on these issues during or after the inspection. All five areas were rated Good, as was the overall service.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe, and staff understood how to recognise and report abuse. There were systems to manage risks and enough staff to support people at home and in the community.

    “People told us they felt safe.” from the report
  • Person-centred care

    Staff knew people well and supported them in ways that reflected their individual needs. People were involved in decisions about their care and encouraged to be independent.

    “Staff knew people well and cared for them in a person-centred way.” from the report
  • Communication support

    People were supported to communicate at home and when attending appointments. Interpreters, Deaf advocates and alternative formats were available when appropriate.

    “People told us they had access to an interpreter and a Deaf advocate when appropriate.” from the report
  • Good leadership

    The management team was accessible and approachable. Staff and managers used meetings, audits and improvement plans to monitor and develop the service.

    “The provider and management team who worked at the service on a day to day basis promoted high quality care.” from the report
What inspectors were concerned about
  • Some medicine records lacked detail

    needs fixing

    Information was not complete for some medicines taken when needed, including some handwritten records for over-the-counter medicines. The management team addressed this during the inspection.

    “Some people had over the counter medicines, for example, cold and flu remedies; these MARs were handwritten but did not contain all the necessary detail.” from the report
  • Support plans could be confusing

    needs fixing

    Some risk assessments and support plans repeated information, and some review dates went back several years. The management team said it planned to simplify the format and make it easier to read.

    “Information in some risk assessments and support plans was duplicated which meant there was a lot of information for people to read.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to records for medicines that people take when needed?
  2. 02How do you now make sure handwritten medicine records contain all the necessary details?
  3. 03How have support plans been simplified so that people and families can read and understand them easily?
  4. 04How do you make sure there are enough bank workers to cover shifts when regular staff are unavailable?
  5. 05How will my relative be supported to communicate at home and when attending health appointments?

This was a planned inspection that looked at all five CQC questions, including the care provided and the premises. This explanation was written from the published report of 18 October 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.

An earlier report, explained

What inspectors found, November 2016

Rated Good in all five areas; inspectors found safe, kind and well-organised support, with accessible communication and independence promoted.

This was an announced comprehensive inspection on 10 and 17 October 2016. One inspector visited with a British Sign Language interpreter. They spoke with two people and several staff, and checked care records, recruitment, training and quality records.

The home supported five deaf people with complex additional mental health needs in six self-contained flats, with staff available 24 hours a day. Inspectors found people felt safe, staff were suitably trained, and there were enough staff with the right skills.

Communication was a strong feature. Staff could use British Sign Language, and care plans used plain English and pictures. People were supported to make choices, live more independently, access health services and maintain social contacts.

The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. The report did not identify any breaches of regulations or enforcement action.

What inspectors praised
  • Accessible communication

    Staff included deaf and hearing workers, and all staff could sign to at least BSL Level 2. Pictures, plain English and technology were used to help people understand information.

    “All staff were able to sign to British Sign Language (BSL) Level 2 as a minimum.” from the report
  • Safety and staffing

    People said they felt safe. Inspectors found appropriate recruitment checks, enough staff and suitable arrangements for emergencies and medicines.

    “People who used the service told us they felt safe and staff had received the training they needed to recognise and respond signs of abuse.” from the report
  • Promoting independence

    People were supported with everyday tasks such as shopping, cooking, budgeting, using public transport and keeping their flats tidy.

    “People were supported and encouraged to live as independently as possible, for example, budgeting, shopping, cooking and keeping their flats clean and tidy.” from the report
  • Kind and respectful support

    Inspectors saw warm, friendly interactions and a calm atmosphere. People had their own flats and were supported to maintain relationships and interests.

    “We saw that staff were respectful and friendly in their approach and had a good rapport with people.” from the report
  • Clear care information

    Care plans and risk assessments were written in accessible formats, with pictures to help people understand their support.

    “Risk assessments and care plans were, person centred, written in plain English and had pictures to help people understand them.” from the report
What inspectors were concerned about
  • Registration was being checked

    minor

    Inspectors questioned whether the service was registered under the correct regulatory activity because people were tenants. The manager said they would make enquiries, but the report does not record the outcome.

    “We queried whether the service was registered under the correct regulatory activity because people were tenants and the service was not providing accommodation.” from the report
Questions to ask them, based on this report
  1. 01How will you support my relative's particular mental health needs and risks?
  2. 02How will staff communicate with my relative, and what happens if communication becomes difficult?
  3. 03How will you support my relative to become or remain independent with shopping, cooking, money and travel?
  4. 04What specialist health and social care services can my relative access, and how will interpreters be arranged?
  5. 05What was the outcome of the check about whether the service was registered under the correct regulatory activity?

This was an announced comprehensive inspection covering all five question areas, but inspectors reviewed the care records of two people and spoke with two people using the service. This explanation was written from the published report of 25 November 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.

The story over the years

Every inspection of SignHealth Claridge Road

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. October 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at SignHealth Claridge Road →

  2. November 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at SignHealth Claridge Road →

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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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