CQC report explained · a residential care home
What the CQC found at Spring Grove Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found suitable safeguarding systems, enough trained staff, safe medicines practice and a clean, well-maintained environment. Risks were assessed and reviewed, and staff knew how to support people when they became anxious or agitated.
- Effective?
- Good
- This key question was not inspected during this visit. The report says the rating from the previous inspection was used to calculate the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. The report says the rating from the previous inspection was used to calculate the overall rating.
- Responsive?
- Good
- Care plans were detailed, regularly reviewed and tailored to people's needs and preferences. Staff supported communication, community activities, personal goals and contact with families.
- Well-led?
- Good
- Inspectors found positive leadership, regular checks and audits, good communication with relatives and staff, and systems to learn from incidents and improve care.
What inspectors found, May 2023
Spring Grove Road is Rated Good; inspectors found safe, personalised care and positive leadership.
This was an unannounced focused inspection on 25 April 2023. One inspector met all four people living in the home, spoke with three staff and all four relatives, and reviewed care records, medicines, the environment and service records.
The home was rated Good overall. Safe, responsive and well-led were rated Good. Inspectors found suitable staffing, safe medicines practice, personalised care, meaningful activities and good communication with families.
The inspection focused on whether the home was following the principles of right support, right care and right culture for autistic adults and adults with learning disabilities. Effective and caring were not inspected during this visit, so their previous ratings were used when calculating the overall rating.
Personalised support
Care plans reflected people's needs and preferences. Staff knew people well and adapted their approach.
“People received personalised care which met their needs and reflected their preferences.” from the report
Safe medicines
Staff were trained and checked when managing medicines. Inspectors observed medicines being given safely and recorded correctly.
“People received their medicines safely and as prescribed.” from the report
Choice and independence
Staff supported people to make choices, pursue interests and take part in meaningful activities without unnecessary restrictions.
“Staff supported people to have the maximum possible choice and independence.” from the report
Communication
Staff used individual communication plans, visual clues, touch and objects of reference to help people understand and express choices.
“The staff used visual clues, touch and objects of reference to help communicate with people.” from the report
Family involvement
Relatives said they were involved, listened to and kept informed. Staff supported people to maintain family relationships.
“All of the relatives we spoke with felt involved and listened to.” from the report
Quality monitoring
The manager and staff used audits, checks and feedback from people using services to identify improvements.
“There were effective systems for monitoring and improving the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How are effective care and caring practice currently monitored, as these key questions were not inspected during this visit?
- 02How will you support my relative's individual communication needs and help them make choices?
- 03What activities and community outings could my relative take part in, and how often?
- 04How will you involve our family in reviewing care plans if my relative's needs change?
- 05How are medicines reviewed to make sure they remain appropriate and are not excessive?
This was a focused inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and their previous ratings were used to calculate the overall rating. This explanation was written from the published report of 6 May 2023 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 2019
Rated Good in all five areas; inspectors found safe, kind and personalised care with effective management.
This was an unannounced inspection on 28 November 2019. One inspector met people living at the home, the manager and staff. They reviewed care plans, medicines, records, the environment and quality checks. They also spoke with relatives and received written feedback from staff.
The inspectors found that people were safe, treated with kindness and supported to make choices. Care was personalised and people were encouraged to be independent, learn skills, take part in activities and keep in touch with family and friends.
Staff were trained and there were enough staff to meet people's needs. Medicines, risks, safeguarding and finances were managed safely. The home had systems for reviewing care, handling complaints and making improvements.
The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was the same as at the previous inspection on 9 May 2017.
Personalised support
Care plans described people's individual needs, preferences and communication. People and those important to them were involved in reviewing care and setting goals.
“People's care was personalised and reflected their choices and needs.” from the report
Kind and respectful care
Inspectors observed positive interactions. Relatives said staff were kind, patient and caring, and people were supported to make choices.
“People were well treated and the staff respected their equality and diversity.” from the report
Supporting independence
People were helped to learn new skills, take part in household tasks and become more independent where possible.
“People were supported to be independent where they were able and learn new skills.” from the report
Safe medicines and staffing
There were enough staff, the home did not use agency workers, and medicines were stored, given and recorded safely.
“People received their medicines in a safe way and as prescribed.” from the report
Activities and relationships
People took part in activities at home and in the community. Staff supported contact with families and friends, volunteering and possible employment.
“People were supported to take part in a range of different activities within the service and in the local community.” from the report
Building improvements still in progress
minorThe garden was being refurbished to make it more accessible, and the manager said there were further plans to improve the internal environment. Ask what has since been completed.
“The provider was in the process of refurbishing the garden.” from the report
Staff pay concerns
minorStaff feedback was generally positive, but some staff said they were unhappy with their level of pay. The provider was aware of this.
“The concerns from staff were that they were unhappy with the level of pay they received for the work they did.” from the report
- 01The report says all five places were occupied at the inspection. Is there currently a vacancy, and how would you manage a new person joining the home?
- 02What improvements to the garden and internal environment have been completed since the inspection?
- 03How would you support my relative to communicate choices, pain, hunger or distress if they do not communicate verbally?
- 04What activities, community opportunities, family visits or volunteering could you support my relative to take part in?
- 05How are medicines, financial records and changing risks checked and reviewed for each person?
This was an unannounced comprehensive inspection that looked at the premises and care and rated all five key questions; the previous inspection rating was also Good. This explanation was written from the published report of 14 December 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.
Every inspection of Spring Grove Road
4 rated inspections over 8 years: the service has held its Good rating throughout.
- May 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2019Goodstayed GoodSafe: GoodResponsive: GoodWell-led: Good
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 December 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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At least 100 live-in carers within about an hour of Hounslow
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 £1,270 a week. 85 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
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.