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CQC report explained · a residential care home

What the CQC found at Boroughbridge Road

Goodpublished 30 January 2024, 2 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 avoidable harm. Staffing, risk management, medicines, infection control and learning from incidents were all found to be safe.
Effective?
Good
This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Caring?
Good
This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Responsive?
Good
This key question was not inspected during this visit. Its previous rating was used to calculate the overall rating.
Well-led?
Good
Inspectors found a positive, person-centred culture. Audits, action plans, staff support and involvement of people and representatives were working effectively.
The latest report, explained

What inspectors found, January 2024

St Anne's Community Services - Boroughbridge Road was rated Good; inspectors found safe, person-centred care and good management, but only Safe and Well-led were inspected.

This was an unannounced focused inspection on 18 December 2023. One inspector spoke with a person using the home, a relative, a professional and five staff. They also observed care and checked care, medicine and management records.

The home supported three people with learning disabilities. Inspectors found enough staff, safe medicines management, suitable risk assessments and a clean, well-maintained home. People were supported to make choices, take positive risks and remain as independent as possible.

The home was rated Good overall. Safe and Well-led were both rated Good, and these ratings stayed the same as at the previous inspection in September 2018. Effective, Caring and Responsive were not inspected during this visit, so their previous ratings were used in the overall rating.

What inspectors praised
  • Consistent, person-centred support

    People were involved in their routines and supported by staff who knew them well. Inspectors found that staff promoted choice, control and independence.

    “People were fully involved in planning their day-to-day routines and received support from a consistent staff team.” from the report
  • Safe medicines management

    Medicine records were well completed and all medicines could be accounted for. Medicines were stored securely.

    “Medicine Administration Records (MAR) were in place and were well completed and all medicines could be accounted for.” from the report
  • Enough trained staff

    Inspectors found enough staff to support people safely, including with daily routines, activities and access to the community. Recruitment checks were also in place.

    “There were enough staff to ensure people were kept safe and were supported positively to access the community.” from the report
  • Good management and oversight

    The management team used audits and action plans to monitor the service and improve care. People, representatives and staff were involved in how the home was run.

    “Audits and action plans were used effectively as a tool for continuous improvement.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you make sure there are always enough staff to support my relative with activities inside and outside the home?
  2. 02How do you check that medicines continue to be given and recorded safely?
  3. 03How will you support my relative's choices and independence as their needs change with age?
  4. 04How are relatives and advocates involved in reviewing care and decisions about managing risk?
  5. 05What were the previous ratings for Effective, Caring and Responsive, which were not inspected during this visit?

This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the previous inspection in September 2018. This explanation was written from the published report of 30 January 2024 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, September 2018

St Anne's Community Services - Boroughbridge Road was rated Good; inspectors found safe, kind and personalised care with no serious risks or concerns.

This was a planned, announced comprehensive inspection. One inspector visited and used observations, including a Short Observational Framework for Inspection, because people had complex needs. The inspector spoke with staff, relatives and social care professionals, and checked care plans, recruitment records, training, medicines, complaints and quality checks.

The home supported three people with learning disabilities. Inspectors found that people were protected from abuse, medicines were managed safely, staffing was sufficient and the home was clean and well maintained. Staff knew people well, respected their privacy and choices, and supported independence.

People received suitable food, healthcare support and activities based on their interests. Care plans were reviewed monthly and communication was adapted to people's needs. The home was rated Good in all five areas, and this rating stayed the same as at the previous inspection.

What inspectors praised
  • Safe care and medicines

    Inspectors found that risks were assessed, medicines were safely managed and there were enough staff to meet people's needs.

    “Medicines were stored and administered safely and the premises were well maintained to keep people safe.” from the report
  • Kind and respectful staff

    Staff were observed treating people kindly and patiently. They respected privacy, dignity and people's different ways of communicating.

    “Throughout our visit, we observed staff treated people in a kind and caring manner.” from the report
  • Personalised activities

    People were offered activities linked to their interests and abilities, both inside and outside the home. Staff adapted activities when people's mobility changed.

    “A range of personalised activities were available to people within and outside the home.” from the report
  • Strong knowledge of people's needs

    Staff knew people well and supported their choices, independence, health needs and family relationships.

    “Staff listened and talked to people in a relaxed, friendly and caring manner.” from the report
  • Quality monitoring

    The manager and provider used audits, meetings and action plans to monitor care and identify improvements.

    “A range of audits were completed by the registered manager and provider to monitor the quality of the service and the care provided.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are each person's communication needs recorded and kept up to date?
  2. 02How are monthly care plan reviews carried out, and how is each person involved in decisions about their care and activities?
  3. 03How often are medicines audits completed, and what happens if an error or concern is found?
  4. 04How do you make sure activities remain meaningful when a person's health or mobility changes?
  5. 05What support would be arranged if someone living here needed end of life care?

This was an announced comprehensive inspection covering all five CQC questions, and the report says the overall Good rating remained unchanged from the previous inspection. This explanation was written from the published report of 18 September 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.

The story over the years

Every inspection of Boroughbridge Road

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. January 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Boroughbridge Road →

  2. September 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read what inspectors found at Boroughbridge Road →

  3. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2011

    Registered with the Care Quality Commission on 15 March 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.

Next steps

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Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.

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