CQC report explained · a residential care home
What the CQC found at Daleholme
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that risks were well managed, accidents and incidents were used to reduce future risks, and there were enough staff. Medicines were administered and stored safely, with monthly audits.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff training was up to date, health and dietary guidance was followed, and the legal process was followed where people could not make particular decisions.
- Caring?
- Good
- People and families said staff were kind and considerate. Staff respected privacy and dignity, involved people in care planning and encouraged independence.
- Responsive?
- Good
- Care records were person-centred, regularly reviewed and included people's aims and goals. People were supported with communication, activities, relationships and access to the local community.
- Well-led?
- Good
- Inspectors found approachable leadership, consistent communication and effective quality checks. People, families and staff were invited to give feedback, and the home worked with health and social care professionals.
What inspectors found, October 2019
St Anne's Community Services - Daleholme was rated Good; inspectors found safe, kind and person-centred care across all five areas.
The inspection visit took place on 16 September 2019. One inspector reviewed care and medicines records, recruitment and management records, and the home itself. They spoke with two people using the service, two family members, three staff and two social care professionals.
The home supported five people with learning disabilities. Inspectors found that risks were well managed, there were enough trained staff, medicines were handled safely and people received support with their health, food, communication and daily choices.
People were treated with dignity and encouraged to be independent. Their care plans were personalised and regularly reviewed. The home also supported activities, community involvement and relationships, and had systems for complaints and checking quality.
All five CQC questions were rated Good. This was a planned inspection based on the previous Good rating, which was published on 24 March 2017. No restrictive intervention practices were being used.
Safe support
Inspectors found that risks were understood and managed, and that the home learned from accidents and incidents. The environment was clean and safety checks were carried out.
“The provider learned from accidents and incidents. They made changes to reduce the risk of them reoccurring.” from the report
Reliable staffing
There were enough staff to meet people's needs. Recruitment checks were completed, and families described staffing as consistent.
“There were enough staff on duty to meet the needs of people.” from the report
Respect and independence
Staff treated people with dignity and encouraged them to do things for themselves where possible. People were involved in decisions about their care.
“People were supported to be independent where possible.” from the report
Active, individual lives
Care plans recorded people's aims and preferences. Staff supported people to take part in activities, education, volunteering and the local community.
“People lived full and active lives and were supported to take part in activities that were relevant and of interest to them.” from the report
Open management
The manager and staff understood their responsibilities and used quality checks, feedback and action plans to improve the service.
“The provider and registered manager monitored the quality of the service to make sure they delivered a high standard of care.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you update my relative's care plan and personal goals as their needs or wishes change?
- 02How do you check that medicines remain safe and that monthly medicine audits lead to action when needed?
- 03What activities, education or volunteering could my relative take part in, and how would you support their access to the community?
- 04How would you involve my relative and our family in decisions if they could not make a particular decision themselves?
- 05How do you make sure staffing remains consistent and that new staff have the right training and support?
This was a planned inspection covering the care home, its premises and all five CQC questions; the previous Good rating was also recorded as Good. This explanation was written from the published report of 11 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.
What inspectors found, March 2017
Rated Good; inspectors found that the home had made improvements and was providing safe, kind and personalised care.
This was an unannounced, comprehensive inspection. One inspector visited the home, spoke with all five people living there, observed care, and spoke with staff and the manager. Records about care, medicines, staffing, training and quality checks were also reviewed.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable care plans, trained staff and good links with health professionals.
People were supported to make choices, stay as independent as possible and take part in activities they enjoyed. Staff were described as kind and respectful, and inspectors found that people were involved in decisions about their care.
The previous inspection in March 2016 found breaches and required improvement in several areas. This inspection found that the provider had made the required improvements and was meeting the regulations.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and safe systems for storing, administering and recording medicines.
“There were sufficient numbers of staff on duty to keep people safe.” from the report
Personalised care
Care plans were current and detailed. They explained people's needs, preferences, communication and the support needed to promote independence.
“Care and support plans contained clear and up to date information about how people wanted their needs met.” from the report
Kind and respectful support
People had positive relationships with staff. Staff supported privacy, dignity and choice in day-to-day care.
“People had good relationships with staff and were treated with kindness and respect.” from the report
Improved management
The home had regular audits, team meetings and provider visits. These systems helped identify and address areas needing improvement.
“There were effective systems in place to make sure that the service continued to deliver good quality care.” from the report
Some best-interest records were unavailable
minorThe manager could not show records of some best-interest meetings because they had been carried out by a social worker and copies had not been received. Other evidence showed that the home understood the relevant safeguards.
“They were unable to show us records of these meetings, explaining that they had been carried out by a social worker and a copy had not been received.” from the report
- 01How do you make sure copies of all best-interest meeting records are received and kept in the care plans?
- 02What activities are currently offered each day for people who prefer to stay indoors?
- 03How would you provide extra staff if my relative needs two staff members to go out?
- 04How will you support my relative's particular health needs, including appointments and any eating, drinking or medicines guidance?
- 05How will my relative and our family be involved in reviewing their care and raising concerns?
This was an unannounced comprehensive inspection covering all five CQC questions and checking improvements required after the previous inspection. This explanation was written from the published report of 24 March 2017 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 Daleholme
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- 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.
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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.