CQC report explained · a residential care home
What the CQC found at Queensway
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe medicines management and clean premises. They recommended reviewing how DBS certificate information is handled because copies were not kept in staff files.
- Effective?
- Good
- People had comprehensive assessments and personalised support plans. Staff had training, supervision and induction, and this area had improved from Requires Improvement at the previous inspection.
- Caring?
- Good
- Inspectors observed kind interactions and found that staff understood people's individual needs. Relatives said people were treated with dignity and respect and involved in decisions.
- Responsive?
- Good
- Care plans recorded people's preferences, routines and communication needs. People were supported with relationships, community activities and interests, and complaints systems were in place.
- Well-led?
- Good
- The management team was described as open and committed to improvement. Audits, feedback, care reviews and incident information were used to identify and make changes.
What inspectors found, September 2019
Rated Good; inspectors found safe, kind and personalised care, with a recommendation about DBS records.
The CQC made an unannounced visit on 19 August 2019. One inspector reviewed care and medicines records, staff recruitment and training records, management checks, and spoke with staff, relatives and other professionals.
The home supported six people with learning disabilities and/or autism. Inspectors found enough staff, safe medicines management, suitable risk assessments and clean surroundings. Staff were trained and supported, and people had individual care plans, choices about daily life and a good range of activities.
Inspectors saw kind interactions and heard positive feedback from relatives and professionals. The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Effective care had improved from Requires Improvement at the previous inspection, while the overall rating remained Good.
Safe medicines
Medicines were managed safely. Staff had practical training and regular checks of their competence.
“Medicines were managed safely.” from the report
Personalised support
Care plans described people's likes, dislikes, routines and support needs. Staff knew people well and used this information in daily care.
“People's care plans were detailed and contained clear information about people's likes, dislikes, specific needs, their personal preferences, routines and how staff should best support them” from the report
Kind and respectful care
Inspectors saw kind interactions, and relatives reported that people were treated with dignity and respect.
“We observed some kind and caring interactions throughout the day between staff and people using the service.” from the report
Activities and relationships
People could take part in varied activities, including community activities, holidays, shopping, cinema visits and arts and crafts. The home also helped people keep in touch with family.
“There were a range of life enhancing and interesting events and activities for people to become involved with.” from the report
Open management
The manager was approachable, and quality checks and feedback were used to improve the service.
“The quality assurance systems which were in place to monitor the service had been effective in identifying areas for improvement.” from the report
DBS records
minorCopies of DBS certificates were not kept in staff files. This was not recorded as a breach, but inspectors recommended that the provider review and update its practice.
“Copies of disclosure and baring services (DBS) certificates were not kept in staff member's files.” from the report
- 01How have you changed the way DBS certificate information is handled since this inspection?
- 02What restrictive interventions are used, when are they considered a last resort, and how are they reviewed?
- 03How will you support my relative's particular communication needs and involve them in decisions about their care?
- 04What activities and community opportunities would be available for my relative, based on their interests?
- 05How are staff training, supervision and medicines competence kept up to date?
This was an unannounced inspection covering all five CQC questions, including the care provided and the premises; the previous overall rating was Good, and Effective improved from Requires Improvement. This explanation was written from the published report of 17 September 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, February 2017
St Anne's Community Services - Queensway was rated Good overall; care was safe and kind, but health records and appointments needed improvement.
Inspectors visited the home on 25 January 2017. The visit was announced. One inspector spoke with five of the six people living there, two staff members and managers, and checked care plans, medicine records and other documents.
The home was rated Good for Safe, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines practice, respectful care, personalised support and activities suited to people's interests.
The Effective rating was Requires Improvement. Two optician appointments were overdue, and some daily records did not fully record people's choices about meals and activities. The home had already improved its medicine management since the previous inspection in May 2015.
Safe medicines
Medicines were stored securely, given as prescribed and recorded without gaps. This improved on the previous inspection.
“Medicines were managed safely and administered in line with the prescribing instructions.” from the report
Kind and respectful care
Staff knew people well, communicated patiently and protected their privacy and dignity.
“We saw people were comfortable in the presence of staff and staff treated people kindly.” from the report
Personalised support
Support plans reflected people's likes, dislikes, routines and communication needs. People were offered a range of activities and encouraged to be independent.
“People received care which was personalised and responsive to their needs.” from the report
Staff support and training
Staff had completed required training and received regular supervision and appraisals.
“The training record showed staff were up to date with their required training.” from the report
Overdue eye appointments
needs fixingTwo people had not had their optician appointments when they were due. The manager booked appointments during the inspection.
“However there were gaps in documentation and two optician appointments were overdue.” from the report
Incomplete daily records
needs fixingSome daily notes did not record people's choices about activities or meals in full. The manager said the documentation would be changed.
“Daily records were not always effective due to areas of information missing from these.” from the report
- 01Have the two overdue optician appointments taken place, and what checks now prevent health appointments being missed?
- 02How are daily records checked to make sure people's choices about meals and activities are recorded fully?
- 03How many agency staff are currently used, and how do you maintain consistency for people living here?
- 04How are people who communicate through gestures or Makaton involved in giving feedback about the home?
- 05How often are care plans and risk assessments reviewed with people and their families?
This was an announced inspection covering all five CQC questions; inspectors spoke with five people and reviewed two care plans and all medication administration records. This explanation was written from the published report of 23 February 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 Queensway
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- September 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- August 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- February 2013
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Kirklees
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. 86 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“Primrose is a very kind and compassionate healthcare professional”
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.