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CQC report explained · a residential care home

What the CQC found at 114 Douglas Road

Goodpublished 4 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe medicines systems, suitable recruitment checks and plans to manage risks. Staff understood safeguarding procedures and how to report concerns.
Effective?
Good
Staff had training to support people’s health, medicines, nutrition and independence. People had access to health services, and mental capacity and lawful restrictions were considered.
Caring?
Good
Staff were kind, patient and respectful. They supported communication, privacy, dignity, choice and independence, and kept relatives informed after stays.
Responsive?
Good
Care plans were personalised and reviewed during each respite period. People chose activities and how to spend their time, and people and relatives knew how to raise concerns.
Well-led?
Good
The registered manager and staff were seen as approachable and supportive. Audits, visits, surveys and action plans were used to monitor the service and make improvements.
The latest report, explained

What inspectors found, January 2019

Rated Good; inspectors found safe, kind and personalised respite care, with the home’s design not fully aligned with best-practice guidance.

This was an unannounced inspection on 7 December 2018. One inspector observed care, spoke with two people, four relatives, four staff and the registered manager, and reviewed three care plans and the home’s quality checks.

The home provides respite care for people with a learning disability. It can accommodate up to 13 people, with 87 people using it throughout the year. Five people were staying there during the inspection.

Inspectors rated all five areas Good: Safe, Effective, Caring, Responsive and Well-led. They found enough staff, safe medicines practice, suitable training, kind staff, personalised support and systems to monitor quality.

The overall rating stayed Good, as it was at the previous inspection in July 2016. The report says the building had not been designed in line with some best-practice guidance, but the service was managed to promote choice, independence and inclusion.

What inspectors praised
  • Safe medicines support

    Medicines were checked before each respite stay. Staff had medicine training and understood what each person needed and why.

    “Medicines were stored and managed safely. Prior to each respite stay, up to date information was obtained about what medicines people needed.” from the report
  • Kind and respectful staff

    Staff listened patiently and supported people in a positive way. They respected privacy and dignity and encouraged people to make choices.

    “When staff spoke about people they did so in a kind and respectful way and ensured people's right to privacy and dignity was respected.” from the report
  • Personalised respite care

    Care plans included people’s preferences, interests and support needs. Staff knew people well and helped them take part in activities they enjoyed.

    “The support plans were personalised to each individual and contained information to assist staff to provide support.” from the report
  • Quality monitoring

    The home used audits, safety checks, surveys and action plans to identify and track improvements.

    “Where concerns were identified, action was taken to improve quality and the action plan and improvements were monitored and reviewed.” from the report
What inspectors were concerned about
  • Building design and best-practice guidance

    minor

    Inspectors said the service had not been designed in line with the values behind Registering the Right Support and other best-practice guidance. They also said the service was managed so that choice, independence and inclusion were promoted.

    “The care service was not developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance.” from the report
Questions to ask them, based on this report
  1. 01How will you update my relative’s care plan and medicines information before each respite stay?
  2. 02How will staff support my relative’s preferred way of communicating, especially if they have limited verbal communication?
  3. 03What activities and outings could my relative take part in during a respite stay?
  4. 04How would you support my relative’s specific health, dietary or epilepsy needs?
  5. 05What changes are being made, if any, in response to the building design not aligning with Registering the Right Support guidance?

This was an unannounced inspection covering all five CQC questions, the premises and the care provided; the report says end-of-life care was not being provided at the time. This explanation was written from the published report of 4 January 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.

The story over the years

Every inspection of 114 Douglas Road

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

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

    Read what inspectors found at 114 Douglas Road →

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

    We are reading this report · the original is on cqc.org.uk

  3. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2010

    Registered with the Care Quality Commission on 26 November 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Staffordshire

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 £1,230 a week. 85 can care for a couple. 10 years' experience on average.

“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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See live-in carers near StaffordshireProfiles, rates and reviews are free to look at.

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