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CQC report explained · a residential care home

What the CQC found at Starboard House

Goodpublished 8 July 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, staffing, medicines, equipment and infection control were managed safely.
Effective?
Good
This key question was not inspected during this visit. The previous rating was used to calculate the overall rating.
Caring?
Good
This key question was not inspected during this visit. The previous rating was used to calculate the overall rating.
Responsive?
Good
This key question was not inspected during this visit. The previous rating was used to calculate the overall rating.
Well-led?
Good
Management were visible and approachable. The home used regular audits, staff support and feedback systems to monitor and improve quality.
The latest report, explained

What inspectors found, July 2023

Rated Good; inspectors found people were safe, well supported and cared for by a well-managed home.

This was an unannounced inspection. One inspector visited on 26 April and 15 May 2023. They spoke with three people, the manager and three staff members. They also observed care and checked care, support and recruitment records.

The inspection looked at Safe and Well-led. Inspectors found people were protected from abuse and avoidable harm. Risks were assessed and managed, there were enough trained staff, medicines were handled safely, and infection control arrangements were effective.

Inspectors also found visible management, regular checks on quality and good communication with families and other professionals. The overall rating was Good. The last overall rating was also Good, published on 8 March 2018.

The ratings for Effective, Caring and Responsive were not assessed during this inspection. Their previous ratings were used when calculating the overall rating.

What inspectors praised
  • Risk management

    The home assessed risks linked to health, mobility, eating and drinking, finances and the environment. Staff had guidance about warning signs and how to respond.

    “People lived safely and free from unwanted restrictions because the service assessed, monitored and managed risks to their safety.” from the report
  • Safe medicines practice

    Staff reviewed medicines regularly and followed processes for storing, administering and recording them. The home also followed the principles of avoiding unnecessary medicines to control behaviour.

    “Staff followed effective processes to store medicines safely and to support people to take their medicines safely and in line with their preferences.” from the report
  • Enough trained staff

    Inspectors found staffing levels and staff skills matched people's needs. Recruitment records included the required safety checks.

    “The service had enough staff to support people safely and according to their needs and preferences.” from the report
  • Strong management

    Managers were accessible and understood people's needs. Regular audits, reviews and partnership work were used to monitor care and improve the service.

    “There were daily, weekly and monthly audits with the purpose of driving up quality.” 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 assess and manage my relative's specific risks, including health, mobility, eating and drinking, or communication needs?
  2. 02How often will my relative's medicines be reviewed, and what alternatives will be tried before medicines are used to reduce anxiety?
  3. 03What emergency evacuation plan would be in place for my relative?
  4. 04How will my relative and our family be involved in reviewing their care and support plan?
  5. 05Which health and social care professionals would be involved if my relative's needs changed?

This was an unannounced focused inspection of Safe and Well-led; Effective, Caring and Responsive were not inspected and their previous ratings were carried over. This explanation was written from the published report of 8 July 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.

An earlier report, explained

What inspectors found, March 2018

Rated Good; inspectors found safe, kind and personalised care across all five areas.

This was a comprehensive, announced inspection on 14 December 2017. Inspectors observed care, spoke with a relative, the registered manager and staff, and checked care plans, medicines records, recruitment files and quality records.

The home supported six people with complex learning and physical disabilities, although it was registered for up to ten people. Inspectors found people were kept safe, medicines were managed properly, and staffing levels were suitable.

Care was personalised and respectful. People were involved in decisions, supported to communicate their choices, and helped to access activities and health services. Staff also had training for end of life care.

The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. It had also been rated Good at the previous inspection, so the rating remained unchanged.

What inspectors praised
  • Safe medicines and staffing

    Inspectors found medicines were recorded, stored and given safely. Staffing levels were checked daily and extra staff were provided for outings when needed.

    “People's medicines were recorded, stored and administered safely. Medicines administration records were completed accurately.” from the report
  • Personalised support

    Care plans included people's abilities, likes and dislikes. Staff supported people to make choices and used communication aids where needed.

    “People's care plans contained 'Things I am good at doing' books which detailed people's abilities, likes and dislikes.” from the report
  • Good involvement and activities

    People were involved in planning their support and outings. The home also provided ways for people to express their views and raise concerns.

    “Staff had involved people in a 'you said, we did' exercise to plan outings according to people's preferences.” from the report
  • End of life planning

    People were consulted about their wishes for end of life care. All staff had completed specialist training for this support.

    “People were consulted about their wishes for care when they approached the end of their lives.” from the report
  • Quality monitoring

    The home used surveys, audits and an improvement plan to identify changes. Inspectors found examples of improvements made following feedback.

    “Results from the quality assurance survey were used to inform the service improvement plan which identified actions for 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 assess and record my relative's individual needs, abilities, likes and dislikes?
  2. 02How will you help my relative communicate choices and take part in decisions about their care?
  3. 03How do you check that medicines remain safely recorded, stored and administered?
  4. 04What activities and outings could my relative take part in, based on their preferences?
  5. 05How would you involve my relative and our family in planning end of life care if needed?

This was a comprehensive inspection covering all five CQC questions, and all five ratings were Good. This explanation was written from the published report of 8 March 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 Starboard House

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

  1. July 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Starboard House →

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

    Read what inspectors found at Starboard House →

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 6 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.

Next steps

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