CQC report explained · a residential care home
What the CQC found at Streatfeild House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found detailed risk assessments, enough staff, safe recruitment and trained staff administering medicines. Infection prevention and control arrangements were also judged effective.
- Effective?
- Good
- People's needs were assessed before moving in and care plans were reviewed monthly. Staff received training and people were supported with food, health care, communication and decisions about their care.
- Caring?
- Good
- People and relatives spoke highly of staff. Inspectors saw respectful relationships, privacy being protected and people being encouraged to make choices and remain independent.
- Responsive?
- Good
- Care was personalised and staff knew people's preferences well. The home offered different activities, communication aids, support with relationships and an accessible complaints process.
- Well-led?
- Good
- The management team promoted a positive culture and carried out regular audits, meetings and feedback exercises. Inspectors found good communication with relatives and outside professionals.
What inspectors found, January 2022
Streatfeild House was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
Inspectors made an unannounced visit on 25 November 2021. They spoke with people living at the home, staff, relatives and professionals. They reviewed care plans, risk records, medicines information, training records and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough trained staff, safe medicines systems, detailed risk assessments and good infection control arrangements.
People were treated with dignity and kindness. Staff knew people well and supported their choices, independence, communication, activities and contact with relatives. Care plans had moved to an electronic system so staff could see recent information.
This was the first rating inspection since the home registered in 2019. A targeted inspection on 15 February 2021 had looked only at infection prevention and control.
Kind and respectful care
People were treated with kindness, dignity and respect. Staff responded to people's individual needs and supported privacy and independence.
“Maintaining people's dignity was central to everything we saw during our inspection.” from the report
Personalised care plans
Care plans focused first on what people could do for themselves, then recorded the support they needed. They were reviewed monthly and updated electronically.
“The plans were person centred, highlighting areas of ability first.” from the report
Choice and activities
People could choose activities, meals, routines and where to spend their time. The home offered group and individual activities, outings and support to maintain relationships.
“Everyone was offered choice and everyone was supported in what they chose to do.” from the report
Listening and oversight
People, relatives, staff and professionals had opportunities to give feedback. The management team used audits, meetings and incident reviews to check the quality of care.
“A thorough system of auditing was in place overseen by the registered manager and provider.” from the report
End of life training
minorThe home did not provide specific end of life training. Most staff had completed courses previously or on request, and inspectors said staff understood the important aspects of this care.
“Although there was no specific end of life training provided, most staff had completed courses either previously or on request” from the report
- 01How will you assess and support my relative's specific risks, including eating, drinking, falls, mobility or changing health needs?
- 02How does the electronic medicines record system work, and how will you involve us if there is a missed or changed medicine?
- 03What end of life training have staff completed, and how would you support my relative and our family if this became needed?
- 04How will my relative's communication needs and choices be recorded and shared with all staff?
- 05What activities and community trips would be available based on my relative's interests and independence goals?
This was an unannounced inspection covering all five key questions and giving the home's first full rating; a targeted inspection on 15 February 2021 had previously looked only at infection prevention and control. This explanation was written from the published report of 6 January 2022 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 2021
Streatfeild House was inspected but not rated; inspectors found many good infection-control measures but were only somewhat assured about preventing outbreaks.
This was an announced, targeted inspection on 15 February 2021. It focused on infection prevention and control during the coronavirus pandemic, rather than a full inspection of all aspects of care.
Inspectors found that visitors, admissions, testing, personal protective equipment, social distancing, cleaning and the infection-control policy were being managed safely. The home also supported people to keep in touch with relatives and continue activities through video calls.
The inspectors were only somewhat assured that outbreaks could be effectively prevented or managed. This was because some bank staff also worked in other care homes, creating a possible cross-contamination risk. The home was given resources to develop its approach.
The service was inspected but not rated. This means the report does not provide an overall quality rating or full ratings for all five areas of care.
Keeping people connected
People were supported to stay in touch with loved ones and continue some activities through video calls during restrictions.
“People had been supported to keep in touch with their loved ones through video calling.” from the report
Meaningful activities
Staff continued to provide activities, including virtual day-centre sessions, games and a Christmas choir visit.
“Staff had tried to keep people engaged in activities throughout the pandemic.” from the report
Clean environment
Inspectors found the home clean and hygienic, with regular cleaning and extra cleaning of frequently touched surfaces.
“The premises was clean and hygienic. There were regular cleaners in place at the service.” from the report
Staff support
Daily meetings gave staff an opportunity to raise concerns and receive reminders about coronavirus safety measures.
“Flash meetings happened daily at midday where staff could raise any concerns.” from the report
Limited assurance about outbreak prevention
needs fixingInspectors were only somewhat assured that outbreaks could be prevented or managed effectively. Some bank staff also worked in other care homes, which created a possible cross-contamination risk.
“We were somewhat assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
- 01How many bank staff currently work in other care homes, and what checks are completed before they start a shift here?
- 02What happens if a bank worker reports a positive COVID-19 case at another workplace?
- 03What changes have you made after the CQC signposted resources to develop your infection-control approach?
- 04How often are frequently touched surfaces cleaned, and how is this recorded?
- 05How will you help my relative keep in touch with family and continue activities if restrictions return?
This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 27 February 2021 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 Streatfeild House
3 rated inspections over 5 years: the service has improved, from Requires improvement to Good.
- January 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- October 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2019
Registered with the Care Quality Commission on 4 April 2019.
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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19 live-in carers within about an hour of East Sussex
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 £1,000 to £1,400 a week. 13 can care for a couple. 10 years' experience on average.
“When he point blank refused to go into hospital for a life saving blood transfusion she talked him through the situation and agreed to go in the ambulance with him and stayed until he was settled.”
“Una felt safe, secure and loved in her time with Debbie which is a gift that I am eternally grateful for.”
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.