CQC report explained · a residential care home
What the CQC found at Summerfield Court
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, June 2018
Rated Good overall; inspectors found safe, kind and responsive care, but the well-led rating was Requires Improvement because some records did not show completed actions.
This was a comprehensive inspection on 24 April and 1 May 2018. It was unannounced on the first day and announced on the second. Inspectors spoke with people using the home, care workers and managers, and checked care plans, medicines records, staff files, policies and other records.
The home was rated Good for Safe, Effective, Caring and Responsive. People told inspectors they felt safe, staff understood how to protect them, medicines were managed safely, and staffing was enough to meet people's needs. Care was described as kind and respectful, with people involved in their care and supported to become more independent.
The home was rated Requires Improvement for Well-led. Audits and surveys were being completed, but records did not always show what action had been taken or when it was completed. Inspectors recommended a review of records, and the managers took some immediate action during the inspection.
People felt safe
People said they felt safe, and staff understood how to recognise and report abuse or harm. Risk assessments, incident reporting and safety checks were in place.
“People told us they felt safe and staff had a clear understanding of how to protect people from abuse or harm.” from the report
Kind, respectful relationships
People spoke warmly about staff. Inspectors found that privacy, dignity, choices and involvement in care were respected.
“People living in the home spoke positively about the staff that supported them and thought of them as friends.” from the report
Support for independence
Care focused on recovery and helping people move towards more independent living. People were supported with personal goals, activities and community involvement.
“Care plans were person centred and focused on people's independence and encouragement to move on from the home to assisted living environments within the community.” from the report
Safe medicines practice
Inspectors found records showing when medicines had been given, with arrangements for people who self-administered and for medicines given when needed.
“Medicines were managed safely and we saw people received their medicines with signatures to show when they had been administered.” from the report
Improved staff support
The previous inspection found that supervision and appraisals were not regular. At this inspection, staff had three-monthly supervision and annual appraisals.
“At this inspection we found staff had three monthly supervisions and annual appraisals which followed the provider's policy.” from the report
Action records were incomplete
needs fixingSome audits did not record what had been done to fix problems or when this had happened. This was the main reason for the Requires Improvement rating for Well-led.
“Records were not always accurate to show when actions had been taken to improve the quality of care being provided” from the report
Some legal documents were missing from files
needs fixingSome capacity assessments were not recorded in people's care files when inspectors first checked them. The manager later provided the information and added it to the files.
“We did see in some files where capacity assessments had not been recorded” from the report
- 01How do you now record and check that actions from fire, equipment and other audits have been completed?
- 02How will you make sure every person's capacity assessments and Court of Protection documents are kept in their care file?
- 03What staffing arrangements are used when there is sickness or several staff are on annual leave?
- 04How are people's recovery goals reviewed, including plans to move to the annex or into the community?
- 05How do you support people with swallowing, choking risks, nutrition and hydration?
This was a comprehensive inspection covering all five key questions, with visits on 24 April and 01 May 2018. This explanation was written from the published report of 12 June 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.
What inspectors found, March 2017
Requires Improvement; inspectors found kind, personalised care, but medicines records, care plans, staff reviews and oversight needed improvement.
This was an unannounced inspection on 11 January 2017. Inspectors spoke with six people, four staff and the manager. They reviewed five care plans and four medication records, as well as other documents.
People were treated kindly and with respect. Staff knew people's preferences, supported their choices and helped meet their health and nutritional needs. There were enough staff on duty, and recruitment checks had been completed.
Inspectors found problems with records for creams and lotions. Care plans were incomplete or not kept up to date. Staff supervision and appraisals were not regular. Quality checks had found some of these issues, but action had not been followed through strongly enough.
The overall rating was Requires Improvement. Caring was rated Good. Safe, Effective, Responsive and Well-led were all rated Requires Improvement. The provider breached Regulation 18 about staff supervision and appraisals.
Kind and respectful care
People said they were happy with the care. Inspectors saw staff treating people with kindness, respect and dignity.
“People told us they were treated with kindness and compassion.” from the report
Enough staff
Inspectors found staffing levels were sufficient to meet people's needs and keep them safe.
“We found there were enough staff to make sure people received appropriate care and support.” from the report
Safeguarding and recruitment
Staff understood how to recognise and report abuse. Recruitment checks, including DBS checks, had been completed for the records inspected.
“Relevant checks had been completed before staff started employment.” from the report
Personalised activities
People could choose activities linked to their interests and independence, including shopping, music, gardening and trips out.
“We saw people's activity schedules were based on their individual preferences and promoted their independence.” from the report
Topical medicine records
needs fixingRecords did not always show where creams and lotions should be applied, when they were applied or how often. The home had identified this problem, but it was still happening.
“Records did not always show where on the body this should be applied, when it was done and how often.” from the report
Staff supervision and appraisals
seriousSupervision, appraisals and probation reviews had not taken place regularly. This was the report's recorded breach of Regulation 18.
“We saw from the staff records we looked at, that supervision, appraisals and probation reviews had not been carried out on a regular basis.” from the report
Care plan records
needs fixingCare plans were not always complete or up to date. Information was also filed in a way that made it difficult to find.
“Care plans reviewed were incomplete and not always updated.” from the report
Audits not fully acted on
needs fixingThe home carried out audits, but some problems identified by those checks were not followed through or dealt with robustly.
“However some audit action was not followed through and robustly addressed.” from the report
- 01How are you now recording where, when and how often topical medicines such as creams and lotions are applied?
- 02Are all staff now receiving supervision, appraisals and probation reviews at the intervals required by your policy?
- 03How often are care plans reviewed, and how do you make sure they are complete, up to date and easy for staff to find?
- 04What action has been completed following the audit findings and the Regulation 18 breach?
- 05Have you fully introduced the Global Attainment Scale, and how are rehabilitation goals recorded and reviewed?
This was an unannounced inspection covering all five questions, with inspectors speaking to six people and reviewing five care plans and four medication records. This explanation was written from the published report of 22 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 Summerfield Court
3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- June 2018Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- September 2015Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2014
Registered with the Care Quality Commission on 30 June 2014.
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 Leeds
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 £1,250 a week. 89 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.”
“Took his time to learn about me read my care plan and to listen to me. great companionship with lots of laughing.”
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.