CQC report explained · a residential care home
What the CQC found at Syrian House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection control, PPE, testing, cleaning, safe admissions and visiting arrangements. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements.
This was an announced, targeted inspection on 11 January 2022. It looked mainly at infection prevention and control during the COVID-19 pandemic, and at staffing pressures.
Inspectors were assured that the home used PPE safely, supported testing, followed social distancing and shielding rules, and kept its infection control policy up to date. Staff wore PPE appropriately and extra cleaning took place during the day.
The home supported people to visit relatives, including by using a summer house in the grounds. The service was inspected but not rated, so this report does not give a quality rating for the home.
Infection control
Inspectors were assured that the home was taking steps to prevent and manage infections. This included safe PPE use, testing, cleaning and social distancing.
“We were assured that the provider was using PPE effectively and safely.” from the report
Family visiting
The home carried out risk assessments and made arrangements to support safe visits with relatives, including visits in a summer house.
“The service had built a summer house in the grounds to support visiting people living at the service.” from the report
Vaccination checks
The manager took steps to check that visiting professionals were fully vaccinated, unless they had an exemption or there was an emergency.
“The registered manager was proactive in ensuring that visiting professionals were fully vaccinated.” from the report
Cleaning and staff practice
Staff used PPE properly and extra cleaning was carried out throughout the day. Staff had also received infection-control training.
“Staff wore personal protective equipment (PPE) appropriately and ensured additional cleaning was taking place throughout the day.” from the report
Refresher training
minorThe manager said refresher infection-control training would be introduced. The report does not say that this refresher training had already taken place.
“The registered manager stated they would implement refresher training for staff.” from the report
- 01Has the refresher infection-control training mentioned in the report now been completed?
- 02How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?
- 03How are staffing pressures being managed now, and have they affected people's care?
- 04How do visits with relatives work now, including use of the summer house?
- 05How do you manage testing, PPE and extra cleaning if there is an infection outbreak?
This was a targeted inspection of infection prevention and control and staffing pressures; the service was inspected but not rated, and the other key questions were not assessed. This explanation was written from the published report of 25 February 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, May 2019
Syrian House was rated Good; inspectors found safe, kind and personalised care, with end-of-life planning still being developed.
This was an unannounced inspection on 17 and 18 April 2019. One inspector and an expert by experience spoke with 10 people, four relatives and staff. They reviewed care plans, medicines, recruitment, training, safety records and quality checks.
The inspectors found all five areas to be Good: Safe, Effective, Caring, Responsive and Well-led. People felt safe, staff knew their needs, medicines were managed safely and care plans reflected people's choices. People and relatives described staff as kind and approachable.
The home offered activities and supported people to access the community. It also supported people's health, nutrition, independence and legal rights around consent. End-of-life planning was being developed and was due to be reviewed at a future inspection.
The overall Good rating means the inspectors found the service met legal requirements and provided consistently good care at the time of this inspection. The previous inspection in September 2016 was also Good in all five areas, although Well-led has improved from Requires Improvement because required notifications were being submitted.
People felt safe
People and relatives said people were safe. Staff had safeguarding training and were confident that concerns would be acted on.
“People felt safe while being supported by the staff team at Syrian House.” from the report
Kind and respectful staff
Inspectors saw warm interactions and people appeared at ease. Staff respected privacy, used preferred names and supported dignity.
“We observed kind and caring interactions between staff and people who were supported by the service.” from the report
Personalised care
Care plans included people's preferences, goals and ways to support their mental health. People and relatives were involved in reviews.
“Care plans reflected people's choices and preferences and gave detailed information on how to support each person.” from the report
Choice and independence
People could choose how to spend their day, make snacks and drinks, join activities and access the community where this was assessed as safe.
“Choice and control of how people wished to spend their day was at the heart of the service.” from the report
Improved leadership
The overall management rating improved because the home was submitting required notifications. Staff described the manager as supportive and approachable.
“At this inspection, we saw all notification had been submitted as required.” from the report
End-of-life planning was unfinished
minorThe home was still developing end-of-life planning with people. Inspectors said they would review this at the next inspection.
“The service was in the process of facilitating some end of life planning with people.” from the report
- 01How has end-of-life planning progressed since the inspection, and how do you involve people and relatives in these discussions?
- 02How will you support my relative's particular mental health needs, including on good and bad days?
- 03What activities and community opportunities would be available to my relative, and what support or risk assessment would be needed?
- 04How are medicines administered, checked and reviewed for each person?
- 05How often are care plans and risk assessments reviewed, and how will my relative and our family be involved?
This was an unannounced scheduled inspection covering all five CQC questions, including the care provided and the safety of the premises. This explanation was written from the published report of 22 May 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.
Every inspection of Syrian House
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 23 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.
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