CQC report explained · a nursing home
What the CQC found at Ten Acre Respite Service
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2020
Ten Acre Respite Service was rated Good; inspectors found safe, kind and person-centred care, with improvements since the previous inspection.
Inspectors made an unannounced visit on 9 December 2019. They spoke with relatives, staff, the registered manager and senior managers. They reviewed care, medicine and staff records, along with training, safety and management information.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found medicines were managed safely, staff were suitably recruited and trained, and people received care based on their needs, choices and communication styles.
The previous rating was Requires Improvement, with two breaches of regulation. The provider had completed an action plan, and inspectors found enough improvement had been made. The home was no longer in breach of regulations.
Safe medicines
Medicines were stored securely, recorded accurately and checked through regular audits. Care plans also explained people's medicine preferences and when additional medicines should be used.
“Medicines were stored securely and at an appropriate temperature in line with the manufacturer's recommendations.” from the report
Person-centred care
Care plans recorded people's choices, preferences, interests and communication styles. Staff used this information to shape support during each stay.
“Care records showed people were involved in their care to a high level, with records reflecting people's choices and preferences; relatives confirmed staff understood these areas well.” from the report
Respect and independence
Staff understood the importance of dignity, privacy and independence. Relatives said staff were caring and respectful.
“The staff we spoke with were dedicated to their roles, and showed a pride in treating people with respect and dignity.” from the report
Accessible management
Relatives and staff said they could speak to the registered manager when needed. The home used audits and monitoring to oversee quality.
“Visiting relatives, and staff, told us they could speak with the registered manager whenever needed.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you use my relative's care plan, communication style and preferences during each respite stay?
- 02How will you manage my relative's medicines, including any medicines that are given as and when needed?
- 03What information do you need from us before a stay about food, drink, health needs and consent?
- 04How will you support my relative's independence while managing identified risks?
- 05How can we give feedback or raise a concern during or after a stay?
This was an unannounced planned inspection that looked at the care home, the care provided and all five CQC questions. This explanation was written from the published report of 7 January 2020 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, December 2018
Rated Requires Improvement; inspectors found kind, effective and responsive care, but medicines and oversight were not consistently safe.
The inspection took place on 27 November 2018 and was announced 48 hours beforehand. One inspector visited when two people were using the service. They observed care, looked around the home and checked care, staffing, medicines and management records. They also spoke with people, relatives, staff and health professionals.
The home was rated Good for Effective, Caring and Responsive. Inspectors found kind staff, suitable training, detailed care plans and support that reflected people's communication, health and dietary needs. People were supported to make choices, and relatives and professionals gave positive feedback.
The home was rated Requires Improvement for Safe and Well-led. Medicines were not always managed safely. Examples included incomplete medicine records, a missed medicine, an unidentified cream in an unlocked communal cabinet and incomplete fridge temperature checks. Audits did not reliably find these problems, and two safeguarding incidents were reported to the CQC only after the inspection.
The overall rating fell from Good at the previous inspection in August 2016 to Requires Improvement. The report found two breaches of legal regulations and said the provider must send an action plan. The CQC said it would check that improvements were made.
Kind and respectful staff
Inspectors saw staff treating people with kindness, dignity and respect. Relatives and professionals also spoke positively about the staff approach.
“Staff were seen to be kind and caring and there were enough of them to keep people safe and to meet their care needs.” from the report
Detailed care planning
Care plans described people's needs, preferences, health requirements and communication methods. Relatives were involved in completing and updating them.
“The care plans we checked were clear and showed staff how to support people in line with their assessed needs” from the report
Choice and least restrictive support
Records showed decision-specific capacity assessments and best-interest decisions. Staff supported people to make choices and used the least restrictive approach.
“Staff recognised the importance of least restrictive practices and balancing decision making relating to risk against people's wishes and preferences.” from the report
Medicines were not always safe
seriousA medicine was missed because it was not ordered in time. Some handwritten medicine records were not signed or checked, and a prescribed cream was left unidentified and unlocked in a communal bathroom.
“Medicines were not always managed safely.” from the report
Unsafe storage and incomplete checks
seriousSome potentially hazardous products were in an unlocked communal cabinet. Records checking the temperature of medicine fridges had not been completed every day.
“We found some products which may be hazardous to people were stored in a communal bathroom cabinet, which was unlocked.” from the report
Management checks missed problems
seriousMedicines and environmental audits did not identify issues found by inspectors. Two safeguarding incidents had not been reported to the CQC until after the inspection.
“We found quality assurance systems were not effective in recognising or improving the issues found at this inspection.” from the report
- 01How are medicines now ordered, stored, recorded and checked, including creams and medicines needing refrigeration?
- 02Who carries out the daily and weekly medicines audits, and how are errors followed up?
- 03How do you make sure environmental and maintenance checks identify safety problems promptly?
- 04How are safeguarding incidents reported to the CQC and other relevant bodies?
- 05What progress has been made since the inspection on the proposed changes to the service?
This was an announced inspection of all five key questions, including the premises and care provided; the previous Good ratings from August 2016 were reassessed. This explanation was written from the published report of 28 December 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.
Every inspection of Ten Acre Respite Service
3 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2020Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 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.
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97 live-in carers within about an hour of Rotherham
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 £1,260 a week. 80 can care for a couple. 11 years' experience on average.
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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.