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CQC report explained · a residential care home

What the CQC found at Terrys Cross House

Goodpublished 27 August 2022, 4 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, medicines, infection control, staffing and incident monitoring were managed safely.
Effective?
Good
People's physical, mental health and social needs were assessed. Staff had relevant training, and people were supported with healthcare, nutrition, communication and consent.
Caring?
Good
Staff treated people with kindness, dignity and respect. People were involved in decisions and supported to remain as independent as possible.
Responsive?
Good
Care was personalised around people's preferences, interests, communication needs, cultural needs and religious beliefs. People could choose how to spend their time.
Well-led?
Good
The home had an open and inclusive culture. The registered manager had oversight of care quality, staff training, incidents and medicines audits.
The latest report, explained

What inspectors found, August 2022

Terrys Cross House is rated Good; inspectors found safe, kind and personalised care, with some staff vacancies being managed by the home.

This was an unannounced first inspection of the newly registered home. One inspector spoke with four residents and three staff members, observed care, and checked care plans, risk assessments, medicines records, training records and management systems.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff to provide safe care, although there were vacant posts. They found that risks, medicines, infection control and incidents were managed appropriately.

Residents said they felt safe, happy and respected. Staff knew residents well, supported personal choices, helped people access healthcare, and provided food suited to individual needs. The home had systems for monitoring quality and responding to concerns.

What inspectors praised
  • Kind and respectful staff

    Residents described staff as kind, caring and respectful. Inspectors also observed staff spending time with people and responding to their needs.

    “I am very happy here, the staff treat us well, they are always kind and they come quickly if I need them.” from the report
  • Personalised care

    Care was adapted to individual preferences, including personal routines, faith, food, communication and interests.

    “Because we are a small home we can provide a highly personalised service.” from the report
  • Choice and independence

    People were involved in decisions about their care and could choose how they spent their day. Staff supported people to do what they could for themselves.

    “People were supported to make their own decisions and staff sought their consent before providing care.” from the report
  • Food and healthcare support

    People received support with healthcare appointments and individual dietary needs. Residents spoke positively about the choice and flexibility around meals.

    “You always get a choice of two things, but they will go out of their way to cook something else if you ask for it.” from the report
  • Management oversight

    The manager monitored incidents, staff training, medicines and other quality checks. Staff said they could raise concerns and suggest improvements.

    “Systems for monitoring staff training ensured the registered manager had oversight of the training staff had completed and identified any further training needs.” from the report
What inspectors were concerned about
  • Vacant staff posts

    minor

    There were vacant posts at the time of inspection. The manager covered some shifts and staff worked flexibly, and inspectors found that care had not been negatively affected.

    “There were some vacant posts but there had not been a negative impact on the care people were receiving.” from the report
Questions to ask them, based on this report
  1. 01How many staff posts are currently vacant, and what progress has been made with recruitment?
  2. 02How often does the manager or other senior staff cover vacant shifts?
  3. 03How do you check that people who manage some or all of their own medicines can continue to do so safely?
  4. 04How will you support my relative's individual interests if they do not want to join group activities?
  5. 05How will my relative's communication, dietary, religious and healthcare needs be recorded and reviewed?

This was an unannounced first inspection covering all five CQC areas, including infection prevention and control; the previous provider's Good rating was published on 25 January 2020. This explanation was written from the published report of 27 August 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.

The story over the years

Every inspection of Terrys Cross House

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. August 2022Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Terrys Cross House →

  2. January 2020Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. January 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  4. November 2017Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. June 2021

    Registered with the Care Quality Commission on 1 June 2021.

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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