CQC report explained · a residential care home
What the CQC found at The Dexters Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Inspectors found suitable risk assessments, enough staff, safe recruitment and robust arrangements for medicines.
- Effective?
- Good
- Staff had relevant training, supervision and appraisals. People were supported with food, drinks and access to health services, although one hospital passport needed updating.
- Caring?
- Good
- Staff were observed to be kind, friendly and attentive. They respected people's privacy, dignity and choices and promoted independence.
- Responsive?
- Outstanding
- Care plans were highly detailed and personalised. Staff worked closely with people to arrange activities linked to their interests, skills and wishes.
- Well-led?
- Good
- People, relatives and professionals described the home as well-managed. Inspectors found robust quality checks and a positive, person-centred culture.
What inspectors found, December 2017
The Dexters Limited was rated Good overall; inspectors found kind, safe care and Outstanding support tailored to people's individual needs.
Inspectors visited the home without notice on 10 October 2017. They spoke with people, a relative, staff and health and social care professionals. They observed care and checked care records, staff recruitment and training records, medicines support and quality checks.
The home was rated Good for Safe, Effective, Caring and Well-led. People were supported by trained staff, medicines were managed safely, and staff treated people with dignity and respect. The home also supported people's health, nutrition, independence and choices.
Responsive care was rated Outstanding. Inspectors found very detailed care plans, strong knowledge of people's preferences and a wide range of activities built around individual interests. The overall rating remained Good, improving from the previous inspection's Good rating because Responsive had risen to Outstanding.
Personalised support
Care plans gave staff detailed information about each person's needs and preferences. Support was planned with people and focused on recovery and independence.
“Very detailed and person-centred care plans were in place to enable staff to provide extremely personalised care.” from the report
Activities and involvement
People were supported to take part in activities that matched their interests, including community activities, holidays and personal goals. People were also involved in meetings about the home.
“There was an extensive range of activities available to people, based on their individual interests.” from the report
Safe care
Inspectors found trained staff, appropriate risk assessments, sufficient staffing and safe medicines systems.
“The arrangements for managing people's medicines were safe.” from the report
Kind and respectful staff
People said staff were caring and respectful. Inspectors saw warm interactions and support for privacy, dignity and independence.
“We also observed staff speaking with people in a warm and friendly manner throughout our inspection.” from the report
Improved oversight
The home had introduced wider quality checks since the previous inspection. These covered care records, staff training, incidents, medicines and other parts of the service.
“At this inspection we found improvements had been made and there were robust systems in place.” from the report
Hospital information needed updating
needs fixingOne hospital passport did not reflect a significant change in a person's health and nutritional support needs. Families should ask how often this information is checked.
“We noted that one passport we viewed needed to be updated, as there had been a significant change to the person's health and nutritional support needs since it had been written.” from the report
Busy environment
minorA visiting professional felt the home could be busy and crowded at times. A visit may help you judge whether the space is suitable for your relative.
“one visiting professional commented that the home felt quite busy and crowded at times.” from the report
- 01How do you make sure hospital passports and other health information are updated promptly after a person's needs change?
- 02How do you manage busy or crowded periods, and how much quiet space is available?
- 03How are my relative's personal interests used when planning activities and daily support?
- 04How will my relative be involved in reviewing their care plan and raising concerns?
- 05How do your daily and weekly audits identify and resolve any problems with care records or medicines?
This was an unannounced comprehensive inspection covering all five key questions, and the report says the previous overall Good rating remained while Responsive improved to Outstanding. This explanation was written from the published report of 29 December 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 The Dexters Limited
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2017Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 14 January 2011.
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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37 live-in carers within about an hour of York
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 £1,270 a week. 32 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.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.