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CQC report explained · a residential care home

What the CQC found at The Emmie Dixon Home

Goodpublished 17 March 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Requires improvement
People were protected from harm, risks were assessed, staffing was appropriate and medicines were stored securely. However, medication records were not always completed correctly, especially when medicines were booked in.
Effective?
Good
People's choices and legal rights were supported. Food, health care, staff training and the home environment met people's needs.
Caring?
Good
Staff respected people's choices, privacy and dignity. Inspectors saw warm relationships and a happy, relaxed atmosphere.
Responsive?
Good
Care plans reflected people's needs, preferences and communication. Activities were provided, complaints information was available in an easy-read format, and relatives were involved in planning care.
Well-led?
Good
The home had a registered manager, regular checks and meetings, and an open culture. The provider and manager were involved in running the home and worked with other professionals.
The latest report, explained

What inspectors found, March 2018

Rated Good overall, but inspectors found medication recording problems and rated the home Requires Improvement for safety.

Inspectors visited on 29 January 2018. The visit was announced. They spoke with people living in the home, a relative, the manager and care staff. They also observed care and checked care, staff and management records.

The home was caring, responsive and well run. People had choices about daily life, staff knew them well, and care plans were detailed and regularly reviewed. Staffing, training, safeguarding, risk assessments, cleanliness and fire safety were also found to be satisfactory.

The main problem was medication recording. Medication appeared to have been given correctly, but staff had not always completed the records properly when medicines were received. The overall rating stayed Good, but the Safe question was rated Requires Improvement.

What inspectors praised
  • Person-centred care

    Care plans described how people wanted and needed to be supported. They were reviewed regularly and involved people, relatives and other professionals.

    “Care plans and risk assessments were person centred and detailed how people wished and needed to be cared for.” from the report
  • Respect and kindness

    People were supported to make everyday choices. Staff respected privacy and dignity and had warm relationships with people.

    “Staff engaged with people and visitors in a warm and friendly manner.” from the report
  • Staffing and training

    Recruitment checks were completed and staff received induction, training, supervision and appraisals. Staffing levels were adjusted to people's needs.

    “Staff were recruited safely and there was evidence that staff received a proper induction and suitable training to do their job role effectively.” from the report
  • Choice and independence

    People could move around the home freely and take part in activities they enjoyed. Their decisions about food, clothing and company were respected.

    “People were supported to have maximum choice and control over their lives and participate in activities they enjoyed.” from the report
What inspectors were concerned about
  • Medication records

    needs fixing

    Staff did not always complete medication documentation correctly when medicines were received. The manager started retraining staff and auditing the process during the inspection.

    “We found that staff had not always completed the documentation appropriately when booking in medication.” from the report
  • Medication room temperature records

    minor

    The temperature was within the expected range, but readings were not routinely logged. This means the records did not fully show that checks had been completed over time.

    “The temperature of the medication room was monitored with the use of a thermometer and the readings were in line with approved temperatures however this was not routinely logged.” from the report
Questions to ask them, based on this report
  1. 01What changes were made after the medication recording problem was found?
  2. 02How often are medication records now audited, and can you explain what the latest audit found?
  3. 03How do you make sure medicines are recorded correctly when they arrive at the home?
  4. 04How are people's care plans and risk assessments reviewed when their needs change?
  5. 05How will you involve my relative and our family in reviews and decisions about care?

This was an announced comprehensive inspection covering all five CQC questions and the overall rating. This explanation was written from the published report of 17 March 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.

The story over the years

Every inspection of The Emmie Dixon Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2018Goodcurrent ratingstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Emmie Dixon Home →

  2. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. February 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2010

    Registered with the Care Quality Commission on 7 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.

Next steps

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