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CQC report explained · a residential care home

What the CQC found at The Homestead

Goodpublished 12 January 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found suitable risk assessments, enough staff, safe medicines practice, appropriate recruitment checks and proper investigation of accidents and incidents.
Effective?
Good
Staff had relevant training and regular supervision. People's health, nutritional and care needs were assessed, and staff worked with health professionals when needed.
Caring?
Good
Inspectors saw kindness, patience and respect. People were involved in care planning, their choices were respected and staff supported their independence.
Responsive?
Outstanding
The home provided a very broad range of activities and adapted support to individual needs, interests and life histories. Inspectors said the service went the extra mile and that this rating had improved from Good.
Well-led?
Good
People, relatives and staff spoke positively about the management. Audits, meetings and action plans were used to monitor quality and support improvements.
The latest report, explained

What inspectors found, January 2019

Rated Good overall; inspectors found safe, kind care and exceptionally responsive support, with Responsive rated Outstanding.

This was an unannounced inspection on 12 and 14 December 2018. Inspectors spoke with people living at the home, relatives and staff. They observed care and activities, and checked care plans, staff files, training records, audits and other records.

The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Inspectors found suitable staffing, safe medicines practice, trained staff, kind care and systems to monitor quality.

Responsive was rated Outstanding. Inspectors found a wide range of activities and individual support, including trips, community visits and activities based on people's life histories and preferences. The overall rating remained Good, while the Responsive rating improved from Good at the previous inspection.

What inspectors praised
  • Individual activities

    The home used people's life histories, music, photographs and interests to create meaningful activities and reduce isolation.

    “The service went the extra mile in providing people with a broad variety of activities to prevent social isolation.” from the report
  • Community involvement

    People were supported to take part in trips, visits and events with community groups, volunteers and families. The home also brought activities into the home for people unable to travel.

    “We saw evidence of the service working in partnership with the local community.” from the report
  • Kind and respectful care

    People described staff as kind and caring. Inspectors saw staff listening patiently, protecting privacy and helping people remain independent.

    “Everyone we spoke with told us staff were kind, caring and willing to spend time with people.” from the report
  • Safe staffing and medicines

    Inspectors found enough staff on duty, swift responses to call bells and safe storage and administration of medicines.

    “Medicines were stored, disposed of and administered safely.” from the report
  • Open management

    Staff felt supported and valued. The home used regular meetings, audits and action plans to check standards and make improvements.

    “The service had a positive culture that was open and honest.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How will you match activities and outings to my relative's interests, life history and communication needs?
  2. 02How do you make sure there are enough staff on duty at different times of day, and how quickly are call bells usually answered?
  3. 03How will you involve my relative and our family in creating and reviewing their care plan?
  4. 04What support can you provide if my relative cannot travel to activities outside the home?
  5. 05How should we raise a concern or complaint, and how will we be told what action has been taken?

This was an unannounced inspection of all five key questions and the overall service, covering both the care provided and the premises. This explanation was written from the published report of 12 January 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.

The story over the years

Every inspection of The Homestead

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

  1. January 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at The Homestead →

  2. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

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

  3. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 22 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

Weigh the report against the rest

Care at home

38 live-in carers within about an hour of Oxfordshire

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 £1,300 a week. 32 can care for a couple. 12 years' experience on average.

“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
Bridget S., about Nyarai N.
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Lucy D., about Loritha C.
See live-in carers near OxfordshireProfiles, rates and reviews are free to look at.

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.