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CQC report explained · a residential care home

What the CQC found at The Progress Project

Goodpublished 15 February 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
People felt safe. Risks, safeguarding, staffing, recruitment, medicines, fire safety and infection control were managed appropriately.
Effective?
Good
People's needs were assessed before moving in and reviewed regularly. Staff were trained and supported people with food, healthcare, community living and rehabilitation.
Caring?
Good
Staff were described and observed as warm, kind, patient and respectful. People were involved in their care and their communication and personal preferences were supported.
Responsive?
Good
Care plans were personalised and included people's goals and preferences. People were supported with community activities, education, work, relationships and complaints.
Well-led?
Good
People, relatives, professionals and staff gave positive feedback. Audits, meetings and partnerships with health and social care services were used to monitor and improve the home.
The latest report, explained

What inspectors found, February 2020

Rated Good; inspectors found safe, kind and personalised care that supported people's independence and rehabilitation.

This was an unannounced, planned inspection on 9 January 2020. One inspector spoke with five people, a relative, managers and staff. They observed care and checked care plans, medicines records, recruitment files and management records.

People said they felt safe and were protected from abuse and avoidable harm. Staff were available, medicines were managed safely and the home was clean. Inspectors found that people's risks were assessed and that staff followed the guidance in care plans.

Inspectors found kind and respectful staff who involved people in decisions. People were supported with food, healthcare, education, work, activities and plans to become more independent. All five areas were rated Good, the same as at the previous inspection published on 1 August 2018.

What inspectors praised
  • People felt safe

    People told inspectors they felt safe. Staff had safeguarding training and knew what to do if they were concerned about abuse or harm.

    “People were protected from the risk of abuse and harm and told us they felt safe.” from the report
  • Personalised support

    Care plans described people's needs, preferences and goals. Staff supported people to build independence and work towards rehabilitation in the community.

    “Care plans were written in a person-centred way and contained detailed information about people, their preferences, and how they wished to be supported.” from the report
  • Kind and respectful staff

    Inspectors saw positive relationships between staff and people. People were treated with dignity and supported to express their views.

    “We observed that staff were kind, friendly and patient with people and had a genuine empathy with them.” from the report
  • Strong oversight

    The home used audits, meetings and feedback to check the quality of care and identify actions for improvement.

    “A system of audits measured and monitored the quality of care and the service overall.” 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 assess and review my relative's goals for rehabilitation and greater independence?
  2. 02What support and checks are in place if my relative manages or stores their own medicines?
  3. 03How do staff support people who may become lost or need help while out in the community?
  4. 04What help would my relative receive with food shopping, cooking and moving towards greater independence?
  5. 05How will you keep our family informed while respecting my relative's wishes about sharing information?

This was an unannounced comprehensive inspection covering all five CQC questions, including the premises and care provided. This explanation was written from the published report of 15 February 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.

An earlier report, explained

What inspectors found, August 2017

Rated Good; inspectors found safe, kind and personalised support, with a small medicines-recording issue to follow up.

This was an unannounced inspection on 23 May 2017. One inspector and an expert by experience observed care, spoke with five people and staff, and checked care records, medicines records, staffing, training, complaints and management records.

The home supported up to 16 people with ongoing mental health conditions. Inspectors found that people felt safe, staff knew how to manage risks, medicines were generally handled safely, and staffing levels were enough to meet people's needs.

People were supported by kind staff who respected their privacy and involved them in decisions. Care plans were detailed and aimed to build independence, including helping people with food, activities, healthcare and plans to move into community living.

All five areas were rated Good. The previous inspection had rated the home Requires Improvement and found two breaches. Inspectors said the provider had acted appropriately and those regulations had been met.

What inspectors praised
  • People felt safe

    People said they felt safe living at the home. Their risks were assessed and staff had guidance on how to reduce them.

    “People told us they felt safe living at The Progress Project. They added that they also felt safe living with other people at the service.” from the report
  • Kind and respectful staff

    Inspectors found positive relationships between people and staff. People were treated with dignity and their privacy was respected.

    “Positive, caring relationships had been developed between people and staff.” from the report
  • Support for independence

    The home helped people build everyday skills and work towards living independently in the community.

    “People were supported by staff to be as independent as possible and, with whatever support was required, to live with their mental health condition.” from the report
  • Personalised support

    Care plans included detailed information about people's needs, goals and preferred support. Keyworkers met people regularly to review their care.

    “Care plans provided detailed information about people in a person-centred way.” from the report
  • Improvements after the last inspection

    The provider addressed the previous problems about cleanliness, equipment and reporting incidents. The regulations linked to those problems were met at this inspection.

    “At this inspection, we found the provider and registered manager had taken appropriate action and these regulations had been met.” from the report
What inspectors were concerned about
  • PRN medicines records

    needs fixing

    Inspectors advised the manager to record why an as-needed medicine was given and what happened afterwards. This was advice rather than a reported breach at this inspection.

    “We advised the registered manager to ensure that the reason why a PRN medicine was given was also recorded on the reverse of the MAR, together with the outcome.” from the report
  • Some uncertainty about care-plan involvement

    minor

    Although records showed regular reviews, a couple of people were unsure whether they had been involved in their care plans. Ask how your relative's views will be recorded.

    “A couple of people were not sure whether they were involved with their care plans.” from the report
Questions to ask them, based on this report
  1. 01How do you record the reason for giving an as-needed medicine and the outcome afterwards?
  2. 02How will you make sure my relative understands and helps review their care plan?
  3. 03How often will my relative meet their keyworker and review their goals?
  4. 04How will you support my relative to build independence and move into community living?
  5. 05How are residents' suggestions from meetings followed up and recorded?

This was an unannounced inspection covering all five CQC questions and the overall rating, including checks of care, records, staffing, medicines and management systems. This explanation was written from the published report of 1 August 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.

The story over the years

Every inspection of The Progress Project

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

  1. February 2020Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Progress Project →

  2. August 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Progress Project →

  3. June 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. June 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. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2013

    Registered with the Care Quality Commission on 15 February 2013.

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

28 live-in carers within about an hour of West Sussex

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 £1,020 to £1,170 a week. 23 can care for a couple. 11 years' experience on average.

See live-in carers near West SussexProfiles, 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.