CQC report explained · a residential care home
What the CQC found at The Regard Partnership Limited - 225 London Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably recruited and trained staff, safe medicines practice, reviewed risk assessments and appropriate safeguarding arrangements. Infection control measures and processes for learning from incidents were also in place.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward.
- Well-led?
- Good
- Inspectors found open and clear leadership, regular audits, good communication and a positive, person-centred culture. Relatives, staff and healthcare professionals gave positive feedback about how the home was run.
What inspectors found, June 2023
Rated Good; inspectors found safe, kind and well-managed care, with people supported to take part in community activities.
The home supports up to six people with learning disabilities or autistic spectrum disorder. Six people lived there when inspectors visited. One inspector carried out an unannounced inspection visit on 2 May 2023.
Inspectors spoke with the registered manager, two people using the service, four relatives, four staff and six healthcare professionals. They reviewed care plans, risk records, staff files, rotas, training records and quality checks. They also observed care because most people could not communicate using words.
The home was rated Good overall. Safe and Well-led were both rated Good. The other three areas were not inspected during this visit, so their previous ratings were carried forward. The home had also been rated Good at the previous inspection.
Understanding risk
Staff knew people's routines, preferences and ways of communicating distress. Risk assessments were reviewed as people's needs and activities changed.
“People were able to take acceptable risks and enjoy their lives safely.” from the report
Medicines
Medicines were administered by trained staff and records were complete and up to date.
“People's medicines records were fully completed, and up to date.” from the report
Community involvement
People were supported to use local services and take part in activities such as college, music groups, shopping, meals out and trips.
“Staff ensured people had access to local resources such as community-based activity services that included going to college and a music group.” from the report
Open leadership
Inspectors found approachable management, clear responsibilities and regular checks on the quality and safety of the service.
“The registered manager and staff knew and were clear about their roles, understood the quality assurance (QA) systems and there were clear lines of communication and boundaries in place.” from the report
Inspectors raised no specific concerns in this report.
- 01How are changes in each person's communication, behaviour and risks recorded and shared with all staff?
- 02How do you check that medicines records remain complete and up to date?
- 03What activities and community opportunities would be available for my relative, and how would their choices be understood if they could not use words?
- 04What did the latest audits identify, and what actions are still being monitored?
- 05Which ratings from the previous inspection were carried forward because they were not assessed this time?
This was an unannounced focused inspection of Safe and Well-led; the other three key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 1 June 2023 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.
What inspectors found, February 2022
Targeted inspection found good COVID-19 infection controls; the home was inspected but not rated.
Inspectors visited on 26 January 2022. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
They found good practice in preventing infections. Visitors were asked to take lateral flow tests, staff and visitors were given protective equipment, and staff were following infection control guidance.
The home helped residents keep in touch with family and friends through phone calls, emails and video calls. Inspectors were assured about testing, protective equipment, social distancing, cleanliness and plans for people more vulnerable to COVID-19.
The home was not given an overall rating or a Safe rating. This inspection did not assess the full range of care quality.
Infection control
Inspectors found that the provider was following guidance to reduce the risk of visitors spreading COVID-19.
“The provider was following best practice guidance to prevent visitors to the home spreading COVID-19 infection.” from the report
Protective equipment
Staff and visitors were given protective equipment, and inspectors saw staff using it in line with infection control guidance.
“Our observations during the inspection confirmed staff were adhering to PPE and Infection Control guidance.” from the report
Keeping families in touch
Residents were supported to stay connected with family and friends through calls, emails and video conferencing.
“The provider enabled residents to keep in touch with family members and people's friends through regular phone calls, emails and video conferencing.” from the report
Pandemic staffing
The report says staff followed infection control and COVID-19 policies and that the home had not experienced staffing difficulties during the pandemic.
“Staff had successfully adhered to infection control and COVID policies so that no challenges or difficulties had been experienced throughout the pandemic in relation to staffing in this service.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current arrangements for infection testing and protective equipment?
- 02How would you manage an infection outbreak now, and how would you keep families informed?
- 03What are the home's current arrangements for helping residents keep in touch with family and friends?
- 04What were the home's ratings for Effective, Caring, Responsive and Well-led at its previous full inspection?
- 05How are residents supported with care needs that were not assessed in this targeted inspection?
This was a targeted inspection of infection prevention and control under Safe; the report did not rate the other four questions or give an overall rating. This explanation was written from the published report of 4 February 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.
Every inspection of The Regard Partnership Limited - 225 London Road
3 rated inspections over 7 years: the service has held its Good rating throughout.
- June 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Regard Partnership Limited - 225 London Road →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at The Regard Partnership Limited - 225 London Road →
- January 2019Goodstayed GoodSafe: GoodWell-led: Good
- August 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 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.
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