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CQC report explained · a residential care home

What the CQC found at The Regard Partnership Limited - Restormel Terrace

Outstandingpublished 20 September 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection control arrangements, but were only somewhat assured about entry screening and the location used for staff testing. The manager said changes were made after the inspection.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Outstanding
This was not assessed in this targeted inspection.
Responsive?
Outstanding
This was not assessed in this targeted inspection.
Well-led?
Outstanding
This was not assessed as a separate question in this targeted inspection, although inspectors described the manager's infection control understanding and planning.
The latest report, explained

What inspectors found, April 2021

The Regard Partnership Limited - Restormel Terrace was inspected but not rated; infection control was mostly good, but entry checks and testing arrangements needed improvement.

This was an announced, targeted inspection on 3 March 2021. Inspectors looked at how the home was prepared to prevent and control coronavirus infection. The home supports up to four people with a learning disability and/or autism, and four people lived there.

Inspectors were assured about most infection control arrangements. These included PPE, testing, social distancing, admissions, cleaning, visiting arrangements and the home's plans for managing an outbreak. Staff understood infection control guidance and people were supported to understand handwashing and coronavirus risks.

There were two areas where inspectors were only somewhat assured. Health checks for staff and visitors were being done after they had entered the building. Staff testing was also taking place on a poorly ventilated landing near bedrooms. The manager said these arrangements were changed after the inspection.

The service was inspected but not rated. This means the report gives findings about infection control, but does not give a Good, Requires improvement or Inadequate rating.

What inspectors praised
  • Keeping in touch

    Visiting was organised to support contact with loved ones while maintaining staggered visits and social distancing.

    “Visiting arrangements were in place, which ensured people could keep in touch with their loved ones.” from the report
  • PPE and training

    Staff had infection control training and used PPE correctly. They could explain how to put it on and take it off safely.

    “Staff had received infection, prevention and control training, they wore PPE correctly, understood the importance of it” from the report
  • Testing and vaccination

    The report describes an active approach to testing, with vaccines rolled out to people and staff.

    “There was an enthusiastic approach to testing, and the vaccine had been rolled out to people and staff.” from the report
  • Outbreak planning

    The manager had a contingency plan and staff understood what to do if an outbreak happened. The home had also reviewed lessons from an earlier outbreak.

    “Should an outbreak occur the registered manager had a robust contingency plan in place and staff were confident about what action to take.” from the report
What inspectors were concerned about
  • Entry checks

    needs fixing

    Health screening, including temperature checks, was happening after staff and visitors had entered the building. The manager said this was changed after the inspection.

    “Health screening, including the taking of temperature on staff were taking place when they were already in the building.” from the report
  • Testing location

    needs fixing

    Staff coronavirus testing was taking place on a landing near bedrooms, where ventilation was limited. The manager said staff would test before entering the home.

    “COVID-19 testing of staff was being carried out on the first-floor landing of the home.” from the report
Questions to ask them, based on this report
  1. 01Are staff and visitors now screened, including temperature checks, before entering the main part of the home?
  2. 02Where do staff carry out coronavirus testing now, and how do you ensure the area is well ventilated and away from bedrooms?
  3. 03How often are infection prevention and control spot checks carried out, and what happens if a problem is found?
  4. 04What would happen if there was a coronavirus outbreak, and how would families be kept informed?
  5. 05How are visits currently arranged so people can keep in touch with their loved ones?

This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; the other care quality areas were not assessed and the service was not rated. This explanation was written from the published report of 7 April 2021 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, September 2018

The Regard Partnership Limited - Restormel Terrace was rated Outstanding overall; inspectors found safe, highly caring and very person-centred support.

Inspectors carried out an unannounced comprehensive inspection over 20 and 21 August 2018. They met all four people living at the home, observed daily care and routines, and reviewed care records, staff files, medicines, complaints and management systems. They also spoke with relatives, staff and health professionals.

The home supports people with learning disabilities, autism and related conditions. Inspectors found that people were safe, their health needs were met, and staff had the skills and knowledge needed. Care plans were detailed and personalised. People were supported to make choices, manage parts of their own care and take part in activities, work and community life.

The home was rated Good for Safe and Effective. It was rated Outstanding for Caring, Responsive and Well-led. The overall rating remained Outstanding, as did the three Outstanding areas from the previous inspection in October 2015.

What inspectors praised
  • Personalised support

    Care was built around each person's communication, routines, preferences and goals. Staff used pictures, social stories and easy-read information to help people understand and make choices.

    “The service was extremely person-centred and staff had an excellent understanding of people's needs.” from the report
  • Independence and community life

    People were supported to develop skills and take part in community activities, voluntary work, shopping, social groups, holidays and family events.

    “People were encouraged to live active lives and were supported to participate in community life as much as possible using small, achievable goals that were obviously working.” from the report
  • Kind and respectful care

    Inspectors saw staff showing patience, kindness and understanding. People appeared relaxed and comfortable, and staff supported privacy, dignity and emotional wellbeing.

    “We observed staff treated people with patience and kindness.” from the report
  • Involvement in running the home

    People helped with meetings, meal planning, cooking, recruitment and home safety checks. Their views were actively sought and used.

    “We support people and include them in all aspects of the day to day running of the home.” from the report
  • Strong leadership and improvement

    The manager and provider had strong quality checks and used accidents, incidents and feedback to identify learning and improvements.

    “They had very robust quality assurance processes in place with the support of a head office.” 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 would you support my relative's particular communication needs, including if they cannot easily explain how they feel?
  2. 02How would you help my relative manage anxiety, changes to routines or behaviours that may put them or others at risk?
  3. 03What activities, community opportunities, work or volunteering could be developed around my relative's interests and goals?
  4. 04How would my relative be involved in decisions about their care, medicines, meals, activities and daily routines?
  5. 05How would you involve our family in care planning, reviews, health decisions and future moves if needed?

This was an unannounced comprehensive inspection covering the overall service and all five CQC questions, including the premises and care provided. This explanation was written from the published report of 20 September 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 report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of The Regard Partnership Limited - Restormel Terrace

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

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Regard Partnership Limited - Restormel Terrace →

  2. September 2018Outstandingstayed Outstanding
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read what inspectors found at The Regard Partnership Limited - Restormel Terrace →

  3. February 2016Outstanding
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read this report on cqc.org.uk

  4. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. 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.

Next steps

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