CQC report explained · a residential care home
What the CQC found at The Terrace
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that abuse risks were managed, individual risks were regularly reviewed, medicines were safely handled and infection control measures were in place. They also found enough staff to meet people's needs.
- Effective?
- Good
- This question was not assessed in this inspection.
- Caring?
- Good
- This question was not assessed in this inspection, although inspectors described respectful communication, dignity and person-centred care in the report.
- Responsive?
- Good
- This question was not assessed in this inspection, although inspectors reported that people chose their activities and were involved in planning their care and future goals.
- Well-led?
- Good
- Inspectors found regular audits, open communication and a manager who involved people, relatives and staff in improving the service. Staff said they felt supported and able to raise concerns.
What inspectors found, May 2022
Rated Good; inspectors found safe, person-centred care and strong management, with some agency staff still being used while recruitment continued.
This was an unannounced inspection on 21 April 2022. Inspectors looked at whether people were safe and whether the home was well-led. They spoke with five people, six staff members and four relatives, observed care and checked care, medicine, recruitment and management records.
The home was rated Good overall. Inspectors found that people were protected from abuse, risks were assessed, medicines were managed safely and there were enough staff to meet people's needs. Infection control arrangements were also in place.
People were supported to make choices, build independence and stay involved in their communities. Inspectors found the home was open and homely, with people and relatives involved in care planning and improvements.
Safe and Well-led were both rated Good. The other three CQC questions were not assessed in this inspection, so this report does not give new ratings for Effective, Caring or Responsive.
People's safety
Risks were assessed and reviewed, safeguarding systems were in place and staff knew how to report concerns. Inspectors found that action was taken to reduce identified risks.
“People were safeguarded from the risk of abuse; staff understood how to protect people from avoidable harm.” from the report
Safe medicines management
The home had arrangements for receiving, storing, giving and disposing of medicines. Staff had training and competency checks, and medicines were audited.
“Medicines were safely managed. Safe protocols were in place for safe receipt, storage, administration and disposal of medicines.” from the report
Choice and independence
People chose their activities, meals and when to eat. They had their own living areas and were supported to develop independent living skills and maintain family relationships.
“People were involved in planning their care and future goals. Staff supported people with independent living skills and people chose their own activities daily.” from the report
Positive leadership
The home used audits, meetings and feedback to identify improvements. Staff felt supported and people, relatives and staff were involved in decisions.
“The registered manager had governance systems in place to maintain and improve the quality and safety of the service.” from the report
Community involvement
People were supported to take part in meaningful activities and maintain strong community links. This included work placements and activities chosen by individuals.
“People had strong links to the community and they were supported to maintain family relationships.” from the report
Recruitment was continuing
minorThe home was meeting people's staffing needs, but it sometimes used agency staff while recruiting more permanent staff. Ask how this affects consistency for your relative.
“The registered manager advised of occasional use of agency staff, but recruitment processes were underway to increase the staff team.” from the report
- 01How many permanent staff currently work here, and how often are agency staff used?
- 02How will you support my relative's individual goals, choices and independent living skills?
- 03How do you review and manage risks that are specific to my relative?
- 04How will you involve our family in care planning and updates about health needs?
- 05What activities and community links could my relative take part in?
This was a focused inspection of Safe and Well-led, prompted partly by concerns about management and safety; the other three question ratings were not assessed in this report. This explanation was written from the published report of 19 May 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.
What inspectors found, February 2019
Rated Good; inspectors found safe, kind and personalised care, but one staff file lacked appropriate references.
This was the first inspection of the home. It was unannounced and took place on 9 January 2019. One inspector spoke with people, relatives, staff and other professionals, observed care, and checked care records, staff files and management information.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, risks were assessed, medicines were managed safely and there were enough staff to meet people's needs.
People received care suited to their preferences. Staff were described as kind and respectful. Care plans were detailed and reviewed monthly. People could take part in activities, access the community and receive support from health professionals.
The inspection found one staff recruitment file did not contain suitable references. The provider acted immediately and obtained them. The home had systems for checking quality, handling incidents and responding to complaints, although formal feedback arrangements were still being developed.
Care matched individual needs
Care plans recorded people's needs and preferences clearly and were reviewed each month. Staff knew people well and supported their choices.
“We looked at care plans and found they were clear, concise and detailed the support people required whilst ensuring they captured people's preferences.” from the report
Good risk management
The home identified risks and explained how to reduce them without unnecessarily limiting people's freedom.
“Risk assessments were thorough and detailed and clearly explained how to minimise risk whilst ensuring people's freedoms were not unnecessarily restricted.” from the report
Kind and respectful staff
Inspectors saw positive relationships between staff and people. Staff supported people's dignity, privacy and independence.
“During our inspection we saw staff interacting with people who used the service. Staff and people had a good rapport and staff were kind and caring in their approach.” from the report
Activities and community links
People had planned social activities and support to access the community. Their activity plans reflected what they liked to do.
“Each person's file we looked at contained an activity planner. This included planned day trips and social activities people liked to engage with and when they would take place.” from the report
One incomplete recruitment file
needs fixingOne of the three staff files checked did not contain appropriate references. The provider acted immediately and obtained the missing references.
“We looked at three staff recruitment files belonging to staff but found one of them did not contain appropriate references.” from the report
Formal feedback still being developed
minorThe home had an open-door approach and a complaints system, but was still working on a formal questionnaire for people, relatives, staff and professionals.
“The provider was in the process of formalising feedback about the service and was looking at introducing a formal questionnaire.” from the report
- 01How do you now make sure every new staff member has suitable references before starting work?
- 02Have you introduced the formal questionnaire for people, relatives, staff and other professionals?
- 03How are care plans reviewed when a person's needs or preferences change between monthly reviews?
- 04What activities and community access would be available for my relative?
- 05How would you support my relative if they needed end of life care?
This was an unannounced first inspection covering all five CQC questions, and the report says the home had no previous inspection rating. This explanation was written from the published report of 7 February 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.
Every inspection of The Terrace
2 rated inspections over 3 years: the service has held its Good rating throughout.
- May 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019GoodSafe: GoodWell-led: Good
- August 2018
Registered with the Care Quality Commission on 1 August 2018.
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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92 live-in carers within about an hour of Doncaster
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 £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“I can honestly say without Petros I don't believe he would have lived an extra 2 years”
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.