CQC report explained · a residential care home
What the CQC found at Tova
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2018
Rated Good; inspectors found safe, kind and personalised care, with some training, supervision and recording work still needed.
This was an unannounced inspection on 29 November 2017. One inspector reviewed records, observed care in communal areas, spoke with staff and received feedback from relatives and professionals. The inspection covered all five CQC questions.
The home was rated Good in every area: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, suitable risk assessments and staff who understood people's individual communication and care needs.
Care plans were detailed and personalised. People were supported with health care, food, activities, communication, choices and daily routines. Inspectors also found warm and respectful interactions between staff and people.
The home remained Good, the same rating as at the previous inspection in October 2015. Inspectors noted some incomplete training records, missed supervision recording and work still needed around applications for deprivation of liberty authorisations.
Enough staff
The home had a high staffing level that reflected people's complex health and physical needs. Agency staff used were familiar with the people living there.
“There were enough staff on duty at all times to meet people's diverse, individual needs safely.” from the report
Personalised care
Care plans described people's health needs, communication, preferences and activities. They were reviewed and updated when needs changed.
“People's care remained totally person centred and support plans were detailed and personalised.” from the report
Kind and respectful staff
Inspectors saw friendly and respectful interactions. Staff knew people well and responded to their body language and communication methods.
“People were comfortable and confident in staff presence.” from the report
Good communication support
Staff used detailed communication plans and training to understand how people expressed feelings, choices and wellbeing.
“People had detailed communication plans to ensure staff understood them and they understood staff.” from the report
Quality monitoring
The registered manager, staff team and provider used audits and reviews to monitor the home and identify improvements.
“There were a variety of auditing and monitoring systems in place.” from the report
Some training was overdue
needs fixingSome online refresher and general update training requirements were not being met. The report says access to the IT system and inaccurate recording were contributing factors.
“However, the record demonstrated that some online training requirements were not being met.” from the report
Supervision records
needs fixingStaff said they received regular supervision and felt supported, but some supervision sessions were not recorded and the formal programme had fallen short of the provider's requirements.
“Staff confirmed they had regular supervision time but this was not always recorded.” from the report
Deprivation of liberty applications
needs fixingThe home had been advised to make applications for all seven people living there. At the inspection, it was still working with the relevant authorities to establish whether the applications were valid.
“The service had been advised to make applications in respect of all of the seven people resident in the service.” from the report
- 01What online refresher training was incomplete at the inspection, and has all of it now been completed and accurately recorded?
- 02How often does each staff member receive supervision, and how do you make sure every session is recorded?
- 03What was the outcome of the applications for deprivation of liberty authorisations for all seven people?
- 04Has the bathroom and shower room refurbishment started, and what is the current completion date?
- 05How are audit actions now recorded and signed off as completed?
This was an unannounced inspection covering all five areas and the overall rating; the report says the home was rated Good in all five areas at the previous inspection in October 2015. This explanation was written from the published report of 6 January 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.
Every inspection of Tova
2 rated inspections over 2 years: the service has held its Good rating throughout.
- January 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 20 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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78 live-in carers within about an hour of Wokingham
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 £1,260 a week. 71 can care for a couple. 12 years' experience on average.
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
“Not only has she looked after him beautifully, she has also been great company for him with lively conversation, kindness and humour.”
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.