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CQC report explained · a residential care home

What the CQC found at Trafford Respite Service

Goodpublished 5 December 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Medicines were given as prescribed, but two 'as required' medicines initially lacked guidance and one epilepsy care plan was not up to date; these were addressed during the inspection.
Effective?
Good
People were supported with nutrition, health care and activities, and staff had relevant training. Recording was not always complete for food cut to the required size for someone with a modified diet.
Caring?
Good
Inspectors found kind and compassionate care. Staff respected privacy, dignity, independence, culture and people's choices.
Responsive?
Good
Care was personalised and communication needs were understood. People were supported to maintain relationships, attend activities and take part in local life.
Well-led?
Good
The home had an open culture, approachable managers and quality checks. Issues found through audits and reviews were acted on.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found kind, person-centred care, with some recording and medicines guidance gaps fixed during the inspection.

This was the first inspection since the current provider registered the home. The inspection took place over two days, with one inspector. They spoke with people, staff and local authority professionals, observed care, and checked care, medicine, recruitment, safeguarding, complaints and quality records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably trained staff, safe recruitment, clean premises, kind care and support for people's choices, communication, health, relationships and activities.

There were some shortfalls. Records did not always show when a modified diet had been provided, two 'as required' medicines lacked instructions, and one epilepsy care plan was out of date. The manager addressed these points during the inspection. The home had systems for checking quality and completing improvement actions.

What inspectors praised
  • Kind and respectful care

    People were treated with compassion, dignity and respect. Staff understood people's individual needs and supported their independence.

    “People received kind and compassionate care. Staff respected people's privacy and dignity.” from the report
  • Choice and control

    Staff supported people to make everyday choices and used the least restrictive approach. People could express their views through regular meetings and advocacy where needed.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests;” from the report
  • Support to take part

    People were supported to continue interests and relationships, attend activities such as college, and go out locally using public transport where appropriate.

    “People were supported to maintain relationships, follow their interests and take part in activities that were relevant to them.” from the report
  • Learning and oversight

    The home reviewed incidents, medicines, care plans and health and safety. Inspectors saw that actions identified through checks had been completed.

    “A quality assurance system was in place, including regular audits for medicines, health and safety, care plans and reviews of any incidents.” from the report
What inspectors were concerned about
  • Modified diet records

    needs fixing

    Staff did not always record when food had been cut to the required size for a person with a modified diet. The manager said the care plan would be updated and staff reminded about accurate recording.

    “Staff did not always record when they had cut the person's food to the required size.” from the report
  • As-required medicine guidance

    needs fixing

    Two 'as required' medicines did not initially have instructions explaining when staff should give them. The manager addressed this during the inspection.

    “Two PRNs did not have this guidance. The registered manager addressed this during the inspection.” from the report
  • Out-of-date epilepsy plan

    needs fixing

    One person's epilepsy care plan was not up to date. It was updated during the inspection, and staff knew the current guidance.

    “We saw one person's epilepsy care plan was not up to date. This was updated during our inspection.” from the report
Questions to ask them, based on this report
  1. 01How do you now record that a person's modified diet has been provided correctly?
  2. 02How do you check that every 'as required' medicine has clear instructions for when staff should give it?
  3. 03How often are epilepsy and other health care plans reviewed and updated?
  4. 04How will you involve my relative in the monthly 'My Voice Matters' meetings and decisions about their care?
  5. 05How will you assess my relative's needs during the 12-week stay and share the completed information with their next provider?

This was a first inspection that assessed all five CQC questions and looked at both the care provided and the premises. This explanation was written from the published report of 5 December 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.

The story over the years

Every inspection of Trafford Respite Service

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. December 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Trafford Respite Service →

  2. May 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. April 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. April 2023

    Registered with the Care Quality Commission on 3 April 2023.

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

At least 100 live-in carers within about an hour of Trafford

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. 91 can care for a couple. 10 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
“She is an exemplary carer, she is knowledgable empathetic and very respectful in the home.”
Katrina R., about Camille F.
See live-in carers near TraffordProfiles, 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.