CQC report explained · a residential care home
What the CQC found at Masons Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably skilled staff to meet people's needs, safe medicines systems and individual risk assessments. Some shifts were covered by agency staff because of vacancies.
- Effective?
- Good
- People's needs were assessed and reviewed, and staff supported their nutrition, healthcare and emotional wellbeing. Staff received induction, training and supervision.
- Caring?
- Good
- Staff treated people with kindness and respect, promoted privacy and independence, and involved people and relatives in decisions about care.
- Responsive?
- Good
- Care was personalised and adapted to people's communication, routines and changing interests. People were supported to maintain relationships and take part in community activities.
- Well-led?
- Good
- The manager had good oversight and quality checks were in place. However, the home had not notified CQC when a DoLS application had been approved, and action was taken after the inspection.
What inspectors found, February 2020
Turning Point - Masons Road was rated Good; inspectors found safe, kind and personalised care, with a missed DoLS notification and some agency staffing.
This was a planned, announced inspection on 12 February 2020. One inspector spoke with both people living at the home, the registered manager, two care staff and one relative. The inspector also reviewed care, medicines and management records.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People received one-to-one support, had access to healthcare and were supported to make choices. Staff were described as respectful and familiar with people's needs, preferences and routines.
The overall rating was unchanged from the previous inspection, published on 16 August 2017. The report noted that the home had not told CQC when a DoLS application was approved. The registered manager took action after the inspection.
One-to-one support
Each person received individual support from trained and experienced staff when they needed guidance or assistance.
“Each person received one to one support from suitably trained and experienced staff, so they had guidance and assistance when they needed it.” from the report
Health and nutrition
Staff understood people's nutritional risks and supported access to general and specialist healthcare.
“People had access to the general and specialist healthcare services they required. People's health was regularly monitored” from the report
Respect and independence
Staff respected people's privacy and dignity and encouraged them to make choices and take part in household tasks.
“Staff supported people's dignity and respected their need for privacy.” from the report
Personalised communication
People were given information in formats they could understand, with care plans explaining how best to communicate with them.
“People were provided with information in formats they could understand.” from the report
Quality oversight
The provider and manager carried out checks, identified improvements and monitored accidents and incidents.
“Effective systems were in place to monitor the quality of the service and the care provided.” from the report
Missed DoLS notification
needs fixingThe home had not notified CQC when a Deprivation of Liberty Safeguards application was approved. The manager took action to address this after the inspection.
“However, they had not notified us when a Deprivation of Liberty Safeguards (DoLS) application had been approved.” from the report
Staff vacancies
minorVacancies meant some shifts were covered by agency staff. The report says the same agency staff were used to provide continuity, and recruitment was under way.
“Permanent and bank staff covered most shifts, but staff vacancies meant some shifts were covered by agency staff.” from the report
- 01How have you made sure approved DoLS applications are now notified to CQC on time?
- 02How many staff vacancies are there now, and how are shifts covered while recruitment continues?
- 03How do you make sure agency staff know each person's needs, risks and communication preferences?
- 04What progress has been made with introducing the oral health care plans mentioned in the report?
- 05How are people's changing interests and social needs reviewed and reflected in their activities?
This was an announced inspection of the care and premises, covering all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 26 February 2020 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, August 2017
Turning Point - Masons Road was rated Good; inspectors found safe, kind and personalised care across all five areas.
Inspectors visited on 5 July 2017. This was an announced, comprehensive inspection. They spoke with both people living at the home, a relative, the manager and three care staff. They also looked at care records, staff recruitment and training records, and management checks.
The home provided accommodation and support for up to four people with learning disabilities. Two people lived there at the time. Inspectors found enough staff, safe medicines arrangements, suitable care plans and staff who understood people's needs, routines and communication.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home had also been rated Good at the previous inspection in October 2015, so the overall rating remained Good.
One-to-one support
During the day, staffing allowed each person to receive one-to-one support and choose how to spend their time.
“Each person received one to one support so they were able to choose how they spent their day.” from the report
Personalised care
Care plans included people's likes, dislikes, routines and abilities. Staff understood how to reduce anxiety and respond to changes in behaviour.
“Each person had a care plan which contained detailed information about their likes, dislikes, preferences and specific routines.” from the report
Kind and respectful staff
Inspectors saw friendly interactions, quick reassurance when someone became anxious, and respect for people's privacy and independence.
“We saw relaxed interactions between people and staff and lots of laughter and smiles when they talked about a planned fancy dress party.” from the report
Safe medicines
Medicines were locked in people's rooms, given when needed and administered only by trained and competent staff. There were detailed instructions for medicines used only when required.
“Medicines were managed and administered safely.” from the report
Good management checks
The provider and area manager carried out regular checks and followed up issues found during audits.
“Each month the area manager audited the service and where issues were identified, these were followed up the following month to ensure appropriate action had been taken.” from the report
Pending legal approvals
minorApplications for approval of restrictions on people's care had been made but were still awaiting a decision when inspectors visited. The report does not say that this led to harm.
“The applications were still awaiting approval at the time of our inspection visit.” from the report
- 01What was the outcome of the applications for approval of restrictions on people's care?
- 02How is one-to-one support provided during the day, and how is overnight support arranged?
- 03How will the change of manager affect the people living at the home?
- 04How are people's communication needs and preferred routines recorded and kept up to date?
- 05How are as-required medicines used only as a last resort, and how are their effects monitored?
This was a comprehensive inspection covering all five key questions, with ratings given for Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 16 August 2017 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 Masons Road
3 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2020Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 8 February 2011.
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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