CQC report explained · a residential care home
What the CQC found at Russell Terrace
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm, with enough trained staff and safe recruitment. Some medicine open dates and one person's restriction records needed improvement.
- Effective?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This key question was not inspected during this visit. Its previous rating was used when calculating the overall rating.
- Well-led?
- Good
- Inspectors found clear management and governance systems, specialist support and audits that were used to improve care. People, relatives and staff could give feedback.
What inspectors found, December 2023
Turning Point - Russell Terrace was rated Good; inspectors found safe, person-centred care, with some records needing improvement.
This was an announced, focused inspection on 29 November 2023. The inspector looked only at Safe and Well-led. They spoke with one person, two relatives, five staff and two healthcare professionals. They also observed care and checked care, medicine, recruitment and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough trained staff, safe recruitment, suitable safeguarding arrangements and generally safe medicines practice. People were supported to make choices, and staff knew their needs well.
There were some records to improve. Open dates were missing from some topical and liquid medicines. Records did not give enough detail about the reasons for one restriction used to keep a person safe. An external fire risk assessment was due after the inspection, and the manager took immediate action on the medicines and care records.
Staff knew people well
Staff understood people's individual ways of communicating and worked to find out what they needed. Inspectors found there were enough staff to support people safely.
“Staff know what they want by certain noises. Staff don't give up until they get to the bottom of what [person] is trying to tell them.” from the report
Specialist support
The home had access to specialist behavioural and clinical teams to help manage risks and meet people's needs.
“This included Positive Behaviour Support practitioners and a clinical team including medical, pharmacy and psychology.” from the report
Open management culture
People, relatives and staff had ways to give feedback. Inspectors found that staff felt listened to and that the provider used learning to improve care.
“If there is a problem, we sit and talk it through to find the best solutions. I would say our opinions on things are valued.” from the report
Medicine dates were missing
needs fixingSome topical and liquid medicines did not have their opening dates recorded. The manager corrected this during the inspection.
“We found some topical and liquid medicines did not have open dates recorded.” from the report
Restriction records lacked detail
needs fixingOne person's care plan included a restriction considered necessary in their best interests. The records did not fully explain the decision, and the manager acted to improve them.
“However, records needed more detail to support this decision making.” from the report
Fire assessment was still due
needs fixingThe manager had identified the need for an external fire risk assessment. It was due to be completed after the inspection.
“The registered manager had identified the need for an external fire risk assessment which was due to be completed following our visit.” from the report
- 01Have you completed the external fire risk assessment that was due after the inspection?
- 02How do you now record the opening dates of topical and liquid medicines?
- 03What changes were made to the care plan and records for the restriction used to keep one person safe?
- 04What were the current ratings for Caring, Effective and Responsive from the previous inspection, and when will these areas be checked again?
- 05How are medicine reviews carried out, including checks for over-medication?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the last inspection in 2018. This explanation was written from the published report of 16 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.
What inspectors found, February 2018
Rated Good; inspectors found safe, kind and personalised care, with some reliance on agency staff and incomplete medicine record checks.
Inspectors visited the home on 26 and 29 January 2018. They spoke with a person living there, relatives, staff and managers. They observed care and reviewed care plans, daily records, medicine records, recruitment records and quality checks.
The home supported up to six people with a learning disability or autistic spectrum disorder. Five people lived there during the inspection. Inspectors found enough staff, suitable risk planning, safe medicine administration overall, good health support and a clean environment.
Staff were described as kind, patient and respectful. Care was tailored to people's communication needs, interests and choices. Relatives said they were involved in care planning and that a recent move of two people into the home had been managed well.
All five areas were rated Good: safe, effective, caring, responsive and well-led. This means inspectors found the home was meeting the relevant standards at the time, although they noted some areas needing attention.
Positive risk support
Risk plans helped people take part in activities and move around the home without unnecessary restrictions.
“Risk assessments were used positively to enable people to do things rather than restricting them.” from the report
Kind and respectful staff
Staff adapted how they communicated and supported people with patience, dignity and respect.
“Staff were kind and patient with people and offered support when necessary.” from the report
Personalised care
Care plans recorded people's histories, preferences, interests and communication needs. Staff were seen following these plans.
“Each person had a care and support plan detailing how staff should support people's individual and diverse needs.” from the report
Support for independence
People were supported to make everyday choices and do tasks for themselves where they could, including preparing drinks and sorting laundry.
“People were also encouraged to be as independent as possible to maintain their life skills.” from the report
Medicine record signatures
needs fixingSome handwritten changes to medicine administration records did not have a second staff member's signature to confirm they were correct. The manager said this would be discussed with staff.
“However, handwritten amendments to people's medicines administration records were not always signed by a second member of staff to confirm they were accurate.” from the report
Reliance on agency staff
needs fixingStaff vacancies meant the home relied significantly on agency workers. Managers said this had contributed to paperwork not always being kept up to date and that permanent staff recruitment was under way.
“They acknowledged that due to staff vacancies there was a significant reliance on agency staff, but told us the provider was supporting them to recruit more staff.” from the report
- 01How much do you currently rely on agency staff, and how are you reducing that reliance?
- 02How do you check and correct handwritten changes on medicine administration records?
- 03How do you make sure care plans and daily records stay up to date when staffing changes?
- 04How will you support my relative's individual communication needs and preferences?
- 05How will relatives be involved in reviewing my relative's care and decisions?
This was a comprehensive announced inspection covering all five CQC questions, and all five ratings were assessed as Good. This explanation was written from the published report of 13 February 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 Russell Terrace
3 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Warwickshire
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 £950 to £1,260 a week. 77 can care for a couple. 11 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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.