CQC report explained · a residential care home
What the CQC found at Twelve Trees Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2021
Inspected but not rated; inspectors were assured that infection control arrangements were in place.
This was an announced, targeted inspection on 11 February 2021. It focused on infection prevention and control during the COVID-19 pandemic, rather than a full inspection of the home.
Inspectors were assured that the home managed visitors, social distancing, admissions, PPE, testing, hygiene and infection outbreaks appropriately. Staff had infection control training and there was enough PPE. People and most staff had received a first vaccine dose.
The home supported contact with relatives through telephone calls, video calls and online relatives' meetings. The service was inspected but not rated, so this report does not give a quality rating for the home or a rated score for Safe.
Visitor safety
The home used clear signs at external doors to explain entry restrictions and infection control measures.
“The service had signage displayed on all external doors to alert visitors to restrictions on entering the building and the infection control measures they would need to take.” from the report
PPE and infection training
Staff had received relevant training, used PPE correctly and the home had enough PPE for current and future needs.
“Staff had completed training in infection control, COVID-19 and donning and doffing personal protective equipment (PPE).” from the report
Family contact
People were supported to keep in touch with relatives by phone and video. Online relatives' meetings included families living in other countries.
“People were supported to maintain links with friends and family via telephone and video calls.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitor restrictions and infection control requirements explained to families now?
- 02How do you check that staff continue to use PPE correctly and keep their infection control training up to date?
- 03How are people and staff tested for COVID-19, and how are infection outbreaks managed?
- 04How can relatives keep in contact with people who live here if they cannot visit in person?
- 05What have inspections or reviews found about care, staffing and management, which this targeted inspection did not assess?
This was an announced targeted inspection of infection prevention and control during the COVID-19 pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 4 March 2021 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
Rated Good; inspectors found kind, safe and responsive care, but some medicines records and care plans were not fully complete or secure.
This was an unannounced comprehensive inspection on 18 July 2017. Inspectors spoke with people living at the home and staff, observed care and a lunchtime meal, and reviewed care records, medicines records, staff files and management records. They also spoke with a healthcare professional.
The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, clean and well-maintained surroundings, safe medicines practice, kind care, suitable activities and regular care plan reviews.
The Effective rating improved from Requires Improvement to Good because staff had improved their understanding of the Mental Capacity Act and Deprivation of Liberty Safeguards. The Caring rating changed from Outstanding to Good. Safe, Responsive and Well-led remained Good. Inspectors noted some unexplained gaps in medicines records and that not all care plans were stored securely.
People felt safe
People said they felt safe, and inspectors found suitable safeguarding procedures, risk assessments, staffing levels and recruitment checks.
“One person told us, "I feel very safe here. There's always someone here for me during the day or night.” from the report
Improved staff knowledge
Staff had improved their understanding of people's rights and how to support people who may not have capacity to make particular decisions.
“Addressing the findings of our previous inspection staff had been trained in and demonstrated a good understanding of the MCA and DoLS” from the report
Kind and respectful care
Inspectors observed compassionate care. Staff supported people's dignity, privacy, choices and important relationships.
“Staff treated people with dignity, respect and compassion. People were supported to maintain relationships that were important to them.” from the report
Activities matched interests
The home offered varied activities, including music, exercise, arts and crafts, quizzes and outings using a dedicated vehicle.
“There were a wide range of planned activities in the home each day that people could participate in such as singing and music sessions, exercise classes, arts and crafts and puzzles, quizzes and games.” from the report
Open management
People and staff said managers were approachable. The home gathered views through meetings and surveys and used audits to identify improvements.
“The manager had submitted notifications to CQC in an appropriate and timely manner and in line with guidance.” from the report
Medicines records
needs fixingMost medicines administration records were completed correctly, but inspectors found some unexplained gaps or omissions. The manager was addressing this with individual staff.
“although there was some unexplained gaps or omissions.” from the report
Care plans not all securely stored
needs fixingInspectors found that some care plans were not stored securely. This could affect people's confidentiality, and the manager said it would be addressed immediately.
“however, not all care plans were stored securely which could compromise people's right to confidentiality.” from the report
- 01What action was taken to prevent unexplained gaps or omissions in medicines administration records?
- 02How are care plans now stored securely, and who checks this?
- 03Has the manager's application for CQC registration been completed?
- 04What changes have been made to the quality monitoring and audit systems?
- 05How are activities and care plans kept up to date as people's needs and interests change?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 31 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 Twelve Trees Residential Care Home
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Twelve Trees Residential Care Home →
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Twelve Trees Residential Care Home →
- April 2015GoodSafe: GoodEffective: Requires improvementCaring: OutstandingResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- November 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.
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
90 live-in carers within about an hour of Sheffield
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 £1,270 a week. 76 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.”
“Beatrice was a talent dementia carer whose professionalism and dedication allowed mums wishes to remain in her own her come true.”
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.