CQC report explained · a residential care home
What the CQC found at Two Gates House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, admissions and visiting arrangements. The provider also had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This was not assessed in the targeted inspection.
- Caring?
- Good
- This was not assessed in the targeted inspection.
- Responsive?
- Good
- This was not assessed in the targeted inspection.
- Well-led?
- Good
- This was not assessed in the targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control, safe visiting arrangements and appropriate staffing measures.
This was an unannounced, targeted inspection on 8 February 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether staffing pressures affected care.
The home had enough protective equipment and staff were seen using it correctly. Inspectors found the home was clean and said systems for preventing and managing infection were effective.
The home used a booking system for family visits and offered other ways to keep in touch when visits were not possible. The inspection did not give a quality rating.
Good infection control
The home had good levels of PPE, and staff were observed using it correctly. Inspectors were assured that infection risks were being managed.
“The provider maintained good levels of personal protective equipment (PPE) and staff were observed wearing PPE correctly.” from the report
Clean environment
Inspectors found the home was clean and that effective systems were in place.
“The service was clean and effective systems were in place.” from the report
Managed family visits
The home used a booking system to monitor visits and offered alternative ways for families to stay in contact when they could not visit.
“There was a booking in system for visits from family and friends, this helped monitor the number of people at the home.” from the report
Staffing measures
The provider said it had measures to manage COVID-19-related staffing pressures. It said agency staff could be used when needed to keep staffing levels appropriate.
“The provider stated there had been no impact on the care people received due to workforce challenges in the sector” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing visits from family and friends?
- 02What alternative ways of keeping in touch are available if a visit cannot take place?
- 03How do you currently manage staffing pressures, and when do you use agency staff?
- 04How do you check that staff and visitors follow your current infection prevention and control procedures?
- 05What ratings or findings from a fuller inspection should we read alongside this targeted report?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 22 February 2022 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, June 2019
Two Gates House is rated Good; inspectors found safe, kind and personalised care, with clear improvement since the last inspection.
This was an unannounced comprehensive inspection. One inspector reviewed information held by the CQC, spoke with people living at the home, staff, management and a visiting health professional, and checked care, complaints, incident and quality records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines support, good infection control, suitable training and support, and care that respected people's choices, privacy and dignity.
People's care records contained personal information and staff knew people's needs and interests. Activities, meals, healthcare support and complaints arrangements were found to meet people's needs.
The home had been rated Requires Improvement at the previous inspection, published on 3 May 2018. Inspectors said quality monitoring systems were now robust, embedded and sustained.
Safe staffing and medicines
People said there were enough staff, and inspectors saw staff respond promptly. Medicines records were accurate and medicines were given safely.
“Records we looked at showed that people had received their medications as required.” from the report
Kind and respectful care
Staff had friendly relationships with people and supported their dignity, independence and everyday choices.
“Staff were kind, friendly and caring in their approach.” from the report
Personalised support
Records included personal preferences, while staff understood people's histories, interests and care needs. Activities were matched to individual interests.
“Records held personalised information about people's preferences with regards to their care.” from the report
Improved management checks
The home had strengthened its quality monitoring since the previous inspection. Audits covered areas including care records, medicines and infection control.
“At this inspection we found that the provider had robust systems to monitor quality and that these systems had been embedded and sustained within the service.” from the report
Temporary garden disruption
minorRenovation work affected access to the garden during the inspection. People had been told about this and the home had taken steps to reduce the disruption.
“The provider was undertaking some renovations to expand the service and this had impacted on the availability of the garden area.” from the report
Maintenance records
minorAudits found some gaps in maintenance records. The issue had been discussed with staff to prevent it happening again.
“Where areas for improvement had been identified within the audit, this had been acted upon.” from the report
- 01Has the renovation work finished, and can residents currently use the garden whenever they wish?
- 02What maintenance records were incomplete, and how does the home now check that all maintenance checks are recorded?
- 03How will you make sure my relative's personal preferences and interests are kept up to date in their care plan?
- 04How are families involved if there is a change in medicines, health needs or risk assessments?
- 05How can residents and families give feedback or raise a complaint, and how quickly will it be investigated?
This was described as a planned, unannounced comprehensive inspection covering all five CQC questions; the report gives different dates for the inspection visit, 01 May 2019 and 31 May 2019. This explanation was written from the published report of 22 June 2019 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 Two Gates House
4 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Requires improvementup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- September 2017Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 7 January 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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At least 100 live-in carers within about an hour of Dudley
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 £1,230 a week. 88 can care for a couple. 10 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
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