CQC report explained · a residential care home
What the CQC found at 47 Doublegates Green
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, thorough recruitment checks and safety assessments. They noted incomplete medicines records and missing choking guidance in one risk assessment, with action reported after the inspection.
- Effective?
- Good
- People received support with health appointments, nutrition and suitable equipment. Some staff training was slightly overdue, but gaps had been identified and training arranged.
- Caring?
- Good
- Staff were described and observed as kind, patient and respectful. They knew people's preferences and communicated in ways that were meaningful to them.
- Responsive?
- Good
- Care was personalised and people took part in activities and outings they enjoyed. Relatives said communication was good and that staff responded quickly to changes in support.
- Well-led?
- Good
- The home had a registered manager and regular quality checks. Staff, relatives and professionals spoke positively about the leadership, although formal meetings for people using the service did not take place.
What inspectors found, January 2019
United Response - 47 Doublegates Green was rated Good; inspectors found kind, personalised care, with some medicines records needing improvement.
Inspectors carried out a comprehensive, announced inspection on 10 December 2018. They reviewed care, medicines, staffing, training and management records. They also spoke with staff, relatives and health and social care professionals, and observed how staff supported people.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable safety checks, personalised care plans, kind staff and activities suited to people's interests.
There were some minor shortfalls. One choking risk assessment did not explain what staff should do if choking occurred, although the manager confirmed this was completed after the inspection. The staff medicines signature list was incomplete and some storage temperature records had gaps. Some staff training was slightly overdue, but training had been arranged.
Kind and respectful staff
Staff knew people well and treated them with patience, kindness and respect. Inspectors saw positive relationships and communication that reassured people.
“Observations throughout the inspection showed staff were caring and respected people's privacy.” from the report
Personalised support
Care plans described people's individual needs and preferences. People were supported to follow their interests and take part in activities and outings.
“People received personalised care that was responsive to their needs.” from the report
Good staffing and safety checks
There were enough staff with suitable skills and experience. The building, equipment and emergency arrangements were checked.
“People were supported by sufficient numbers of staff who had the right mix of experience and skills.” from the report
Positive leadership
Staff and relatives spoke positively about the manager and the culture of the home. Quality checks were used to identify and address issues.
“The registered manager and other senior staff carried out quality assurance checks to monitor and improve standards at the service.” from the report
Medicines records
needs fixingThe list of staff signatures for medicines administration had not been completed. Some room temperature records for medicine storage were also missing.
“We noted the staff signature list for those staff who were responsible for the administering of medicines had not been completed.” from the report
Choking guidance
seriousOne person's choking risk assessment did not include instructions for staff to follow during a choking incident. The manager later confirmed that this had been completed.
“We did note the choking risk assessment for one person did not include guidance for staff to follow in the event of this happening.” from the report
Staff training records
minorSome staff were slightly overdue for training. The report says the gaps had been identified and training had been arranged.
“We noted some staff were slightly overdue some training.” from the report
- 01What action was taken to complete the medicines staff signature list and the missing storage temperature records?
- 02What choking guidance is now in place for the person whose risk assessment was incomplete?
- 03Which staff training was overdue, and has all of it now been completed?
- 04How do you gather the views of people who use the home, given that formal meetings for them did not take place?
- 05How are care plans, medicines and safety checks audited now, and how are families told about any actions?
This was a comprehensive inspection of all five key questions, covering the care provided and the premises. This explanation was written from the published report of 29 January 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 47 Doublegates Green
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- January 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- April 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 December 2010.
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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.