Quebec Hall Limited

Updated 5 February 2022

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

We received information of concern about infection prevention and control measures at this service. This was a targeted inspection looking at the infection prevention and control measures the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

This inspection took place on 13 January 2022 and was unannounced.

Updated 5 February 2022

About the service

Quebec Hall is a residential care home and was providing accommodation and personal care to 21 people at the time of the inspection. The service can support up to 22 adults.

Quebec Hall accommodates people in a large listed building and has some additional rooms which have been added more recently. There are spacious grounds for people to enjoy which also contain a number of sheltered bungalows which do not form part of the provider’s current registration.

People’s experience of using this service and what we found

People who used the service, and relatives, were very happy with the care and support provided.

Staff showed a good understanding of consent issues but some paperwork relating to consent needed to be reviewed to ensure it always reflected best practice. We have made a recommendation related to reviewing elements of the service’s consent procedures.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were skilled and well trained. People’s healthcare and dietary needs were met. The environment was homely and suitable for the people who used the service.

Risks were assessed and well managed. The challenges of the building did not place people at any additional risk but would need to be kept under review. Health and safety checks were in place and action followed very promptly when issues were identified. Staffing levels were good and staff had time to meet people’s needs. Staff were safely recruited. Medicines were well managed, and staff were clear about safeguarding concerns and how to raise issues.

Staff were kind and caring towards the people who used the service and their relatives. They promoted people’s independence and upheld their dignity. The environment was warm, caring and welcoming. The Christian ethos of the service was central to the way care was delivered and people were very positive about this. People who used the service were included in decisions about their care and played an active role in their local community if they wished to.

The service provided people with meaningful occupation and enabled them to follow their own hobbies and interests. Activities were varied, appropriate and inclusive. End of life care was well managed, and staff had received training to enhance their skills in this area. There was a complaints procedure in place, but no complaints had been received.

There was strong leadership from the registered manager who worked closely with the general manager. Trustees of the charity carried out an effective quality assurance role and provided support to the management team. There was very good oversight of health, safety and welfare at all levels. Staff throughout the service were passionate about their role and committed to providing good quality care.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 02 December 2016).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.