Flexible Support Options Limited (Pengarth)
Morpeth, NE61 · 2.3 km
Residential
Rated 3 years agocare home
CQC report explained · a residential care home, run by Mr J & Mrs D Cole
No 11&12 Third Row
11 & 12 Third Row, Linton Colliery, Morpeth, NE61 5SB
Goodpublished 4 January 2024, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Good
- People were protected from harm and avoidable risks. Inspectors found safe medicines management, safeguarding procedures, infection control and appropriate staff recruitment checks.
- Effective?
- Good
- This area was not inspected during this focused inspection. The previous rating was used when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused inspection. The previous rating was used when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused inspection. The previous rating was used when calculating the overall rating.
- Well-led?
- Requires improvement
- Management and leadership were not always consistent. Notifications to CQC were missed, and records did not always show what action had been taken after audits.
The latest report, explained
What inspectors found, January 2024
Rated Good overall, but inspectors found well-led arrangements required improvement and a breach over missed notifications.
This was a focused inspection on 16 October 2023. The inspector looked only at whether the home was safe and well-led. They spoke with staff, relatives and a care manager, and reviewed records and information from other sources.
The home was rated Good for safe care. Inspectors found enough staff overall, safe medicines practice, safeguarding arrangements, infection control and suitable recruitment checks. People were supported to make choices, stay in contact with family and use the community.
The home was rated Requires Improvement for being well-led. The provider had not always notified CQC about events it was legally required to report, and records did not always show what action followed audits. The overall Good rating includes ratings from areas not inspected at this visit.
What inspectors praised
People were known well
Staff understood people's non-verbal communication, preferences and individual needs. Relatives said staff could recognise distress and identify what people needed.
“Staff had worked with the individuals for a considerable time and knew them extremely well, including their likes and dislikes and personal preferences.” from the report
Safe medicines practice
Inspectors found that medicines were given as prescribed and records were complete and current.
“Medicine records were complete and up to date, including 'as an when required' medicines and homely remedies.” from the report
A homely atmosphere
Relatives described the home as safe and family-like. People were supported to keep regular contact with relatives and to go out if they wished.
“Relatives told us the atmosphere at the service was homely and safe.” from the report
Staff support
Staff said the registered manager was usually available and they could raise concerns or ask for help.
“They are available all the time. You don't feel as if you are on your own.” from the report
What inspectors were concerned about
Weekend staffing
needs fixingThere was only one staff member at weekends and during the night. CQC recommended reviewing weekend staffing so people could access the community with support.
“We recommend the provider review weekend staffing levels to ensure people can access the community with support if they so wish.” from the report
Risk records
needs fixingPeople were cared for safely, but records did not always clearly identify the specific risks or how those risks were being reduced.
“It was not always possible from documentation to identify the specific risk related to care and how this was mitigated, although people were cared for safely.” from the report
Missed notifications
seriousThe provider had not always told CQC about events it was legally required to report. The registered manager later made the required notifications.
“We found the provider had not always notified CQC of instances that they are legally required to do so.” from the report
Audit follow-up
needs fixingThe home had checks and audits, but records did not always show what action had been taken in response to them.
“It was not always clear what actions had been taken in response to audits.” from the report
Questions to ask them, based on this report
- 01How many staff will be on duty at weekends, and how will this affect community activities?
- 02How do you record and review the specific risks for each person?
- 03What changes have you made to show clearly what action follows each audit?
- 04What events must be notified to CQC, and how do you make sure notifications are sent on time?
- 05How will you continue to understand the needs of people who communicate non-verbally?
This was a focused inspection of Safe and Well-led only; the other ratings carry over from the previous inspection and were used to calculate the overall rating. This explanation was written from the published report of 4 January 2024 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.
The story over the years
Every inspection of No 11&12 Third Row
5 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- January 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- March 2017Requires improvementdown from GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- January 2016Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 2011.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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