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CQC report explained · a residential care home, run by Zaydan Healthcare

The Four Seasons

81 Halifax Road, Littleborough, OL15 0HL

Goodpublished 15 September 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and reviewed, medicines were managed safely, infection controls were followed and staffing levels were sufficient. Staff recruitment included the required checks.
Effective?
Good
Staff assessed people's needs, received induction and ongoing training, and worked with healthcare professionals. People were supported with food, healthcare, consent and personal choices.
Caring?
Good
People said staff were kind, respectful and attentive. Staff supported people's privacy, dignity, independence, equality and involvement in decisions.
Responsive?
Good
Care plans were personalised and regularly reviewed. The home supported communication, activities, relationships, complaints and people's end of life wishes.
Well-led?
Good
Managers used audits and feedback to monitor the service and address issues. Inspectors found an open culture and evidence of working with relatives and other professionals.
The latest report, explained

What inspectors found, September 2023

The Four Seasons is rated Good; inspectors found safe, kind and personalised care with strong management oversight.

Inspectors visited without giving notice on 23 and 24 August 2023. One inspector spoke with people, relatives, managers and staff. They also observed care and checked care records, medicine records, staff files, audits and policies.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received their medicines safely, and had enough staff to meet their needs.

People were treated with kindness and respect. Their care plans recorded their needs and preferences. Staff supported people with food, activities, healthcare, communication and end of life care.

This was the same overall rating as the previous inspection, published in December 2017. The inspection was prompted by a review of information held by the CQC and also checked infection prevention and control.

What inspectors praised

  • Safe care and staffing

    Inspectors found that risks, medicines, infection control and staffing were managed safely. Staff recruitment records included the required checks.

    “Staffing levels were sufficient to meet people's needs and managers recruited staff safely.” from the report

  • Kind and respectful staff

    People and relatives described staff as kind, attentive and respectful. Inspectors also observed caring and supportive interactions.

    “People received kind and compassionate support from staff who used positive, respectful language which people understood and responded well to.” from the report

  • Personalised support

    Care plans recorded people's needs, preferences, likes and dislikes. Staff knew people well and supported their choices and independence.

    “People received personalised care which met their needs and preferences.” from the report

  • Management oversight

    The provider and managers used audits, complaints, incident records and feedback to monitor the home. Inspectors found evidence of partnership working with relatives and healthcare professionals.

    “The provider and managers followed governance systems which provided oversight and monitoring of the service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How would you adapt the care plan to my relative's specific health, mobility, communication and personal care needs?
  2. 02How do you make sure staffing levels remain sufficient if people's needs change or staff are absent?
  3. 03How would you keep us informed if our relative became unwell or needed support from healthcare professionals?
  4. 04What activities would be available that match my relative's interests, preferences and cultural needs?
  5. 05How can we raise a complaint, and how would you keep us informed about the action taken?

This was an unannounced inspection covering all five key questions, including care and the premises, with a specific check of infection prevention and control. This explanation was written from the published report of 15 September 2023 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 The Four Seasons

4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.

  1. September 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Four Seasons →

  2. December 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. November 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
  4. February 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  5. September 2022

    Registered with the Care Quality Commission on 1 September 2022.

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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