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Staff and residents celebrate.

The Close Care Home joins the crème de la crème of care providers in the UK as it becomes the largest care home ever to receive a CQC Outstanding rating across all five inspected and assessed categories.

The report praised The Close Care Home for how 'the provider had created strong links with local LGBT+ groups and how members from these groups came to The Close to speak with people and staff about the barriers the LGBT+ community can face when accessing care. This demonstrated the providers commitment to high levels of engagement with staff and people who use services, to recognise the importance of equality.'

Putting the home in the top 0.13% in the UK The Close Care Home passed with outstanding in the Care Quality Commission's categories of safe, effective, caring, responsive and well led. A major turnaround for the once inadequate rated home.

Sanjay Dhrona, managing director of The Close Care Home says: “To say we are ecstatic with our CQC rating is an absolute understatement. It’s been a journey that’s been about focusing care on the needs of the person rather than the needs of the service.”

Five years ago global hospitality high-flyer Sanjay Dhrona leaf the world of corporate events and working with high profile clients such as the Royal Family, luxury car manufacturers, and pop stars to join the family business.

Mr Dhrona says: “I can’t stress enough this was a leap, I had no idea if I would have a positive impact, never mind save the business. The first day I arrived the first room I came to was the laundry, and that‘s where I started.”

Sanjay worked every department one after the other, he learnt the job, got to know the staff, listened to their opinions, and then went away, read the rules, and bit by bit made the necessary changes. From limited involvement Sanjay was very quickly full-time running the business.

Working hand in hand with the CQC, Sanjay took his hospitality background and applied it to turning the business around. Making sure the business didn’t rely on any one person, he appointed two registered managers solely responsible for the clinical aspects of the business. In addition a non-clinical manager was appointed to ensure the important role of the ancillary services ran smoothly.

“We have 90 residents, but that isn’t the extent of our care and relationship management. Each resident has family members and other care professionals involved in their lives, such as social workers, NHS staff, doctors, district nurses and voluntary workers. That means we are caring and managing hundreds of individuals. How could one care home manager manage that and have time to consider whether portable electrical appliances have had a Pat Test?”

CQC inspectors praised staff and management for their exceptional skills, innovative thinking, and the over-riding fair and open culture: “As part of the providers dementia strategy they had recognised that there was a need to adapt innovative methods to encourage those people living with dementia who got up in the night and slept longer during the day to maintain a well-balanced nutritional diet. Therefore, the provider and leadership team introduced a way of making their own microwavable TV dinners…
…after further consultation with people and relatives they put the TV dinners into production. This meant the service had identified people's individual preferences and patterns of eating and drinking and was flexible to meet their needs.”

“The service had taken innovative steps to meet people's information and communication needs over and above complying with the Accessible Information Standard. People used a variety of assistive communication aids to express themselves, which enabled staff to support people effectively to meet their needs. Examples included picture cards, assistive technology and personalised signs and gestures.”

“The systems and values within the service demonstrated their commitment to high standards of care for all people, this included challenging and supporting the wider community to care for and treat people with dignity. They did this through supporting and empowering established groups and organisations, and by creating new support networks. For example, the provider worked closely with the LGBT+ community and was involved in writing articles for a national magazine relating to care for people of the LGBT+ in later life. This meant The Close engaged constructively with staff, people and equality groups.”

Sanjay concludes: “We did it, as a team, as a family! Everyone combined - staff, residents, stakeholders, visiting professionals, the works. Together we achieved the greatest feat known in adult social care. We are so proud of the amazing family we have built since to the development and implementation of the new business model in 2015 that really refocused the service to the core values that we hold so dear. We want to use this opportunity to promise that this is where The Close belongs and this is where it shall stay, we promise not to step off the gas pedal, not to become complacent or comfortable. We will commit publicly to continue to improve, continue to innovate and most importantly continue to care.

“Not only was I on a mission to save my family legacy, I was also on my own journey as a LGBT Asian man. The one thing this whole journey has taught me is that how can you expect people to respect you and work with you if you don’t know how to be yourself?

“You never realise the impact you have on someone’s life until you sit down and talk to them. From staff, to the residents, we share our lives, I brought the whole person to work and they shared the whole person with me. I never thought I’d enjoy it, but I’ve never felt like I’m at work, it’s surprised me. I really wouldn’t want to be anywhere else!”

The Close Care Home in Burcot is situated close to the historic city of Oxford and the picturesque market towns of Abingdon and Wallingford. The modern and purpose built facility benefits from high levels of comfort and luxury inside and out with stunning terraces and grounds which lead to the River Thames.

Read the full CQC report here


For further information please contact Colette Lowe on 07946 508697 or 01924 658007

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