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CQC report explained · a residential care home

What the CQC found at 1-2 Canterbury Close

Goodpublished 1 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
The inspection focused on infection prevention and control. Inspectors were assured about testing, PPE, cleaning, visiting arrangements, outbreak management and vaccination requirements.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection, although inspectors noted governance arrangements for infection prevention and control.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found strong infection prevention and control arrangements.

This was an announced, targeted inspection on 2 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and on whether staffing pressures were affecting care.

Inspectors found regular testing, screening for staff and visitors, suitable personal protective equipment, good cleaning arrangements and safe clinical waste disposal. They were assured that the home was managing infection risks, visits and COVID-19 vaccination requirements in line with guidance.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a full rating for all five areas of care.

What inspectors praised
  • Protective equipment

    Inspectors found enough PPE and saw staff using it appropriately when supporting people.

    “There were no shortages of PPE and all staff we observed were wearing appropriate PPE when supporting people.” from the report
  • Clean premises

    The premises were visibly clean and orderly, with cleaning schedules covering frequently touched areas.

    “The premises were visibly clean and in good order.” from the report
  • Testing and screening

    People, staff and visitors took part in regular testing and screening arrangements to reduce infection risks.

    “Staff and people using the service all undertook a regular programme of testing to keep everyone safe and free from infection.” from the report
  • Family visits

    The home was facilitating visits in line with current guidance and keeping relatives informed about changes, including positive COVID-19 cases.

    “We saw the provider was facilitating visits for people living in the home in accordance with the current guidance.” 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 are staffing pressures affecting people living here now?
  2. 02How often are people, staff and visitors tested, and what happens after a positive result?
  3. 03How will you keep our family updated if there is a COVID-19 case or outbreak?
  4. 04How are visits arranged when infection risks change?
  5. 05How do you check that PPE, cleaning and infection control procedures continue to be followed?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other areas of care and gave no overall rating. This explanation was written from the published report of 3 March 2022 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.

An earlier report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and person-centred care, with some maintenance and record-keeping issues being addressed.

This was an unannounced inspection on 8 October 2019. The inspector spoke with four people, six staff and the registered manager. They observed care, checked four people's records and reviewed information about how the home was run.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were seen as safe, treated kindly and supported to make choices, build independence and take part in activities.

The inspectors found some areas of the building were tired and not easy to clean. They also said recent accidents and incidents had not yet been fully analysed. These issues had been identified or acted on during the inspection, and the home remained Good overall.

The previous inspection rating was Good, published in May 2017. The home remained Good at this inspection.

What inspectors praised
  • Safe medicines support

    Medicines were given as prescribed. Staff received training and regular competency checks, and audits were used to monitor medicines management.

    “People's medicines were managed safely. We saw they were administered as prescribed.” from the report
  • Kind and respectful staff

    Inspectors saw positive interactions. Staff knew people well, involved them in decisions and protected their privacy and dignity.

    “We found staff were very kind and caring. People we spoke with all told us the staff were always kind and caring.” from the report
  • Promoting independence

    People were supported to develop skills and make choices. Inspectors gave an example of someone being supported to walk with a frame rather than use a wheelchair.

    “People's independence was promoted. Staff supported people to be independent.” from the report
  • Activities and community access

    People were supported to take part in social activities, go out and maintain relationships. Inspectors saw people accessing the community during the visit.

    “People received appropriate social stimulation that met their needs and regularly accessed the community.” from the report
What inspectors were concerned about
  • Tired areas and cleaning

    needs fixing

    Some parts of the home were old and tired and could not always be cleaned effectively. The report says this had been identified and was being addressed.

    “The home was not always well maintained, some areas were old and tired and were not able to be effectively cleaned.” from the report
  • Learning from incidents

    needs fixing

    There had been an increase in incidents in the weeks before the inspection. These had not been fully reviewed for patterns or trends, although the manager acted immediately.

    “These had not been fully analysed to show trends and patterns to reduce risks.” from the report
  • One care plan needed updating

    minor

    One person's care plan did not fully describe their needs. The report says this was corrected immediately after inspectors raised it.

    “One person's plan did not fully reflect their needs, this was discussed with the registered manager and addressed immediately.” from the report
  • Restricted kitchen access

    minor

    In one house, access to the kitchen was restricted because of a risk. The report says this was intended to be temporary and was being addressed.

    “In one house the access to the kitchen was restricted, this had some impact on people but was required in the short term due to risk.” from the report
Questions to ask them, based on this report
  1. 01Which areas of the home were old or difficult to clean, and what work has been completed since the inspection?
  2. 02How are accidents and incidents now reviewed for patterns, and what changes have been made as a result?
  3. 03How do you check that each person's care plan fully reflects their current needs and choices?
  4. 04Why was kitchen access restricted in one house, and has normal access now been restored?
  5. 05How are people supported to develop independence, access the community and maintain relationships?

This was an unannounced planned inspection that looked at the care, support, accommodation and management of the home across all five CQC questions. This explanation was written from the published report of 1 November 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.

The story over the years

Every inspection of 1-2 Canterbury Close

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at 1-2 Canterbury Close →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at 1-2 Canterbury Close →

  3. May 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 20 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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