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CQC report explained · a residential care home

What the CQC found at Aaron House

Goodpublished 1 December 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention measures were in place, including safe use of protective equipment, testing, cleaning and visiting arrangements.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, August 2020

Inspected but not rated; inspectors found strong infection control, with a small cleaning issue fixed straight away.

This was an announced, targeted inspection on 17 August 2020. Inspectors looked only at infection prevention and control measures as part of a coronavirus care home review.

They found people were protected from infection. Visitors had to book visits, provide contact details, sanitise their hands, wear a mask and have their temperature checked. Staff were using protective equipment and following updated guidance.

The building was clean and had a cleaning schedule. Inspectors found some untreated wood on shelves and that the sluice room needed cleaning, but the provider dealt with these points immediately. The service was inspected but not rated, so this visit did not give an overall quality rating.

What inspectors praised
  • Infection prevention

    Inspectors found that the home had measures to reduce the risk of infection for people living there, staff and visitors.

    “We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
  • Safer visits

    Visits were arranged in advance and usually took place outside in designated areas, with protective equipment required.

    “The home had robust systems in place to support relatives to visit their family members, minimising the risk of infection.” from the report
  • Staff training

    Staff had training in infection control, coronavirus and using protective equipment. They were also briefed about changes to government advice.

    “Staff had completed training in infection control, COVID-19 and how to put on and take of their PPE.” from the report
  • Visitor checks

    Visitors had to sign in, leave contact details, clean their hands, wear a mask and have their temperature checked before entering.

    “Visitors were required to sanitise their hands, wear a face mask and have their temperature checked prior to moving from the reception area.” from the report
What inspectors were concerned about
  • Small cleaning and maintenance issues

    minor

    Some shelves had untreated wood and the sluice room needed cleaning. The provider addressed these issues immediately.

    “some shelves had areas of untreated wood and the sluice room required a clean.” from the report
Questions to ask them, based on this report
  1. 01What infection prevention measures are in place now, and how are they checked?
  2. 02How are visits currently arranged, including visits for people receiving end of life care?
  3. 03How often are high-use areas such as door handles and hand rails cleaned?
  4. 04How often are staff updated and trained about protective equipment and infection control?
  5. 05How is testing for people living in the home and staff arranged now?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 28 August 2020 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, December 2018

Rated Good in all five areas; inspectors found safe, kind and person-centred care, with a few records needing improvement.

The inspection was unannounced and took place on 13 November 2018. Inspectors spoke with people living in the home, relatives, staff and a health professional. They observed daily care and checked care records, medicines records, staff files, audits, the building and equipment.

The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, suitable care planning, kind and respectful staff, activities that reflected people's interests, and good links with health professionals.

There were some smaller issues. One medicines competency assessment was not dated, one 'as required' medicines protocol needed more detail, some appraisals were overdue, and patterned carpets remained in parts of the building. The manager agreed to address these points.

What inspectors praised
  • Enough staff

    Inspectors found staffing levels were sufficient and staff were available to respond to people's needs promptly.

    “There were sufficient numbers of staff deployed to meet people's needs.” from the report
  • Kind and respectful care

    Staff knew people well and treated them with kindness, dignity and respect.

    “People were treated as individuals. Their choices and preferences were respected.” from the report
  • Activities and community links

    People could choose from activities inside the home and outings in the local community.

    “People were supported to take part in a range of activities, both within the home and in the local community.” from the report
  • Quality monitoring

    The manager carried out regular checks and used action plans when improvements were needed.

    “The registered manager monitored the quality of the service and took action when issues were identified.” from the report
  • Good health support

    The home worked with community health professionals, including GPs and district nurses, to support people's health and end of life care.

    “The service worked closely with a range of community health professionals to support people to maintain their health.” from the report
What inspectors were concerned about
  • Medicines checks

    needs fixing

    One staff member's medicines competency assessment was not dated. One protocol for medicines taken when needed also needed more detail.

    “one staff member's competency assessment was not dated so it was not clear when the assessment had been completed.” from the report
  • Overdue appraisals

    needs fixing

    Some staff had not yet had their annual appraisal. The manager said these would be completed the following week.

    “Some staff were overdue their annual appraisal. We discussed this with the registered manager who agreed to complete these the following week.” from the report
  • Patterned flooring

    minor

    Inspectors said patterned carpets in the hallway and small lounge could be unsuitable for people living with dementia. Much of the flooring had already been replaced.

    “Patterned carpets may cause distress to people living with dementia due to perceptual disturbances they may experience.” from the report
Questions to ask them, based on this report
  1. 01Has the undated medicines competency assessment been completed and recorded correctly?
  2. 02What extra detail was added to the protocol for medicines taken 'as and when required'?
  3. 03Were all overdue staff appraisals completed, and are appraisals now kept up to date?
  4. 04Has the patterned carpet in the hallway and small lounge been replaced?
  5. 05How are monthly audits and feedback from residents and relatives used to make further improvements?

This was an unannounced inspection covering all five CQC questions, including care, medicines, staffing, records, the building, equipment and management systems. This explanation was written from the published report of 1 December 2018 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 Aaron House

3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.

  1. August 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Aaron House →

  2. December 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Aaron House →

  3. November 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. October 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. February 2012

    Registered with the Care Quality Commission on 27 February 2012.

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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