CQC report explained · a nursing home
What the CQC found at Abbey Grange Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors looked specifically at staffing and how incidents were managed. They found enough staff, detailed incident records and action to reduce risks, but they did not assess the whole Safe question.
- Effective?
- Good
- Inspectors looked specifically at eating and drinking support. They found people received regular nutritious food, drinks and snacks, but they did not assess the whole Effective question.
- Caring?
- Good
- This question was not assessed during the targeted inspection.
- Responsive?
- Good
- This question was not assessed during the targeted inspection.
- Well-led?
- Good
- This question was not assessed during the targeted inspection.
What inspectors found, August 2022
Abbey Grange Nursing Home remained Good overall; a targeted inspection found enough staff, well-managed incidents and good support with food and drinks, but it did not rate the whole service.
This was an unannounced targeted inspection on 20 July 2022. Inspectors checked concerns about incidents, staffing, and support with eating and drinking. They spoke with one resident, 13 relatives, six staff members, a GP and a social worker, and reviewed six care records and incident records.
Inspectors found enough staff were available to keep people safe. Incidents and accidents were recorded, reviewed and acted on. Risk assessments were described as clear and personalised.
People were offered regular, varied meals, drinks and snacks. Staff took account of choices and dietary needs. The overall rating remained Good, as at the previous inspection, but this visit did not assess every part of the service.
Staffing levels
The home had enough staff available to keep people safe. Its staffing system took account of people's assessed needs, and it was operating above its minimum staffing level.
“There were enough staff deployed to keep people safe.” from the report
Managing incidents
Incidents, accidents and concerns were recorded and reviewed. Inspectors found that action was taken to reduce the chance of the same problems happening again.
“All incidents, accidents and concerns were recorded and reviewed by the management team, to ensure actions were taken to reduce the risk of a reoccurrence.” from the report
Food and drinks
People received regular, varied and nutritious meals, with choices and dietary requirements taken into account. Drinks and snacks were available between meals.
“People were offered choice, and if people had specific dietary requirements, there were systems in place to ensure these were adhered to.” from the report
Inspectors raised no specific concerns in this report.
- 01When will the next comprehensive inspection assess the parts of the service that this visit did not cover?
- 02How are staffing numbers calculated for the current residents and their assessed needs?
- 03How are recent incidents and accidents reviewed, and how do you check that actions have reduced the risks?
- 04How do you record and monitor each resident's food, drink and dietary requirements?
- 05How are drinks and snack stations checked and replenished during the day?
This was a targeted inspection of concerns about incidents, staffing and eating and drinking support; it did not assess the whole key questions, and the previous overall Good rating remained unchanged. This explanation was written from the published report of 5 August 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.
What inspectors found, May 2021
Abbey Grange Nursing Home was inspected but not rated; inspectors found good infection control and safe visiting arrangements.
Inspectors carried out an announced, targeted inspection on 29 April 2021. They looked at infection prevention and control during the COVID-19 pandemic.
The home had arrangements for relatives and friends to visit safely. Visits were booked in advance, visitors were tested and wore personal protective equipment. Staff had training and enough protective equipment was available.
Inspectors were assured that the home was managing infection risks, including testing, admissions, cleaning, personal protective equipment and possible outbreaks. The home was inspected but not rated, so this report does not give an overall quality rating.
Safe visiting
The home had a planned process for visits during the pandemic. Visits were booked in advance, and visitors were tested and wore protective equipment.
“Visits were pre-booked to ensure they were staggered and the number of visitors in the home was manageable at all times.” from the report
Protective equipment
Staff had infection safety training and the home had enough protective equipment available. Inspectors observed staff using it appropriately.
“The provider ensured there was enough PPE available for staff at all times.” from the report
Cleaning and testing
The home had cleaning arrangements and carried out regular COVID-19 testing for staff and residents. Checks were also made before and after people moved into the home.
“The premises were clean. There was a cleaning schedule in place and suitable cleaning products were used to control the spread of infection.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now?
- 02How are visits currently booked, tested and managed?
- 03How often are staff and residents tested when there is an infection risk?
- 04What happens if a resident or staff member has symptoms or tests positive?
- 05What were the findings of the most recent full inspection, if there has been one?
This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 7 May 2021 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.
Every inspection of Abbey Grange Nursing Home
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- August 2022Inspected but not ratedcurrent ratingSafe: Inspected but not ratedEffective: Inspected but not rated
- May 2021Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- December 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- April 2011
Registered with the Care Quality Commission on 26 April 2011.
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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