CQC report explained · a nursing home
What the CQC found at Adamstan House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks, including through testing, protective equipment, cleaning, visiting arrangements and safe admissions.
- Effective?
- Good
- This area was not assessed in this inspection, which focused on infection prevention and control.
- Caring?
- Good
- This area was not assessed in this inspection, which focused on infection prevention and control.
- Responsive?
- Good
- This area was not assessed in this inspection, which focused on infection prevention and control.
- Well-led?
- Good
- This area was not assessed in this inspection, which focused on infection prevention and control.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were keeping people safe.
The inspection took place on 26 November 2020 as part of a CQC thematic review of infection prevention and control in care homes. It was announced in advance and focused on how the home managed coronavirus risks.
Inspectors found good practice in admissions, visiting arrangements, isolation, testing, protective equipment, cleaning and access to health professionals. They were assured that the home was following safe infection prevention and control procedures.
The home was inspected but not rated. This means the visit did not produce a new overall rating or full ratings for the five questions.
Safe admissions
New residents were admitted using adapted assessments and evidence of a negative COVID-19 test. They then self-isolated for 14 days.
“Safe procedures were followed for admitting people to the service.” from the report
Safe visiting
Visitors could see and speak with relatives by appointment in a suitable safe space. The building layout supported infection control.
“Visitors were able to spend time seeing and speaking with loved ones in a suitable safe space by arranged appointments.” from the report
Support during isolation
People who needed to isolate were supported in a designated area by a staff team allocated to meet their needs.
“People who required isolating were supported in designated room and area of the home.” from the report
Protective equipment and testing
The home had regular testing, enough suitable protective equipment and staff who used and disposed of it correctly.
“Stocks of the right standard of personal protective equipment (PPE) were well maintained and staff used and disposed of it correctly.” from the report
Cleaning and infection control
There was a designated cleaning team, regular audits and an additional sluice room to support infection control.
“The home had a designated cleaning staff team and audits on cleanliness and infection prevention and control were completed.” from the report
Inspectors raised no specific concerns in this report.
- 01How are new residents tested and supported during the required 14-day self-isolation period?
- 02How are visits currently arranged, and where do visits take place?
- 03How often are residents and staff tested, and what happens if a test is positive?
- 04How are people supported if they need to isolate, and which staff provide that support?
- 05How often are cleanliness and infection prevention audits completed, and what happens when an issue is found?
This was an announced thematic review focused on infection prevention and control; it was inspected but not rated and did not assess the other care quality areas. This explanation was written from the published report of 17 December 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.
What inspectors found, December 2019
Adamstan House Nursing Home was rated Good in all areas; inspectors found safe, caring and person-centred support.
This was a planned, unannounced inspection on 27 November 2019. One inspector spoke with seven people, seven family members and eight staff. They also observed care and checked care, medicines, recruitment and management records.
The inspectors found people were protected from abuse and avoidable harm. Staffing, recruitment, medicines, infection control and risk management were described as safe. People's health, dietary and communication needs were assessed and supported.
People and families said staff were kind, respectful and listened to them. Care plans reflected people's wishes and preferences, complaints were used to improve the service, and managers had systems to monitor quality and safety.
The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 3 June 2017.
Safe medicines management
Inspectors found that medicines were stored and recorded safely. Staff handling medicines were trained and checked regularly.
“Medicines were safely stored and medication administration records (MARs) were well maintained.” from the report
Kind and respectful care
People and families said staff were caring and supportive. Staff respected privacy and encouraged people to remain as independent as possible.
“They [staff] are very caring, I couldn't ask for better” from the report
Personalised care
Care plans reflected individual needs, choices and preferences. Staff were described as knowing people well and providing care in the way they preferred.
“Care plans were person centred and based on people's individual needs and choices.” from the report
Good leadership and monitoring
The manager promoted a positive culture and staff morale was good. Inspectors found effective checks on quality and safety.
“There were effective systems in place for checking on the quality and safety of the service and for making improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's individual needs, choices and preferences?
- 02How will you support my relative's particular healthcare, dietary and communication needs?
- 03How do you check that medicines are given safely and at the right time?
- 04What activities and support would be available to help my relative maintain relationships and follow their interests?
- 05How would you record and follow my relative's end of life wishes?
This inspection looked at the overall quality of the care home and all five CQC questions, using observations, discussions and records including three people's care records and multiple medication records. This explanation was written from the published report of 28 December 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.
Every inspection of Adamstan House Nursing Home
3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2015
Report published without a new overall rating.
- March 2015
Report published without a new overall rating.
- August 2014
Report published without a new overall rating.
- August 2014
Report published without a new overall rating.
- August 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 8 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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At least 100 live-in carers within about an hour of St. Helens
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 92 can care for a couple. 10 years' experience on average.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
“It was clear that she genuinely cared and her warm approach really helped put our minds at ease.”
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