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CQC report explained · a nursing home

What the CQC found at Allan Court

Goodpublished 25 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 about infection prevention and control, including PPE, testing, visiting, hygiene, admissions and outbreak management. The provider also described measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors were assured about infection control, PPE and visiting arrangements.

This was an unannounced inspection on 21 February 2022. It was a targeted review of infection prevention and control, including the effect of COVID-19 staffing pressures.

Inspectors were assured that the home used PPE safely, followed testing and social distancing rules, managed visits in line with government guidance and had plans for preventing or managing outbreaks. Staff had training and checks on hand washing and PPE use.

The inspection did not give an overall quality rating or a rating for the five areas of care. It only recorded Safe as inspected but not rated, so it is not a full judgement on the home.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had arrangements to prevent and manage infections, including current policies and contingency plans.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • PPE training

    Most staff used PPE correctly. Staff had training and competency checks for hand washing and PPE use, and minor issues were corrected straight away.

    “Staff had been trained in IPC measures and competency checks of hand washing and PPE use were completed.” from the report
  • Visiting arrangements

    Visits were not restricted and relatives said they were happy with the infection control measures used during visits.

    “Relatives told us they were happy with the IPC measures that were followed when they visited.” from the report
  • Plans and procedures

    The home had policies, procedures and contingency plans in place to support its response to infection risks and staffing pressures.

    “Policies, procedures and contingency plans were in place.” 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 did COVID-19-related staffing pressures affect people’s daily care during the period covered by the report?
  2. 02How often are staff competency checks for hand washing and PPE use repeated?
  3. 03What happens if there is an infection outbreak, and how are relatives informed?
  4. 04How are visitors currently managed, and are visits still available without restrictions?
  5. 05How are people tested when they are admitted, and how is ongoing testing arranged for people and staff?

This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the report does not assess the other areas of care. This explanation was written from the published report of 10 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, December 2018

Rated Good overall; inspectors found safe, kind care, but some medicines and care records needed correction.

This was an unannounced inspection on 20 and 22 November 2018. Inspectors spoke with people living at the home, relatives, staff and other professionals. They reviewed care records, staff files, medicines information and the home’s quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable staff training, kind care and support for people’s choices, health needs and activities.

There were some shortfalls. A few medicines records and care plans were incomplete, a dietitian’s advice was not always followed, and provider visits were not formally recorded at the home. The manager addressed several issues during the inspection. The report says the home met all the fundamental standards inspected against.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe and secure. Inspectors found safeguarding systems, risk assessments, safety checks and enough staff on duty.

    “People told us they felt safe and secure.” from the report
  • Kind and respectful staff

    Inspectors found positive relationships between staff and the people they supported. People’s privacy, dignity and independence were respected.

    “The service employed staff who maintained positive, kind and considerate relationships with the people they supported and their relatives.” from the report
  • Support with food and health

    People had a choice of food and tailored meals, with extra support when needed. Staff involved healthcare professionals, including dietitians and specialist nurses.

    “People had meals tailored to their particular needs.” from the report
  • Individual care and activities

    Care plans reflected people’s needs, wishes and choices. The home offered activities, entertainment and regular minibus trips to help reduce social isolation.

    “The provider protected people from social isolation with various activities in place and the use of a mini bus twice per week.” from the report
  • Approachable management

    People, relatives and staff spoke positively about the management team. Staff meetings, feedback surveys and quality checks were in place.

    “People said, "The manager seems nice I see her around sometimes" and "The Manager is nice yes…very approachable and easy to talk to.” from the report
What inspectors were concerned about
  • Incomplete care plans

    needs fixing

    A small number of care plans were missing or did not contain enough detail. The manager said these issues had been addressed straight away.

    “We found a small number of care plans which were either not in place or lacked detail.” from the report
  • Dietary advice not always followed

    needs fixing

    A dietitian had advised daily mid-morning milkshakes for one person, but this did not always happen. The manager said it would be addressed.

    “A dietitian had advised one person to have daily mid-morning milk shakes but this did not always occur.” from the report
  • Provider visit records

    minor

    The provider’s representative visited and carried out checks, but records of these visits were not available at the home. Inspectors made a recommendation to improve this.

    “We recommend copies of provider visits are recorded and maintained at the service in line with best practice.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that as-required medicines and topical medicines have complete instructions and recording charts?
  2. 02How do you make sure every person has a complete and up-to-date care plan?
  3. 03How do you check that specialist advice, such as prescribed daily milkshakes, is followed every day?
  4. 04Where are provider visits recorded now, and can families see how actions from those visits are followed up?
  5. 05Where do staff hold handovers so that people cannot overhear private information?

This was an unannounced comprehensive inspection of the whole service; the report used a shorter format because the overall Good rating had not changed since the full inspection in April 2016. This explanation was written from the published report of 25 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 Allan Court

2 rated inspections over 3 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 Allan Court →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Allan Court →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Registered with the Care Quality Commission on 1 November 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.

Next steps

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