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CQC report explained · a nursing home

What the CQC found at Anchorstone Nursing Home

Goodpublished 22 February 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Risks, medicines, infection control and staff recruitment were managed safely, and there were enough staff to support people.
Effective?
Good
People's needs and choices were assessed and care was adapted when needs changed. Staff had relevant training and support, and people received help with food, healthcare, oral care and legal decision-making.
Caring?
Good
Staff were observed to be kind, caring, friendly and attentive. People were treated with dignity, involved in decisions and encouraged to remain as independent as possible.
Responsive?
Good
Care was personalised around people's preferences, communication needs and interests. People had access to activities, outings and relationships, and complaints were dealt with in a timely way.
Well-led?
Good
The manager provided positive leadership and staff felt supported. Quality and safety systems were effective, and the manager responded promptly to issues found during the inspection.
The latest report, explained

What inspectors found, February 2023

Rated Good; inspectors found safe, kind and personalised care, with a safeguarding training and care-plan issue fixed during the visit.

This was the first inspection since the home was registered under the current provider. It was unannounced and took place on 10 January 2023. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicines and recruitment records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough safely recruited staff, well-managed risks, safe medicines systems, suitable training, and good support with health, food, activities and relationships.

People and relatives gave consistently positive feedback. Inspectors saw staff treating people kindly and respectfully. The home had systems to monitor quality and safety, and the manager acted straight away when one safeguarding knowledge gap and one care-plan problem were found.

What inspectors praised
  • People felt safe

    People and relatives said they felt safe, and inspectors found that staff knew people's needs and understood how to manage risks.

    “People and their relatives told us they felt safe living at Anchorstone.” from the report
  • Kind and respectful care

    Staff knew people well and supported their dignity, privacy, choices and independence.

    “We observed that staff were kind, caring, friendly and attentive, and respected equality and diversity.” from the report
  • Personalised support

    Care plans included people's preferences, life history, interests, beliefs and important relationships. Staff used this information to support individual care.

    “People's care plans focused on them as individuals, with sections on their likes, dislikes, interests, hobbies and cultural and religious requirements.” from the report
  • Activities and relationships

    People could take part in activities, trips and celebrations. Staff helped people maintain contact with relatives and spent time with those who preferred to stay in their rooms.

    “People had access to a range of activities were supported both to develop and maintain relationships that were important to them.” from the report
  • Quality monitoring

    The home had systems to check care quality, safety and risks. The manager acted promptly when inspectors identified problems.

    “There were effective systems and processes used to assess, monitor and review the quality and safety of the service and manage risk.” from the report
What inspectors were concerned about
  • Safeguarding knowledge and care-plan wording

    needs fixing

    Inspectors found that one staff member did not understand some safeguarding matters and that one care plan did not describe a person positively. The manager provided further training and changed the care plan during the inspection.

    “For example, during the inspection we identified 1 staff member did not understand some aspects of safeguarding and a person's care plan did not reflect them positively.” from the report
Questions to ask them, based on this report
  1. 01What further safeguarding training was given after the inspection, and how was the staff member's understanding checked?
  2. 02How do you check that care plans remain accurate, respectful and positive as people's needs change?
  3. 03How many agency staff are currently being used, and has the established staff team remained stable since the inspection?
  4. 04What refurbishment work has been completed since the inspection, and what work is still planned?
  5. 05How are activities and outings matched to each person's interests, communication needs and decision-making choices?

This was an unannounced inspection covering all five key questions, including infection prevention and control; it was the first inspection of the newly registered service. This explanation was written from the published report of 22 February 2023 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 Anchorstone Nursing Home

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. February 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Anchorstone Nursing Home →

  2. July 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  3. February 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. September 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
  5. December 2021

    Registered with the Care Quality Commission on 14 December 2021.

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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