CQC report explained · a nursing home
What the CQC found at Andover Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, June 2019
Rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led care, with some records and medicines processes needing improvement.
This was an unannounced inspection on 8 and 10 April 2019. Inspectors spoke with people living in the home, relatives, staff and health and social care professionals. They reviewed care records, medicines records, staff recruitment files, rotas, audits and other management records.
The home was rated Good for Safe and Effective. Inspectors found enough staff, safe recruitment, good training, clean surroundings and generally safe medicines management. They also found some gaps, including incomplete risk records, one medicines error and some missing documentation about bed rails and as-needed medicines.
The home was rated Outstanding for Caring, Responsive and Well-led. Inspectors found highly personalised care, very kind staff, meaningful activities, strong end of life care and exceptional leadership. The overall Outstanding rating means the service was performing exceptionally well across most areas, although the report still identified improvements to make.
Kind and respectful care
Inspectors found that staff consistently treated people with kindness, compassion, dignity and respect. They saw staff giving people time, comfort and personal attention.
“People consistently told us that staff were exceptionally kind, caring and compassionate.” from the report
Personalised support
Staff knew people's preferences and adapted care around their wishes and needs. Inspectors found no task-focused approach and saw staff listening carefully to people.
“People received care that was extremely personalised and responsive to their specific needs and preferences.” from the report
Activities and wellbeing
The home provided varied activities, including music, trips, exercise, group sessions and individual activities. These were adapted for people with dementia or greater frailty.
“There was a strong focus on providing meaningful activities which promoted people's physical and emotional wellbeing.” from the report
End of life care
The home used the Gold Standards Framework to help people plan their end of life care and have their wishes heard. Inspectors described this care as holistic and exceptional.
“There was evidence that staff provided people with exceptional, holistic, person centred, end of life care.” from the report
Leadership and improvement
Inspectors found strong leadership, active involvement of families and staff, and systems to monitor quality and learn from incidents. The home also took part in research and dementia awareness work.
“The leadership of the service was exceptional.” from the report
Medicines records
needs fixingInspectors found one medicines administration error that had not been identified by daily checks. Three liquid medicines did not have an opening date, and instructions for some as-needed medicines were not consistently in place.
“We did identify one administration error which had not been picked up by the system of daily peer checks.” from the report
Risk records not always followed
needs fixingStaff understood people's risks, but some records were not completed consistently. This included recording what one person was wearing and following an escalation plan for high blood glucose levels.
“Records also showed that staff were not consistently following the escalation plan designed to be used should one person's blood glucose levels been above a certain level.” from the report
Bed rail decisions
needs fixingThe home had not completed the required assessment and decision-making process for some bed rails where people could not consent to their use. The manager said action would be taken.
“These were not currently in place. We discussed this with the registered manager who is taking action to ensure these are put in place where necessary.” from the report
Required notifications
needs fixingThe home had not always notified the CQC about incidents involving potentially harmful behaviour between people living with dementia. Inspectors discussed this with the manager, who accepted the learning.
“However, they had not always notified the Care Quality Commission of these concerns.” from the report
- 01How have you checked that medicines administration errors, opening dates and as-needed medicine instructions are now being recorded correctly?
- 02How do you make sure staff complete all parts of people's risk management plans, including blood glucose escalation plans?
- 03What assessment and decision-making process do you now use before fitting bed rails?
- 04How do you ensure incidents involving potentially harmful behaviour are reported to the CQC when required?
- 05How will activities and personalised end of life care be tailored to my relative's specific wishes and abilities?
This was an unannounced inspection of the care, premises and management of the home, covering all five CQC questions and providing ratings for each. This explanation was written from the published report of 8 June 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. The report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Andover Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- June 2019Outstandingcurrent ratingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- May 2018
Registered with the Care Quality Commission on 1 May 2018.
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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26 live-in carers within about an hour of Hampshire
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 £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
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“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.