CQC report explained · a nursing home
What the CQC found at Anley Hall Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2022
Inspected but not rated; inspectors found good infection prevention and control during a targeted COVID-19 review.
Inspectors visited the home on 2 February 2022. The visit was announced 24 hours beforehand and focused on infection prevention and control, as well as staffing pressures linked to COVID-19.
The home was clean and well maintained. Visitors were checked for symptoms, staff used the correct protective equipment, and staff understood how to reduce the spread of infection. Staff worked in groups and did not move between different areas of the home.
Inspectors were assured that the home was managing visitors, admissions, testing, protective equipment, shielding, social distancing and outbreaks safely. The service was inspected but not rated, so this report does not give an overall quality rating.
Clean environment
Inspectors found the premises clean, tidy and without unpleasant smells. People also said the decoration and cleaning were consistently of a high standard.
“The premises was clean, tidy and free from mal-odour.” from the report
Protective equipment
Staff were seen using the correct protective equipment, and inspectors found that the home was using it effectively and safely.
“All staff were observed to wear the correct personal protective equipment (PPE).” from the report
Reducing infection spread
Staff worked in separate groups and did not move between different parts of the home. Inspectors said this reduced the risk of infection spreading.
“Staff worked in groups and did not move between different areas of the home.” from the report
Up-to-date procedures
The manager was proactive in keeping policies and procedures in place so staff followed government guidance.
“The registered manager was proactive to maintain policies and procedures to ensure staff followed government guidelines.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you managing any current staffing pressures, and how could these affect my relative's care?
- 02How do you check that staff and visiting professionals follow your infection prevention procedures?
- 03How would you manage an infection outbreak, and how would this affect visits and contact with relatives?
- 04How do you keep protective equipment, testing and handwashing arrangements up to date?
- 05What recent inspection or assessment covers care, staffing, medicines and the home's overall quality, as this report did not rate those areas?
This was an announced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other care areas were not assessed in detail. This explanation was written from the published report of 2 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.
What inspectors found, October 2017
Rated Good; Anley Hall Nursing Home was found to provide safe, kind and personalised care, with some improvements still needed.
This was an unannounced comprehensive inspection on 16 August 2017. Inspectors observed care, spoke with people, relatives and staff, reviewed care and staff records, checked medicines and looked around the building.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found enough staff, safe medicines systems, suitable training, respectful care, personalised support and regular checks on quality.
The home was rated Good at its previous comprehensive inspection in May 2015 and remained Good at this inspection. Inspectors noted some areas to improve, including the regularity of staff supervision, delays with some meals and the need to review covert medicines monthly.
Safe staffing and care
Inspectors found enough care staff to meet people's needs. Staff responded to requests promptly and worked well as a team.
“We found care staff responded to people's requests in a friendly and timely manner to ensure their needs were appropriately met.” from the report
Kind and respectful support
People were treated with dignity and respect. Inspectors saw staff communicate sensitively and encourage people's independence.
“People were treated with dignity and respect by care staff who provided their support in a caring, kind and compassionate manner.” from the report
Personalised care
Care plans recorded people's wishes and preferences and were reviewed regularly. People and relatives were involved in planning support.
“People's care plans were evaluated and updated on a regular basis and found that people and their relatives were involved and included in this process.” from the report
Activities and social contact
The home offered a wide range of activities, including outings, creative sessions, music and opportunities for one-to-one time.
“We saw a programme of activities was available, together with a newsletter that advertised past and forthcoming events.” from the report
Open management
People, relatives and staff said they could speak to management. The home used audits, surveys and action plans to learn and improve.
“We found the service had a positive and inclusive ethos that welcomed the involvement of staff and people who used the service.” from the report
Staff supervision was not always regular
needs fixingThe manager accepted that staff supervision meetings had not always happened as regularly as intended. Plans were in place to improve this.
“The manager acknowledged the programme for this had not always been implemented as regularly as they would wish but told us they had plans to address this in the future.” from the report
Some meals were delayed
minorInspectors saw a delay in providing some people's meals at lunchtime. The manager linked this to a new cook who had started that day.
“We observed there was a delay in providing some people with their meals during the lunch time period.” from the report
Covert medicines needed regular review
needs fixingSome people received medicines covertly. Inspectors recommended that the home review this process monthly to check it remained appropriate.
“We found that some people received their medicine covertly and recommend that where covert medication is administered to people, this process is reviewed monthly” from the report
More time for conversation
minorOne relative said staff did not always spend enough time chatting with their family member. The manager planned additional training to address this.
“We would like carers to spend more time just chatting with [Name of person] some do it (only) very occasionally.” from the report
Dementia environment review
minorThe manager planned improvements to make the dementia unit more homely and suitable for people living with dementia. Inspectors recommended a specialist audit involving people, staff and relatives.
“We recommend the use of a specialist audit of the home environment, involving people who use the service, staff and relatives to make recommendations for any changes to be made.” from the report
- 01How often do staff now receive supervision meetings, and how do you check that these are completed?
- 02What changes have been made to prevent delays in serving meals?
- 03If my relative receives covert medicine, how is this agreed, recorded and reviewed each month?
- 04How do staff make sure residents receive regular one-to-one conversation as well as practical care?
- 05What changes have been made to the dementia unit environment since this inspection?
This was an unannounced comprehensive inspection covering all five ratings, and the home remained Good in every area. This explanation was written from the published report of 7 October 2017 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 Anley Hall Nursing Home
4 rated inspections over 3 years: the service has improved, from Inadequate to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Goodstayed GoodSafe: GoodEffective: GoodResponsive: Good
- June 2015Goodup from InadequateSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2015InadequateSafe: InadequateEffective: InadequateCaring: InadequateResponsive: InadequateWell-led: Inadequate
- August 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- May 2011
Registered with the Care Quality Commission on 24 May 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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
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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.