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CQC report explained · a nursing home

What the CQC found at Ardenlea Grove Care Home

Goodpublished 9 November 2019, 6 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 visitors, admissions, protective equipment, testing, hygiene and outbreak management.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Ardenlea Grove Care Home was inspected but not rated; inspectors found strong infection control arrangements during the pandemic.

Inspectors visited on 3 March 2021. This was an announced, targeted inspection looking at infection prevention and control during the coronavirus pandemic.

They found that visitors were screened, tested and monitored. They were assured that the home was using protective equipment safely, following distancing and shielding rules, managing admissions and accessing testing.

The report also described safe visiting arrangements, video calls and activities adapted for the pandemic. The service was inspected but not rated, so this report does not give an overall quality rating or ratings for most care areas.

What inspectors praised
  • Visitor screening

    Visitors were screened for symptoms, had their temperatures recorded and completed a lateral flow test before visiting.

    “On arrival visitors were screened for symptoms of COVID-19. Their temperatures were recorded, and they were required to complete a lateral flow test.” from the report
  • Safer visiting

    A glass-screened visiting pod was used, with a staff member coordinating visits and cleaning the pod between uses.

    “A vising pod partitioned by a clear glass screen was in use. This meant people and their visitors were able to spend time together in a safe environment.” from the report
  • Keeping people connected

    Tablets supported video calls with important people, including support for communication through headphones.

    “Computer tablets had been purchased to support people keep in touch with others who were important to them via video calls.” from the report
  • Activities continued

    Activities continued seven days a week and were adapted to pandemic restrictions.

    “Social activities were provided seven days a week and had been adapted during the pandemic.” 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 do you currently screen and test visitors before they enter?
  2. 02How are visits arranged now, and how is the visiting area cleaned between visits?
  3. 03What infection prevention measures are currently used in communal areas and for frequently touched surfaces?
  4. 04How do you manage new admissions and infection outbreaks?
  5. 05What activities and ways of keeping in touch with family are currently available?

This was a targeted inspection of infection prevention and control, recorded under Safe; it was not a full assessment of the other four questions or an overall quality rating. This explanation was written from the published report of 13 March 2021 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, November 2019

Rated Good; inspectors found safe, kind care, but some care plans lacked detail and one person was not fully consulted about a sensor mat.

This was an unannounced inspection on 16 October 2019. Inspectors spoke with people living in the home, relatives and staff. They observed care and checked care records, medicine records, risk assessments, quality checks and staff recruitment files.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people felt safe, medicines were managed safely, staff were trained, and people received kind and respectful care. People enjoyed the food and activities, and relatives were welcomed.

The Effective rating improved from Requires improvement at the previous inspection. The other four ratings stayed Good. Inspectors noted that some care plans were still being updated because they did not always contain enough detail, and one person had not felt fully consulted about a sensor mat. The manager acted immediately on the sensor mat concern.

What inspectors praised
  • Safe medicines

    Inspectors found that medicines were ordered, stored, given and recorded safely. Staff had training and their ability to administer medicines was checked.

    “Medicines were managed safely. Medicine records had been completed correctly to show medicines were ordered, received, stored, and disposed of safely.” from the report
  • Kind and respectful care

    People received care from staff they knew. Inspectors saw positive conversations and found that privacy, dignity, choice and independence were respected.

    “People received care from staff they knew and described staff as 'kind' and 'friendly.” from the report
  • Improved activities

    People and relatives said activities had improved. Inspectors found that meaningful activities were now part of the home’s approach.

    “Vast improvement in activities. They're very good. Something is on every day.” from the report
  • Strong leadership checks

    Managers used audits and regular compliance visits to identify improvements and check that actions had been completed.

    “Quality audits were effective to identify areas that needed improvement.” from the report
What inspectors were concerned about
  • Care plans lacked detail

    needs fixing

    Some care plans did not contain enough information to make sure staff provided care consistently. The management team had identified this and was updating the records.

    “However, some care plans lacked detailed information to ensure care was provided consistently.” from the report
  • Involvement in using a sensor mat

    needs fixing

    One person said they had not been fully consulted before a sensor mat was placed in their bedroom after several falls. The manager acted immediately to address this.

    “One person explained they felt they had not been fully consulted when following them experiencing a number of falls a sensor mat was placed in their bedroom to reduce the risk and to keep them safe.” from the report
Questions to ask them, based on this report
  1. 01Which parts of my relative’s care plan are being updated, and how will you check that staff are following the updated information?
  2. 02How will you involve my relative and family before using sensor mats or other equipment to reduce risks?
  3. 03What dementia training have staff completed, and how do you check that they can apply it in daily care?
  4. 04How are activities chosen to match each person’s interests, abilities and cultural needs?
  5. 05How are medicines checked, and how would you tell us if there was a medicines error?

This was an unannounced inspection covering all five CQC questions; inspectors spoke with people, relatives and staff and reviewed care, medicine, staffing and quality records. This explanation was written from the published report of 9 November 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 story over the years

Every inspection of Ardenlea Grove Care Home

4 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ardenlea Grove Care Home →

  2. November 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ardenlea Grove Care Home →

  3. May 2017Goodup from Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. March 2015Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2010

    Registered with the Care Quality Commission on 12 November 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.

Next steps

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