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CQC report explained · a nursing home

What the CQC found at Aslockton Hall Nursing & Residential Home

Goodpublished 7 July 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. Medicines, staffing, infection control and responses to incidents had improved, although more domestic staff were being recruited and some electronic records were still being introduced.
Effective?
Good
People's needs were assessed before they moved in. Staff were trained and experienced, people received support with food and drink, and they had access to health and social care professionals.
Caring?
Good
Staff were kind and respectful. People were supported with dignity, privacy and independence, and were involved in choices about their care.
Responsive?
Good
Care was personalised and reflected people's needs, preferences and communication requirements. People could join activities, complaints were handled appropriately, and end of life plans were in place.
Well-led?
Good
Management systems had improved and audits were effective. However, there was no registered manager in post, and three care staff had limited understanding of the whistleblowing policy.
The latest report, explained

What inspectors found, July 2023

Rated Good in all five areas; inspectors found safe, kind and personalised care, with some management and cleaning matters still being addressed.

This was an unannounced inspection. Two inspectors and an Expert by Experience visited on 8 and 9 June 2023. They spoke with 5 people living at the home, 5 relatives and staff, and reviewed care records, medicines records, staff files and management records.

The home provided nursing and personal care for older people, including some people living with dementia. Inspectors found people were safe, treated kindly and supported in a personalised way. Medicines were managed safely, staffing was sufficient, the home was clean and people had access to health professionals.

Inspectors also found some areas being addressed. There was no registered manager in post, some cleaning staff were being recruited, some staff needed refresher training, and some staff had limited knowledge of whistleblowing procedures. The overall rating improved from Requires Improvement to Good, and all five areas were rated Good.

What inspectors praised
  • Safe medicines care

    Medicines records, storage and administration had improved. Staff had their competence checked regularly.

    “Improved processes to people's medicine administration records, medicine care plans and the way medicines were stored, meant the risk of unsafe medicine practice had been reduced.” from the report
  • Kind and respectful staff

    Inspectors saw positive interactions. Staff respected people's dignity, privacy and independence.

    “Staff were kind and caring and treated people with respect.” from the report
  • Personalised support

    Care plans included people's needs, preferences, life histories and communication requirements. People and relatives were involved in decisions about care.

    “People received care that was personal to them, met their needs and were consulted on how they would like their care to be provided.” from the report
  • Learning from incidents

    The provider investigated incidents, looked for patterns and used learning in staff meetings and supervision.

    “There was a culture of learning from mistakes and improving care.” from the report
  • Improvement since the last inspection

    The ratings improved from Requires Improvement to Good. Inspectors found improvements in medicines, infection control, staff training, supervision and quality checks.

    “The home was well managed and improvements had been made since our last inspection in areas such as medicines and infection control.” from the report
What inspectors were concerned about
  • No registered manager

    needs fixing

    There was no registered manager at the time of the inspection because the previous manager had left. A new manager was being recruited and the provider planned to apply for registration.

    “At the time of our inspection there was not a registered manager in post.” from the report
  • Cleaning cover

    needs fixing

    Fewer domestic staff were used on three days of the week. Inspectors thought this could increase the risk that some areas would not be cleaned sufficiently, so more staff were being recruited.

    “We saw the home was clean and tidy; however, staff rotas did show less staff were used on three days of the week.” from the report
  • Staff refresher training

    needs fixing

    Most training was up to date, but inspectors identified some subjects where staff needed refresher training. The provider said this would be addressed immediately.

    “Most staff training was up to date. We highlighted some areas of training where staff required a 'refresher' course.” from the report
  • Finding records

    minor

    Staff sometimes had difficulty finding risk records while the home moved from paper to electronic records. This change was still in progress.

    “Risks to people's health and safety were assessed and reviewed, although when asked, staff at times had difficulties finding the required records.” from the report
  • Whistleblowing knowledge

    needs fixing

    Three care staff had limited understanding of the whistleblowing policy and what to do if they had concerns. The policy was reissued and discussed with staff after inspectors raised this.

    “We did note when speaking with 3 members of the care staff they had limited understanding of the provider's whistleblowing policy and processes to follow should they have concerns.” from the report
  • Signs around the home

    minor

    Similar carpets and walls, together with limited signs, could make it confusing for some people to find communal areas or bedrooms. The provider agreed to add signs.

    “With little signage informing people where the communal areas were or the direction of certain numbered bedrooms, we were concerned this could be confusing for some people.” from the report
Questions to ask them, based on this report
  1. 01What is the current position on recruiting and registering the new manager with the CQC?
  2. 02Has enough domestic staff been recruited to maintain cleaning standards on all days of the week?
  3. 03Which staff needed refresher training, and has this training now been completed?
  4. 04Have signs been added to help people find communal areas and numbered bedrooms?
  5. 05How are staff now being supported to understand and use the whistleblowing policy?

This unannounced inspection covered all five CQC key questions; visits took place on 8 and 9 June 2023, with inspection activity continuing until 14 June 2023. This explanation was written from the published report of 7 July 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.

An earlier report, explained

What inspectors found, January 2021

Aslockton Hall Nursing & Residential Home was inspected but not rated; inspectors found strong infection controls but some gaps in the building's infection arrangements.

Inspectors made an unannounced visit on 15 December 2020. This was a targeted inspection focused on infection prevention and control during the coronavirus outbreak.

They were assured that the home used personal protective equipment safely, arranged testing, managed visitors, supported safe admissions and had an up-to-date infection control policy. The home was clean and enhanced cleaning was in place.

Inspectors were not always assured that the building layout helped prevent infection. The home had not considered separating people with infections from others, and there was no specific place for staff to change work clothes.

The service was inspected but not rated. This report therefore does not give an overall quality rating such as Good or Requires Improvement.

What inspectors praised
  • Infection control training and checks

    Staff were trained to use PPE and infection control procedures. Managers checked practice and audited infection control arrangements.

    “All staff received training on the correct use of PPE and infection control.” from the report
  • Testing and risk assessments

    The provider arranged COVID-19 testing for people and staff and carried out risk assessments for living and working at the home.

    “Risk assessments were carried out with people and staff to ensure they could safely live and work at the service.” from the report
  • Clean environment

    Inspectors found the home clean and well maintained. Enhanced cleaning included frequently touched areas such as doors and handrails.

    “The home was clean and well maintained throughout.” from the report
  • Contact with relatives

    People were supported to keep in touch with relatives using video calls. Relatives were updated about visiting restrictions and infection control.

    “The provider had ensured that people were able to maintain contact with relatives using technology.” from the report
What inspectors were concerned about
  • Building layout and changing facilities

    needs fixing

    The home had not considered using a separate part of the building for people with an infection. Staff also did not have a specific facility to change work clothes, which could increase the risk of spreading infection.

    “We were not always assured that the provider was promoting safety through the layout of the premises.” from the report
Questions to ask them, based on this report
  1. 01Have you now created a separate area for caring for people who have an infection?
  2. 02Where do staff change into and out of their work clothes?
  3. 03How do you prevent infection spreading between different parts of the building?
  4. 04What are the current visiting arrangements, including screening and PPE?
  5. 05How can residents keep in touch with relatives if visits are restricted?

This was an unannounced targeted inspection of infection prevention and control practices, mainly under Safe; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 21 January 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.

The story over the years

Every inspection of Aslockton Hall Nursing & Residential Home

2 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. July 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Aslockton Hall Nursing & Residential Home →

  2. January 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Aslockton Hall Nursing & Residential Home →

  3. September 2020Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. May 2019

    Registered with the Care Quality Commission on 31 May 2019.

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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