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CQC report explained · a residential care home

What the CQC found at Bare Hall Residential Care Home

Goodpublished 8 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 that infection prevention and control systems were in place, including PPE, testing, cleaning, social distancing and safe admissions. They identified that agency staff had not received infection control training from their employer.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, January 2021

Inspected but not rated; inspectors found good infection control, but agency staff training on PPE needed strengthening.

Inspectors visited the home on 22 December 2020. This was an announced, targeted inspection because of coronavirus outbreaks. They looked only at infection prevention and control.

They found clean, homely surroundings, social distancing arrangements, regular testing and enough protective equipment. They were assured that the home had systems for preventing and managing infection, including safe admissions and up-to-date infection control guidance.

Agency staff said they had not received infection control training from their employer. The provider agreed to give them guidance on using PPE safely and to make sure they worked alongside contracted staff. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Clean surroundings

    The home was clean and homely. Staff described frequent cleaning of areas that people often touch.

    “People were cared for in a clean and homely environment.” from the report
  • PPE available

    There was enough PPE, with storage and clinical waste bins positioned around the home.

    “The service had an adequate supply of PPE equipment.” from the report
  • Testing and safer admissions

    People and staff were tested regularly. New people took part in testing and followed quarantine arrangements when they moved in.

    “Regular testing for all people and staff was ongoing by staff who had been trained on how to perform the testing.” from the report
  • Infection control systems

    Inspectors were assured that the home had processes to prevent and manage infection outbreaks and that its infection control policy was current.

    “We were assured that the provider's infection prevention and control policy was up to date.” from the report
What inspectors were concerned about
  • Agency staff training

    needs fixing

    Agency staff said they had not received infection prevention and control training from their employer. The provider agreed to give guidance on safe PPE use and have agency staff work alongside contracted staff.

    “While contracted staff had received training on the prevention and control of infection, agency staff stated they had not received training from their employer.” from the report
Questions to ask them, based on this report
  1. 01What infection prevention and control training have agency staff completed since this inspection?
  2. 02How do you check that agency staff can use PPE safely?
  3. 03Do agency staff still work alongside contracted staff as the provider agreed?
  4. 04How often are people and staff tested, and who carries out the testing?
  5. 05How are new residents tested and supported to quarantine when they move in?

This was a targeted inspection of infection prevention and control during the coronavirus outbreak; it was inspected but not rated and did not assess the other areas of care. This explanation was written from the published report of 23 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.

An earlier report, explained

What inspectors found, November 2019

Bare Hall Residential Care Home was rated Good in all five areas; inspectors found safe, kind and personalised care with effective management.

The inspection was unannounced and took place on 22 October 2019. One inspector spoke with people living at the home, a relative, staff and healthcare professionals. The inspector also observed care, checked records, medicines, staffing, meals, infection control and the building.

People told inspectors they felt safe and that staff were available, kind and respectful. The home managed medicines, risks, staffing and infection control safely. Care plans were personalised, staff were trained and people received suitable food, healthcare and support to make choices.

People were supported to follow their interests and take part in activities. Their communication needs, privacy, dignity and end of life wishes were considered. The manager and provider used audits, reviews and feedback to monitor the quality of the home.

The overall rating was Good, and each of the five areas was rated Good. This was the same as the previous inspection, published on 3 June 2017.

What inspectors praised
  • People felt safe

    People said they felt safe and staff responded quickly when they needed help.

    “People told us staff were available when they needed them and they felt safe in their care.” from the report
  • Kind and respectful staff

    Inspectors saw staff treating people with kindness, respect and compassion. Privacy, dignity and independence were supported.

    “People were supported by caring and respectful staff.” from the report
  • Personalised care

    Care files described people's individual needs, routines and preferences. Staff could explain how they supported each person.

    “Care files were person-centred and individualised documents reflecting each person's assessment of needs.” from the report
  • Good activities and communication support

    People had a range of activities and could use picture cards when they needed help to communicate or make choices.

    “Picture card aids were available which could be used in most situations.” from the report
  • Quality was monitored

    The provider carried out regular audits and used their findings to make improvements.

    “The provider had systems in place to ensure the quality of service was regularly assessed and monitored.” 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 will you assess and regularly review my relative's individual care needs and preferences?
  2. 02How will you make sure staff know about and follow my relative's risk assessments?
  3. 03What activities and communication support would be available for my relative?
  4. 04How would you support my relative's healthcare needs and contact healthcare professionals when needed?
  5. 05How would you involve my relative and our family in care plan reviews and decisions?

This was an unannounced inspection covering the premises and care provided, with all five CQC questions assessed; the provider was not asked to complete a provider information return beforehand. This explanation was written from the published report of 8 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 Bare Hall Residential Care Home

3 rated inspections over 4 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Bare Hall Residential Care Home →

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

    Read what inspectors found at Bare Hall Residential Care Home →

  3. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. March 2011

    Registered with the Care Quality Commission on 31 March 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.

Next steps

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