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CQC report explained · a nursing home

What the CQC found at Belong Morris Feinmann

Goodpublished 2 March 2021, 5 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 measures were in place, including safe visiting, admissions, PPE, testing, cleaning 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

Belong Morris Feinmann is rated Good overall; inspectors found good infection control and safe arrangements for visitors and new admissions.

This was an announced, targeted inspection on 11 February 2021. Inspectors checked how the home prevented and controlled COVID-19 infections. They did not carry out a full inspection of all areas of care.

The home was clean and had increased cleaning of frequently touched surfaces. Staff and domestic workers were allocated to particular households to reduce movement around the building. Visitors had to take a lateral flow test and used a visitors pod with a screen.

Inspectors were assured about infection prevention, PPE, testing, social distancing, shielding, admissions and the home's plans for preventing or managing outbreaks. The overall rating shown in the report is Good, but Safe was inspected and not rated during this visit.

What inspectors praised
  • Household staffing

    Staff were allocated to particular households, which reduced movement around the home and helped limit infection risks.

    “Staff were allocated to a particular household to reduce movement around the home.” from the report
  • Clean environment

    The home was very clean and had increased cleaning of frequently touched areas such as door handles.

    “The home was very clean, with domestic staff also allocated to individual households.” from the report
  • Visitor controls

    Visitors had to take a lateral flow test before visiting and used a screened visitors pod.

    “Visitors had to have a lateral flow COVID-19 test prior to their visit.” from the report
  • Support with isolation

    The home supported people to isolate after moving in or returning from hospital, with extra staff and cleaning where needed.

    “People were supported to self isolate when they moved to the home or returned from hospital.” 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 are visitors currently tested and kept separate from residents?
  2. 02How do you support a new resident or someone returning from hospital if they need to self-isolate?
  3. 03How are PPE use, staff testing and infection control training checked now?
  4. 04How do you manage activities that involve people from different households?
  5. 05What arrangements are in place to prevent or manage an infection outbreak?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the other care areas were not assessed and Safe was inspected but not rated. This explanation was written from the published report of 2 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, August 2018

Rated Good; inspectors found safe, kind and personalised care, but people were unhappy with the food and one behaviour support plan lacked detail.

This was the first inspection since the service registered with CQC in June 2016. It took place on 12 and 13 June 2018, with the first day unannounced. Inspectors looked at both the care village and the home care service.

Inspectors found that people were safe, medicines were given as prescribed and there were enough staff to meet assessed needs. Staff were trained and supported, knew people well, and treated them with kindness, dignity and respect. Care plans covered people's needs, preferences, faith and end-of-life wishes.

The main weaknesses were the quality and choice of food in the care village, and missing detail in one plan about supporting a person who could become agitated. The management team had recognised these issues and said an external Jewish catering company had been engaged to improve the food.

What inspectors praised
  • Safe medicines and staffing

    The care village used electronic medicines records and audits. Inspectors found enough staff for people's assessed needs, and home care calls were reported to be punctual with no missed calls.

    “People received their medicines as prescribed. Sufficient staff were on duty to meet people's assessed needs.” from the report
  • Kind and respectful staff

    People and relatives spoke positively about staff. Inspectors observed calm, reassuring interactions and staff supporting privacy, dignity and independence.

    “The staff are respectful, kind and non-intrusive. They exercise discretion very sensibly.” from the report
  • Personalised care

    Care plans included people's needs, likes, dislikes, communication and faith. People and relatives were involved in developing and reviewing plans.

    “The care plans contained comprehensive details of people's assessed support needs and provided guidance for staff in how to meet these needs.” from the report
  • Activities and exercise

    The care village offered activities such as gardening, arts and crafts, trips, talks and bridge. People also had access to tailored exercise sessions and a gym.

    “A full programme of activities was organised at the care village by the experience co-ordinators.” from the report
  • Management oversight

    The managers were visible and approachable. The service used audits, clinical meetings, surveys and feedback from residents and relatives to identify and address issues.

    “This meant the respective registered managers had oversight of their services through a robust quality auditing system.” from the report
What inspectors were concerned about
  • Food did not meet preferences

    needs fixing

    Most people in the care village were unhappy with the food and wanted more culturally appropriate dishes. An external Jewish catering company was engaged after the inspection to improve the quality and range.

    “Most people we spoke with said the food was not very good and they did not have enough culturally appropriate dishes.” from the report
  • One behaviour plan lacked detail

    needs fixing

    Two care plans gave clear guidance for supporting people who could become agitated. A third did not fully explain what staff should do, although staff could describe how they would keep the person safe.

    “The third plan did not specify how the staff should support the person when they became agitated.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to the food since the external Jewish catering company was engaged?
  2. 02How will you make sure meals offer enough culturally appropriate choices for my relative?
  3. 03How are behaviour support plans checked and updated when someone may become agitated?
  4. 04How will my relative's faith, level of religious observance and food preferences be recorded and followed?
  5. 05How will you involve me and my relative in reviewing the care plan?

This inspection covered both the care village and the home care service and assessed all five CQC questions; it was the first inspection since registration in June 2016. This explanation was written from the published report of 8 August 2018 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 Belong Morris Feinmann

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

  1. March 2021Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Belong Morris Feinmann →

  2. August 2018Good

    Read what inspectors found at Belong Morris Feinmann →

  3. June 2017

    Registered with the Care Quality Commission on 16 June 2017.

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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