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CQC report explained · a nursing home

What the CQC found at Blencathra House

Goodpublished 30 June 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Staff understood safeguarding and people's risks. Inspectors found safe medicines management, enough staff, suitable recruitment checks and effective infection control.
Effective?
Good
People's needs were assessed and reviewed. Staff received relevant training, people were supported with food and drink and healthcare referrals were made when needed.
Caring?
Good
People and relatives said staff were kind, respectful and available. Inspectors observed staff supporting people's dignity, comfort and independence.
Responsive?
Good
Care plans reflected people's preferences and communication needs. People had choices, activities and support to maintain relationships with family and friends.
Well-led?
Good
The home had a positive culture and governance systems were in place. However, some care checks were carried out but not always recorded, leading to a recommendation about record keeping.
The latest report, explained

What inspectors found, June 2023

Rated Good; inspectors found safe, kind and personalised care, but record keeping was not always effective.

This was the home’s first inspection since it registered in February 2023. It was unannounced and took place on 23 and 26 May 2023. Inspectors spoke with people, relatives and staff, observed care and reviewed care, medicines, recruitment and management records.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable risk assessments, good infection control and appropriate access to healthcare.

People and relatives described staff as kind and respectful. Care plans were person-centred, activities were available and people were supported to make choices. Inspectors did find some recording problems, so they recommended that the home improve how it monitors records.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs and found that medicines were generally managed safely by staff assessed as competent.

    “There were enough staff employed to ensure people's needs were being met daily.” from the report
  • Kind and respectful care

    People and relatives spoke positively about staff. Inspectors also observed caring interactions and support for dignity and independence.

    “People and their relatives told us staff were caring and treated people with respect.” from the report
  • Personalised support

    Care plans were regularly reviewed and reflected people's preferences, choices and communication needs.

    “Care plans were up to date, regularly reviewed and person centred to ensure people's preferences and choices were being upheld.” from the report
  • Activities and relationships

    People were offered a range of activities and trips. The home supported people to keep in touch with family and friends.

    “A range of activities were available for people to reduce social isolation and for people to take part in hobbies they enjoyed.” from the report
What inspectors were concerned about
  • Care checks were not always recorded

    needs fixing

    Some hourly checks and four-hourly repositioning records were missing, even though the checks were being completed. Inspectors found no impact on people's safety or skin condition, but recommended stronger monitoring of records.

    “We found generally the home was well managed. However, we did identify some recording issues which meant documentation was not always effective.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made to ensure hourly checks are recorded every time?
  2. 02How do you now record four-hourly repositioning and check that this has happened?
  3. 03How will managers monitor the record-keeping recommendation?
  4. 04How are medicines given at the right time, including the exception identified during the inspection?
  5. 05Which activities and healthcare arrangements would be available for my relative's specific needs?

This was an unannounced comprehensive inspection covering all five key questions and the home’s infection prevention and control arrangements; it was the first inspection of this newly registered service. This explanation was written from the published report of 30 June 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.

The story over the years

Every inspection of Blencathra House

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at Blencathra House →

  2. February 2023

    Registered with the Care Quality Commission on 14 February 2023.

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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