CQC report explained · a nursing home
What the CQC found at Boarbank Hall Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention, safe visiting, admissions, protective equipment, testing, cleaning and outbreak planning. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Boarbank Hall Nursing Home was inspected but not rated; inspectors found strong infection control and safe visiting arrangements.
This was a planned, announced inspection on 10 February 2022. It was a targeted inspection during the COVID-19 pandemic, focused on infection prevention, infection control, visiting arrangements and staffing pressures.
Inspectors found the home was clean, well ventilated and hygienic. They saw staff using protective equipment safely, with enough supplies available. People and staff were tested regularly, and the home supported vaccinations and booster vaccinations.
The home had systems for safe visiting, admissions and managing possible outbreaks. It also used digital technology to help people keep in touch with relatives when in-person visits were not possible.
The home was inspected but not rated. This report does not give an overall judgement on the quality of care or ratings for most of the five areas CQC normally assesses.
Infection control
The home had detailed infection control procedures and risk assessments. Inspectors found these were monitored to check they were followed in practice.
“The provider had detailed infection prevention and control policies and procedures and risk assessments in place that were monitored to make sure staff followed them in practice.” from the report
Clean environment
The home was clean and hygienic, with cleaning schedules being monitored. Extra domestic staff had been recruited to support general and deep cleaning.
“The home was clean, well ventilated and hygienic. Comprehensive cleaning schedules were in place and being monitored.” from the report
Safe visiting
The home had systems to reduce the risk of visitors bringing infections into the home. It also helped people keep in touch with relatives using digital technology when needed.
“The provider had established systems to prevent visitors from spreading and catching infections.” from the report
Protective equipment and testing
Inspectors saw staff using protective equipment safely. Supplies, disposal bins and regular COVID-19 testing were available.
“There were well stocked PPE stations and disposal bins were being used appropriately, throughout the home, to reduce the risk of transmission of infection.” from the report
Outbreak planning
The home could change the building layout to separate people safely if an outbreak occurred.
“The provider could adapt the layout of the building to support safe cohorting in the event of an outbreak.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staffing levels and COVID-19-related staffing pressures affecting care now?
- 02How would you arrange visiting if there were an infection outbreak?
- 03How do you keep relatives informed if in-person visits are restricted?
- 04How do you check that cleaning, protective equipment and infection control procedures are followed every day?
- 05What are the current ratings or findings for care, medicines, staffing and management, which this targeted inspection did not assess?
This was an announced targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the report did not rate the other four questions or give an overall quality rating. This explanation was written from the published report of 24 February 2022 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.
What inspectors found, February 2019
Boarbank Hall Nursing Home was rated Good overall, with Outstanding responsiveness and strong end-of-life care, activities and support for individual needs.
This was an unannounced comprehensive inspection on 10 December 2018. Inspectors spoke with people living in the home, visitors, staff, the manager and outside professionals. They reviewed care and medicine records, staffing and recruitment files, and the building.
The home was rated Good for Safe, Effective, Caring and Well-led. People said they felt safe and well cared for. Inspectors found enough staff, safe medicine systems, good training, clean premises, respectful care and suitable support with food, drink and healthcare.
The home was rated Outstanding for Responsive. Inspectors found detailed assessments, flexible care, many activities and strong support for people's emotional, spiritual and end-of-life needs. The home had improved in this area since the previous inspection in July 2016.
The overall rating stayed Good, the same as at the previous inspection. There was no registered manager at the time, but a new experienced manager was in post and was completing the registration process.
Personalised support
The home adapted equipment and communication methods to help people stay involved, independent and safe. Care plans reflected people's lives, wishes and relationships.
“The service had continued to develop and embed a highly person-centred approach to care and support.” from the report
End-of-life care
Inspectors found thoughtful support for people and families as health changed or life came to an end. Staff worked with healthcare professionals and supported people's emotional and spiritual needs.
“The staff are extremely professional, friendly and welcoming and their knowledge base for end of life care is very good.” from the report
Activities and choice
People could choose from many individual and group activities, outings and community events. They were not expected to join in if they did not want to.
“People who lived at the home were given plenty of choice and opportunity to take part in a wide range of individual and organised activities” from the report
Kind and respectful care
People and visitors spoke positively about staff. Inspectors saw calm, friendly interactions and care that protected privacy and dignity.
“There was a calm and happy atmosphere within the home and we observed that staff were respectful, friendly and kind at all times.” from the report
Recruitment records
minorThe reason some applicants had left earlier jobs working with vulnerable people was not always clearly recorded on application forms. The new manager said this would be added in future.
“We noted that prospective employees were usually asked about their reasons for leaving their previous employment at the interview stage but this information was not on the application form.” from the report
- 01Have the instructions for all 'as required medicines' now been made detailed and person-specific?
- 02How do you now record the reasons why applicants who have worked with vulnerable people left their previous employment?
- 03Is the manager now registered with the CQC, and who has legal responsibility for managing the home while registration is completed?
- 04How are residents and families involved in planning care and reviewing end-of-life wishes?
- 05What activities and support would be available for my relative's particular interests, faith, communication or sensory needs?
This was an unannounced comprehensive inspection covering all five key questions, and the previous overall rating from July 2016 was considered alongside this inspection. This explanation was written from the published report of 14 February 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.
Every inspection of Boarbank Hall Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 January 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.
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