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CQC report explained · a residential care home

What the CQC found at Boucherne Limited

Goodpublished 19 April 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about visitors, social distancing, admissions, PPE and testing. They were only somewhat assured about the infection-control policy, contamination risks in communal areas and the strength of cleaning audits.
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, April 2021

Boucherne Limited: Inspected but not rated; inspectors found good infection-control arrangements but identified contamination risks and weaker audits.

This was a targeted inspection during the COVID-19 pandemic. It looked at infection prevention and control measures, and was announced. The visit took place on 11 March 2021.

Inspectors found several good practices. Family visits supported people's wellbeing, the home was visibly clean and well maintained, staff had infection-control and PPE training, and PPE was available.

Inspectors were only somewhat assured in some areas. They found contamination risks in communal areas, said the infection-control policy was being updated, and found that audits needed to be more robust. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Family contact

    Contact with family and friends was being supported, and inspectors said this helped people's mental health.

    “People's wellbeing was being supported by good contact with family and friends.” from the report
  • PPE training

    Staff had received infection-prevention and PPE training, and PPE was available for use.

    “Staff employed at the service had received training on infection prevention and the correct use of personal protective equipment (PPE).” from the report
  • Clean premises

    The home was visibly clean and well maintained, with cleaning schedules in place.

    “The service was well maintained and visibly clean. Schedules were in place to show that regular cleaning was undertaken.” from the report
  • Testing arrangements

    The provider was following government guidance for regular whole-home testing of residents and staff.

    “The provider was following the government guidance on whole home testing for people and staff.” from the report
What inspectors were concerned about
  • Contamination risks

    needs fixing

    Inspectors saw contamination risks in communal areas. The registered manager acted quickly to address these and update the guidance.

    “This was because we observed contamination risks in communal areas.” from the report
  • Policy being updated

    needs fixing

    The infection-prevention and control policy was still being updated to reflect current government guidance.

    “We were somewhat assured people were protected as the provider was in the process of updating their infection prevention and control policy and procedure to reflect current Government guidance.” from the report
  • Audits needed strengthening

    needs fixing

    Inspectors said the checks on contamination and cleaning needed to give a more complete picture.

    “Audits undertaken needed to be more robust to ensure a comprehensive overview of contamination and cleaning processes.” from the report
Questions to ask them, based on this report
  1. 01Has the infection-prevention and control policy now been updated to reflect current government guidance?
  2. 02What action was taken after contamination risks were found in communal areas?
  3. 03How are cleaning and contamination audits carried out now, and who reviews them?
  4. 04How are visitors, PPE, testing and social distancing arrangements currently managed?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic, and the service was inspected but not rated. This explanation was written from the published report of 10 April 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, April 2018

Rated Good overall; inspectors found medicines were managed safely after a previous legal breach was fixed.

This was an unannounced focused inspection on 23 March 2018. It checked whether the home had improved its medicines systems after a comprehensive inspection in February 2017.

Inspectors spoke with the provider, three staff members and two people living in the home. They reviewed medicines records and received further information from the registered manager.

They found that medicines were stored, ordered, administered and recorded safely. The Safe rating improved to Good, and the overall rating stayed Good. The other four areas were not inspected during this visit.

What inspectors praised
  • Secure medicine storage

    Medicines were kept in locked cupboards. The keys were securely managed between shifts.

    “We saw that people's medicines were now stored and administered appropriately.” from the report
  • Clear records

    Medicine administration records were easy to read and easy to find. Staff signatures and photographs helped staff identify people and record medicines correctly.

    “These were clear, easy to read and able to be located easily.” from the report
  • Timely and respectful care

    Two people told inspectors that they received their medicines on time and respectfully.

    “Two people told us they received their medicines on time and in a respectful way.” from the report
  • Staff knowledge

    A staff member was able to explain people's medicines, what they were for and how to record changes or refusals.

    “One staff went through the records with us and was knowledgeable about people's medicines, what they needed them for, how to record any changes with their medicines or if they refused to take them.” from the report
What inspectors were concerned about
  • Previous medicines breach

    serious

    At the previous inspection, the home did not have a safe medicines administration and management system. Inspectors said this had been fixed by this inspection and the home was no longer in breach.

    “At the last inspection, we found that the service was in breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.” from the report
Questions to ask them, based on this report
  1. 01How are the weekly and monthly medicines audits carried out, and what happens if they find a problem?
  2. 02How do you make sure medicines are handed over safely between shifts?
  3. 03How do you record and respond when someone refuses a medicine or their prescription changes?
  4. 04What were the findings of the last comprehensive inspection in February 2017 in the areas not covered by this visit?

This was an unannounced focused inspection of Safe, specifically medicines; Effective, Caring, Responsive and Well-led were not inspected during this visit. This explanation was written from the published report of 19 April 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 Boucherne Limited

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

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

    Read what inspectors found at Boucherne Limited →

  2. April 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Boucherne Limited →

  3. April 2017Goodstayed Good
    Safe: Requires improvement

    Read this report on cqc.org.uk

  4. April 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. 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.

Next steps

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