CQC report explained · a nursing home
What the CQC found at Canford Manor Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing infections, using personal protective equipment safely, accessing testing and managing possible outbreaks.
- 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.
What inspectors found, September 2020
Inspected but not rated; inspectors found strong infection prevention and control arrangements during the COVID-19 pandemic.
Inspectors visited the home on 25 August 2020. The visit was announced and formed part of a national review of infection prevention and control in care homes.
They found appointment-based visiting, visitor temperature checks and health questionnaires. Families could also have virtual visits. Staff had suitable personal protective equipment, received infection control training and were checked on how they used it.
The home had arrangements for testing people and staff, safe admissions, isolation, outbreak management and supporting vulnerable staff. Inspectors were assured about all the infection control areas they checked.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.
Visiting arrangements
Visits were organised through appointments, with temperature checks and health questionnaires for visitors. Virtual visits were also offered to families who could not visit in person.
“Virtual visits are arranged for families who are not able to visit their relative in the home by staff assisting people to use telephone and computer technology.” from the report
Personal protective equipment
The home had enough personal protective equipment for four weeks, monitored its supplies and checked that staff used it correctly.
“The home had sufficient supplies of PPE to last for 4 weeks, arrangements were in place to monitor stock and re order supplies.” from the report
Staff infection control
Staff had infection prevention and control training. Their practice was checked to make sure they followed the guidance.
“Staff had received training in infection prevention and control and the registered manager carried out competency checks to ensure staff followed guidance.” from the report
Testing and outbreak planning
There were regular testing arrangements for residents and staff. The home also had plans for managing positive cases, winter pressures and a possible second wave.
“Action plans were in place for winter pressures and a second wave of Covid 19 should the home be affected.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits arranged now, and what checks or restrictions apply to visitors?
- 02How are new residents tested and supported to isolate after admission?
- 03How often are residents and staff tested now, and what happens if someone tests positive?
- 04How will you keep our family informed if there is an infection outbreak or a change to visiting arrangements?
- 05What infection prevention training and competency checks do staff receive now?
This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the service was inspected but not rated and the report does not assess the other areas of care. This explanation was written from the published report of 16 September 2020 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, October 2017
Rated Good; inspectors found safe, kind and personalised care, with some records and procedures needing improvement.
This was an unannounced inspection on 20 and 22 September 2017. Inspectors spoke with people living at the home, relatives, staff and a healthcare professional. They observed care and checked care plans, medicines, recruitment, complaints, accidents and quality records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and were treated with kindness. Staff were described as well trained, attentive and familiar with people's needs.
Inspectors found some shortfalls during the visit. These included incomplete records about best-interest decisions, inconsistent monitoring after head injuries, no bath thermometer at first, care plans needing further development, and duty of candour information not always being given in writing. The home took action on these issues during or after the inspection.
Kind and respectful care
Inspectors saw positive and supportive interactions. Staff protected people's privacy and dignity and encouraged them to remain as independent as possible.
“Without exception, all interactions we observed between people and staff were positive and supportive.” from the report
Personalised support
Staff knew people's histories, preferences and changing needs. People were offered choices about food, personal care, activities and where they spent their time.
“People's needs were met in a highly personalised way.” from the report
Trained and supported staff
Staff received regular training, induction and support from managers. Inspectors found that staff understood how to apply their training in practice.
“People's needs were met by staff who were skilled, competent and suitably trained.” from the report
Good teamwork and oversight
The home had a clear management structure, regular audits and staff meetings. Staff were organised, motivated and worked well together.
“Staff were organised, motivated and worked well as a team.” from the report
Monitoring after head injuries
needs fixingCare records did not show a consistent process for monitoring people after head injuries from falls. The manager introduced a clear process and monitoring forms before the inspection ended.
“Care records showed there was not a consistent process in place for staff to monitor people when they sustained head injuries during a fall” from the report
Best-interest records
needs fixingSome decisions made for people who lacked capacity had not been recorded, so the home could not initially show why they were in people's best interests. The manager reviewed and documented these decisions during the inspection.
“However, these decisions had not always been recorded, so the provider was unable to demonstrate that they had been made in people's best interests.” from the report
Care plans still developing
minorMost care plans contained enough information, but the new electronic system was not yet fully developed. The manager said more work was needed before it could be relied on completely.
“Most care plans contained sufficient information to enable staff to provide appropriate care to people, although the registered manager acknowledged that further development was needed before the system could be relied upon fully.” from the report
Written information after incidents
needs fixingThe home gave relatives information verbally after accidents but had not always provided it in writing as required by its policy. A template letter was supplied for future use.
“Although the registered manager had been giving information verbally to relatives, they had not been providing the information in writing, due to an oversight.” from the report
Bath temperature checks
minorStaff were not using a thermometer to check bath temperatures. The manager immediately ordered one and introduced a system for consistent checks.
“Staff told us they did not use a thermometer to check the temperature of baths before people used them.” from the report
- 01What process do you now use to monitor someone after a head injury or fall, and where is this recorded?
- 02How do you record best-interest decisions for people who cannot make specific decisions themselves?
- 03How far has the electronic care planning system been developed since this inspection?
- 04How do you provide written information and apologies to relatives after accidents or other incidents?
- 05How are bath temperatures checked and recorded before people use the bath?
This was an unannounced comprehensive inspection of all five key questions and the overall service, and it was the first inspection under the current provider. This explanation was written from the published report of 31 October 2017 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 Canford Manor Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015
Registered with the Care Quality Commission on 1 December 2015.
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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26 live-in carers within about an hour of Hampshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
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Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.