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CQC report explained · a nursing home

What the CQC found at Carrington Court

Goodpublished 30 April 2019, 7 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 the home had effective infection prevention and control arrangements. These included visitor checks, safe use of protective equipment, testing, zoning, cleaning and outbreak arrangements.
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, March 2021

Inspected but not rated; inspectors found strong infection control measures and confirmed that earlier safety improvements had been made.

This was an announced, targeted inspection on 26 February 2021. It looked at infection prevention and control during the COVID-19 pandemic, rather than the full quality of care.

Inspectors found robust checks for visitors, including temperature checks, testing, declarations and personal protective equipment. Contact with relatives continued through window visits, video calls and phone calls, with compassionate visits allowed in some circumstances.

The home used zoning, colour coding, separate staff break times and extra cleaning to reduce infection risks. Inspectors were assured that the home was managing visitors, admissions, testing, protective equipment, cleaning and outbreaks appropriately.

The service was inspected but not rated. The inspection found that improvements required after an October 2020 inspection had been made, and the home was no longer breaching Regulation 12.

What inspectors praised
  • Visitor safety

    Visitors had to complete several checks before entering, and protective equipment was provided. The home also had guidance for managing visits safely.

    “A robust process was in place for visitors to the home.” from the report
  • Keeping families in contact

    The home used window visits, video calls and phone calls to maintain contact with relatives during the pandemic.

    “Contact with relatives had been maintained during the COVID-19 pandemic through window visits, video and phone calls” from the report
  • Infection control arrangements

    The home used zones, colour coding and separate staff arrangements to reduce the risk of infection spreading.

    “The home had implemented cohorting and zoning effectively to reduce the risk of inspection spreading.” from the report
  • Improvements made

    The home had acted on the concerns found during the previous inspection and was no longer in breach of the relevant regulation.

    “We found the provider had made the required improvements and were no longer in breach of regulation.” 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 visitor temperature checks, testing, declarations and protective equipment managed now?
  2. 02How do you keep different areas of the home separated if there is an infection risk?
  3. 03How often are frequently touched surfaces cleaned, and how are cleaning records checked?
  4. 04How are residents kept in contact with relatives when indoor visiting is restricted?
  5. 05How do you test residents and staff and manage any infection outbreak?

This was a targeted inspection of infection prevention and control measures only; the home was inspected but not rated overall. This explanation was written from the published report of 12 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, December 2020

Inspected but not rated; inspectors found significant infection-control risks during a COVID-19 outbreak, despite clean premises and suitable PPE.

Inspectors visited the home on 30 October, 2 November and 4 November 2020. This was an announced, targeted inspection after a COVID-19 outbreak. They looked at infection prevention and control.

Inspectors found that COVID-positive and COVID-negative residents were not kept apart properly. Staff were not assigned to one group, risk assessments were incomplete and the laundry process was unclear. They said this put people at risk of infection and significant harm.

There were also positive findings. The home was clean, suitable PPE was available and staff used it correctly. Staff had infection-control training, and extra signs and visitor risk assessments had been introduced. The provider made changes during and after the inspection, including a new zoning system and updated risk assessments.

The service was inspected but not rated overall. Safe had been rated Good at the previous inspection, but this inspection only examined the specific infection-control concerns. The provider breached Regulation 12, and CQC asked for an action plan and said it would monitor progress and return to inspect.

What inspectors praised
  • Clean environment

    Inspectors found the home clean and tidy, with suitable cleaning products in use.

    “The home was clean and tidy, and appropriate cleaning products were being used to clean the home.” from the report
  • PPE available and used

    The home had appropriate PPE, and staff were seen putting it on and taking it off correctly.

    “We were assured the provider had the appropriate PPE, and staff were seen appropriately putting on and taking of PPE.” from the report
  • Infection-control training

    Staff were up to date with infection-control training, and the home had dedicated infection-control leads.

    “Staff were up to date with infection prevention control training and the home had dedicated infection prevention control leads” from the report
  • Visitor precautions

    The home had increased signs about current guidance and risk assessments for visitors.

    “Increased signage had been put in place around the home to ensure that visitors and staff were aware of current guidelines.” from the report
What inspectors were concerned about
  • People were not adequately separated

    serious

    COVID-positive and COVID-negative residents were not kept in properly separated zones, and staff worked with both groups. Inspectors said this put people at risk of infection and significant harm.

    “The provider had failed to adequately assess the risk of and control the spread of infection.” from the report
  • Risk assessments and laundry process

    needs fixing

    Risk assessments had not been fully updated after the outbreak, including for staff travelling by public transport. The written laundry process did not clearly explain how COVID-positive and COVID-negative laundry should be separated.

    “On the first day of inspection the policy and process for the laundering of COVID positive and COVID negative service user's laundry was not clear.” from the report
Questions to ask them, based on this report
  1. 01How are COVID-positive and COVID-negative residents now kept separate?
  2. 02Are staff assigned to dedicated zones or resident groups, and how is this checked?
  3. 03What changes were made to the risk assessments after this inspection?
  4. 04How are COVID-positive and COVID-negative laundry handled and kept separate?
  5. 05What action plan was sent to CQC, and what progress has been made since the inspection?

This was an announced targeted inspection of infection prevention and control after a COVID-19 outbreak; the full Safe question was not assessed and all key questions will be assessed at the next comprehensive inspection. This explanation was written from the published report of 23 December 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.

The story over the years

Every inspection of Carrington Court

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

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

    Read what inspectors found at Carrington Court →

  2. December 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Carrington Court →

  3. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2011

    Registered with the Care Quality Commission on 31 October 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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