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CQC report explained · a residential care home

What the CQC found at Church Farm Care Home

Goodpublished 13 February 2024, 2 years ago

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

The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors found good infection control arrangements during a targeted Covid-19 review.

The inspection took place without notice on 4 March 2021. It was a targeted review of infection prevention and control after concerns were received about these arrangements.

Inspectors found examples of good practice. Visiting was arranged by appointment, visitors took a lateral flow test and had their temperature checked, and a separate visiting room helped reduce the risk of infection spreading through the home.

The home was clean, used protective equipment stations, followed a cleaning schedule and cleaned equipment between uses. Inspectors said the home had arrangements for isolation, social distancing, testing, safe admissions and managing outbreaks.

This was not a full inspection and no overall quality rating was given. The safe question was recorded as inspected but not rated.

What inspectors praised
  • Safer visiting

    Visits were planned by appointment and took place in a separate room, helping visitors meet people safely without walking through the home.

    “A room was set aside for visits with an external door which meant visitors did not need to walk through the home.” from the report
  • Cleaning and equipment

    Inspectors found the home clean, with regular protective equipment stations and a cleaning schedule. Equipment was cleaned between uses.

    “The service was clean with personal protective equipment stations at regular intervals. A robust cleaning schedule was maintained.” from the report
  • Managing infection risks

    The layout allowed people to isolate when needed and provided more space in shared areas. Inspectors were assured that outbreaks could be prevented or managed.

    “The layout of the service had allowed for isolation when needed to prevent the risk of spread of infection.” from the report
  • Staff knowledge

    Inspectors found that staff understood their infection prevention and control responsibilities.

    “Staff were knowledgeable about their responsibilities with infection prevention and control.” 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 visits currently arranged, and is there still a separate visiting room?
  2. 02How do you test visitors and staff, and what happens when someone tests positive?
  3. 03How do you isolate people when needed and manage infection outbreaks?
  4. 04How often are communal areas and equipment cleaned, and how is this recorded?
  5. 05How do you keep your infection prevention and control policy up to date?

This was an unannounced targeted inspection of infection prevention and control practices only; it was not a full inspection and the service was not rated. This explanation was written from the published report of 23 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, February 2018

Church Farm Care Home is rated Good; inspectors found kind, safe care, with some concerns about medicines, consent records and mealtime support.

This was an unannounced, comprehensive inspection on 8 February 2018. Inspectors spoke with people living at the home, staff, visitors and healthcare professionals. They observed care, looked around the building and checked care plans, medicines records, staff files and management records.

The home supported up to 60 older people, with 44 people living there during the inspection. Inspectors found that people were treated with kindness, respect and compassion. Care plans were generally well organised, risks were assessed, staff were trained and the building was clean and well maintained.

There were some areas to improve. Medicine rounds were interrupted and took a long time. Some medicine creams were not dated. Records about relatives' powers of attorney were inaccurate, and some people waited too long for help during lunch. Inspectors made recommendations, but did not record any breaches of regulations.

The overall rating was Good, and each of the five areas was also rated Good. The home remained Good after the previous inspection in July 2015.

What inspectors praised
  • Kind and respectful care

    People were treated with kindness, compassion and respect. Staff knew people well and supported their privacy and choices.

    “People were treated with kindness, compassion and respect.” from the report
  • Risk management

    The home assessed risks such as falls, nutrition and moving and handling. Staff had guidance on how to reduce harm while supporting independence.

    “Risks in relation to people's daily lives were identified, assessed and planned to minimise the risk of harm whilst helping people to be as independent as possible.” from the report
  • Trained and supported staff

    Staff received induction, regular training, supervision and appraisals. Staff said the management team supported them.

    “Staff were supported by a system of induction training, supervision and appraisals.” from the report
  • Clean and maintained home

    The building and equipment were regularly checked. Inspectors found the home clean, comfortable and free from unpleasant odours.

    “We walked around the service which was comfortable and appeared clean with no odours.” from the report
  • Activities and personal interests

    The home offered a varied programme, including activities at weekends and one-to-one activities for people in their rooms.

    “There was a programme displayed for people advertising exercises, quizzes, music and magic shows.” from the report
What inspectors were concerned about
  • Medicine rounds were interrupted

    needs fixing

    The morning medicine round took over two hours and the staff member was interrupted by telephone calls. Inspectors said this could increase the risk of errors and recommended a review of the process.

    “The staff member carrying out the medicine round was carrying the telephone for the service and was interrupted on occasions by telephone calls.” from the report
  • Some creams were not dated

    needs fixing

    Some prescribed creams were not dated when opened, and some labels could not be read. This meant staff could not tell when the creams should be disposed of.

    “Some people had been prescribed creams and these had not always been dated upon opening.” from the report
  • Inaccurate power of attorney records

    needs fixing

    Some care plans incorrectly said relatives had legal authority to make care decisions. This could mean people were involved in decisions or asked to sign consent forms when they did not have the appropriate authority.

    “The records for some people held inaccurate information regarding the powers held by some relatives.” from the report
  • Waiting and limited support at lunch

    needs fixing

    Two people waited nearly an hour for their meal and did not get enough support to finish eating while the food was hot. Inspectors recommended reviewing mealtime support.

    “Two people were seen waiting at their table for nearly an hour before the meal.” from the report
  • Limited signage for people with cognitive impairment

    minor

    There was no pictorial signage for important rooms, and bedroom numbers and names were small. This could make it harder for some people to find their way around independently.

    “There was no pictorial signage which clearly identified specific rooms such as toilets and shower rooms.” from the report
Questions to ask them, based on this report
  1. 01How have you reduced interruptions during medicine rounds since this inspection?
  2. 02How do you check that prescribed creams are dated when opened and removed at the right time?
  3. 03How do you confirm which relatives have legal authority to make care decisions or sign consent forms?
  4. 04What changes have you made to ensure people receive timely and suitable help during meals?
  5. 05Have you added pictorial signs or larger room labels for people who may have difficulty recognising their surroundings?

This was an unannounced comprehensive inspection covering all five questions, but it did not examine the circumstances of a separate ongoing safeguarding investigation. This explanation was written from the published report of 27 February 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 Church Farm Care Home

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 Church Farm Care Home →

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

    Read what inspectors found at Church Farm Care Home →

  3. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 25 November 2010.

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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