CQC report explained · a residential care home
What the CQC found at Collinson Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable risk assessments, safe medicines systems, infection control measures and accident follow-up.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was used to help calculate the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was used to help calculate the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was used to help calculate the overall rating.
- Well-led?
- Good
- Inspectors found effective management oversight, quality checks, open communication and a clear approach to making improvements.
What inspectors found, November 2023
Rated Good; inspectors found safe care and strong management, with a new manager preparing for CQC registration.
This was an unannounced focused inspection on 30 and 31 October 2023. Inspectors reviewed only Safe and Well-led. They visited the home, spoke with people, relatives and staff, contacted a health professional, and checked care, medicines, recruitment and management records.
Inspectors found people were protected from abuse and avoidable harm. Risks were assessed and reviewed, medicines were handled safely, infection control was good, and accidents were followed up. There were usually enough staff, and staff recruitment checks were carried out.
The home was rated Good overall. Safe was rated Good and Well-led was rated Good. The other three areas were not inspected at this visit, so their previous Good ratings were used when calculating the overall rating.
People felt safe
People and relatives told inspectors they felt safe. Staff had safeguarding training and followed local safeguarding processes when needed.
“All people and relatives we spoke with told us they felt people were safe in the service.” from the report
Safe medicines
Staff were trained and checked as competent to give medicines. Guidance was available for medicines given when needed.
“Processes were in place to ensure people received their medicines on time and in the way they preferred.” from the report
Clean environment
Inspectors found the home clean and saw staff using protective equipment when needed to reduce infection risks.
“The service was clean and there were no malodours.” from the report
Management oversight
Managers used audits and an action plan to monitor quality and track improvements. Staff, people and relatives described managers as approachable and supportive.
“The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report
Learning from incidents
Incidents and accidents were reported, reviewed and followed up. Falls were analysed to look for patterns and reduce the risk of recurrence.
“Regular analysis of falls were undertaken which helped identify if there were any themes or patterns developing.” from the report
New manager registration
needs fixingThe registered manager had moved to another service. A new manager was in post and was preparing an application to register with CQC.
“A new manager was in post and was preparing their application for registration with CQC.” from the report
Mealtime experience
minorThe management team had identified that people's experience at mealtimes could be improved. Families should ask what changes have been made since the inspection.
“they had identified people's mealtime experience could be enhanced.” from the report
Incident analysis
minorFalls were analysed regularly, but the manager planned to begin similar analysis for other accidents and incidents.
“The manager planned to start undertaking a similar analysis of other accidents and incidents.” from the report
- 01Has the new manager now applied for or completed CQC registration?
- 02What changes have been made to improve people's mealtime experience?
- 03How are accidents other than falls now analysed and followed up?
- 04How do you check that staffing levels remain enough for people's needs at all times?
- 05What recent evidence can you share about the quality of care in Effective, Caring and Responsive, which were not inspected at this visit?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried over from the last inspection and used to calculate the overall rating. This explanation was written from the published report of 11 November 2023 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 2021
Inspected but not rated; inspectors were assured about most infection controls but found staffing and admissions needed improvement.
This was a targeted inspection on 26 January 2021 during a coronavirus outbreak. It looked at infection prevention and control, including visiting, PPE, testing, cleaning, staffing and admissions.
Inspectors were assured about visitors, shielding, social distancing, PPE, testing, hygiene and the infection control policy. The communal areas were clean and well maintained, and staff and laundry workers followed relevant guidance.
Inspectors were only partially assured about staffing and admissions. Staffing was not sufficient to isolate and manage people safely, and new people were not admitted according to government guidance. The provider increased staff numbers and was signposted to resources about admissions.
The service was inspected but not rated. This report does not give an overall quality rating and does not assess all five areas of care.
Clean environment
The communal areas were clean and well maintained.
“The communal parts of the home were clean and well maintained.” from the report
PPE and testing
Inspectors were assured that PPE was used safely and that regular COVID-19 testing was available for staff and people living there.
“We were assured that the provider was using PPE effectively and safely.” from the report
Contact with relatives
People were supported to keep in touch with relatives by telephone and tablets.
“People were supported to speak with their relatives on the phone and with tablets.” from the report
Laundry arrangements
Laundry staff followed government guidance when handling laundry from people who had tested positive for COVID-19.
“the laundry staff followed the government guidance with the processing of laundry from COVID-19 positive people.” from the report
Staffing during isolation
seriousStaffing levels were not sufficient to isolate and manage people safely when they had COVID-19 or a negative test result. The provider responded by increasing staff numbers.
“Staffing levels were not sufficient to effectively isolate and manage people with either COVID-19 or with negative test results.” from the report
Admissions process
seriousNew people were not admitted safely or in line with government guidance. The provider was signposted to resources to improve its approach.
“People who were new to the home were not admitted in a safe way and according to government guidance.” from the report
- 01What staffing arrangements are now in place to isolate and manage people with COVID-19 or negative test results?
- 02What changes have been made to the admissions process since this inspection?
- 03How do you make sure new admissions follow current government infection control guidance?
- 04How often are staff and residents tested now, and what happens after a positive result?
- 05How will residents keep in touch with relatives if visiting is restricted?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak, and the other care questions were not assessed. This explanation was written from the published report of 9 February 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.
Every inspection of Collinson Care Home
4 rated inspections over 9 years: the service has improved, from Requires improvement to Good.
- November 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- May 2018Goodstayed GoodSafe: GoodWell-led: Good
- January 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 21 December 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.
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