CQC report explained · a nursing home
What the CQC found at Colne View
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were safe. This included screening, personal protective equipment, testing, cleaning and managing outbreaks.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors found good infection control arrangements during the pandemic.
This was an announced, targeted inspection on 13 November 2020. It focused only on infection prevention and control because of coronavirus outbreaks in care homes.
Inspectors found good communication with relatives about visiting. Visits were booked at suitable times and spaced out. The home also had screening, masks, handwashing, social distancing and personal protective equipment arrangements.
People were supported with coronavirus testing and seasonal injections. Inspectors were assured that the home used testing, protective equipment, cleaning and other measures to prevent and manage infection.
The home was inspected but not rated. This was not a full inspection of all areas of care, so the report does not provide an overall Good or Outstanding rating.
Keeping relatives informed
The home kept relatives updated about visiting changes during the pandemic. Visits were booked at suitable times and spaced apart.
“Communication with relatives of people using the service was good.” from the report
Visitor screening
The home had temperature screening, mask prompts and clear signs about distancing, protective equipment and handwashing.
“A wall mounted thermal camera had been installed, which read people's temperature and prompted people to wear a mask if not wearing on entering the service.” from the report
Testing and support
People were supported with coronavirus testing and seasonal injections. Decisions for people who lacked capacity were made in their best interests.
“People living in the service were supported to have COVID 19 testing and seasonal preventative injections.” from the report
Infection control
Inspectors were assured that the home followed good infection prevention and control guidance. Staff had access to protective equipment and weekly coronavirus testing.
“We were assured this service met good infection prevention and control guidelines.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now keep relatives informed about visiting arrangements and changes in guidance?
- 02How are visitors screened and visits arranged to reduce the risk of infection?
- 03How often are staff and residents tested for coronavirus now, and is protective equipment readily available?
- 04How do you support people who lack capacity to make decisions about testing and injections?
- 05What was the home's latest full CQC rating for areas not covered by this inspection?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 2 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.
What inspectors found, March 2019
Colne View was rated Good overall; inspectors found kind, person-centred care, with improvements still needed in oral care, eye care and some medicines checks.
This was an unannounced inspection on 4 and 5 March 2019. Inspectors spoke with people, relatives and staff. They observed care and reviewed care records, medicines records, recruitment files, complaints, incidents and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally said staff knew them well, treated them kindly and supported their independence.
Inspectors found enough staff during the visit and saw improvements in leadership and staffing stability. They also found good support with food, health care, activities and personalised care.
Some issues were identified. Planning for oral and eye care needed to be stronger, and inspectors recommended more reliable administration of transdermal pain relief patches. Some risks were dealt with during the inspection, including unlocked bathrooms, wheelchair cleaning and night staff using torches in bedrooms.
Kind and respectful care
People said staff were kind, respectful and did not usually rush them. Staff supported people to make choices and remain as independent as possible.
“People told us staff were kind, caring in their approach and promoted their independence.” from the report
Improving leadership
People, relatives and staff reported that the home had become more stable and that management listened to their views. The management team used feedback and audits to plan improvements.
“People, their relatives and staff told us leadership of the service had improved, and the management were approachable and that their views were listened to.” from the report
Personalised activities
Activities reflected people's interests and included group and one-to-one options. People could also use community links and the home's minibus.
“Activities were varied and person centred.” from the report
Food and nutrition
People had choices of meals, drinks and snacks, including specialist diets where needed. Staff supported people to eat in a relaxed and unhurried way.
“People were provided with a choice of drinks and snacks throughout the day and these were available for people to access in the lounges on each unit.” from the report
Pain relief patch checks
needs fixingAudits had not identified that transdermal pain relief patches were not always being placed on alternating body sites as prescribed. Management said this would be corrected and discussed with staff.
“Audits had not identified where transdermal pain relief patches had not been administered to alternating sites on the body as prescribed to maintain people's safety.” from the report
Oral and eye care planning
needs fixingOral assessments had been completed, but the information was not always transferred into care plans. Dental access was mainly arranged when people had pain or problems, rather than as preventative care.
“Further work was needed to ensure people's oral health care needs were being met.” from the report
Staffing history
minorInspectors found enough staff during the visit, but relatives described earlier shortages and high use of agency staff. Management said agency use had been reducing after recruitment.
“There had been a period of high agency usage due to staff shortages, but this had been steadily reducing following successful recruitment.” from the report
Privacy during night checks
minorSome people said torches used during night checks disturbed their sleep and felt disrespectful. The manager instructed night staff not to use torches in bedrooms.
“Several people told us night checks were carried out to ensure people were safe.” from the report
Dementia-friendly environment
minorInspectors said more work was needed to help people living with dementia find their way around and to make the building feel less clinical. Management had plans to address this.
“Further work was needed to support people living with dementia to orientate around the building and create a less clinical and more dementia friendly environment.” from the report
- 01How do you now record and check each person's oral and eye care needs?
- 02How do you make sure transdermal pain relief patches are given on alternating sites as prescribed?
- 03What are the current staffing levels, and how much agency staff is being used now?
- 04What changes have been made to make the environment easier and less clinical for people living with dementia?
- 05How are night checks carried out without disturbing people's sleep or privacy?
This was an unannounced planned inspection covering all five CQC questions and checking whether the home remained Good; the previous inspection was published on 13 July 2016. This explanation was written from the published report of 16 March 2019 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 Colne View
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2016GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Registered with the Care Quality Commission on 23 April 2012.
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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