CQC report explained · a nursing home
What the CQC found at Connaught Court
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- People were protected through safeguarding processes, recorded incidents and risk management. Bedrail assessments and checks had not always been completed or updated after incidents on one unit, but this was addressed immediately.
- Effective?
- Outstanding
- 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?
- Outstanding
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, January 2023
Inspected but not rated; inspectors found people were safe overall, with bedrail records needing improvement on one unit.
This was an unannounced targeted inspection on 13 December 2022. One inspector looked at accident and incident records, safeguarding, pressure care, risks from other people and the use of bedrails.
The home had systems for safeguarding, pressure care and bedrails. However, on one unit, bedrail risk assessments and checks had not always been completed or updated after incidents. The registered manager dealt with this immediately during the inspection.
Inspectors found accidents and incidents were recorded, with action taken to reduce risks. People they spoke with said they felt safe and received reliable support. This inspection was not given a new rating. The previous overall rating was Outstanding and remains unchanged.
People felt safe
The people inspectors spoke with were positive about their care and said they felt safe and comfortable.
“Its worked very well [living at service] and I feel safe and comfortable.” from the report
Safeguarding processes
The home had a safeguarding policy and followed processes to protect people from abuse. Safeguarding concerns, including sexual concerns, had been managed appropriately.
“The provider ensured health and social care professionals were engaged with the safeguarding of people from abuse.” from the report
Learning from incidents
Accidents and incidents were recorded, and monthly analysis was used to identify patterns and take action where needed.
“The registered manager completed an overall analysis each month which helped identify any common themes” from the report
Pressure care planning
Care plans and risk assessments were available to guide staff in supporting people's skin care.
“Care plans and risk assessments were in place to guide staff how to support people with the care of their skin.” from the report
Bedrail records
needs fixingOn one unit, bedrail risk assessments and checks had not been completed or updated after incidents. The manager corrected this during the inspection.
“Bedrail risk assessments and checks were in place but on one unit they had not been carried out or updated following incidents.” from the report
- 01What action was taken on the unit where bedrail assessments and checks had not been completed or updated?
- 02How do you now check that bedrail assessments are updated after an incident?
- 03How are accidents and incidents reviewed, and what changes have been made as a result?
- 04How are safeguarding concerns, including concerns of a sexual nature, reported and managed?
- 05How will pressure care plans and skin risk assessments be kept up to date for my relative?
This was a targeted inspection of accident and incident monitoring, safeguarding, pressure care, risks from other people and bedrails; it did not assess the whole Safe key question or change the previous overall Outstanding rating. This explanation was written from the published report of 11 January 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, April 2021
Inspected but not rated; inspectors found strong infection control during the COVID-19 pandemic, with a staff risk assessment still recommended.
This was an announced, targeted inspection on 24 March 2021. Inspectors looked at infection prevention and control measures during the coronavirus pandemic.
They found effective arrangements for PPE, visitor screening, handwashing, social distancing, cleaning, testing and COVID-19 vaccination. Staff had been trained in infection control, and extra staff hours funded enhanced cleaning.
The service was inspected but not rated. The report does not give an overall quality rating or ratings for most areas of care. Inspectors recommended a COVID-19 risk assessment for all staff.
PPE and visitor safety
The home had systems for PPE, handwashing, visitor screening and temperature checks. Areas had also been adapted to support visiting safely.
“Effective systems were in place to ensure staff and visitors to the service followed government guidelines for wearing Personal Protective Equipment (PPE).” from the report
Infection control
Infection control procedures were clear, followed by staff and supported by staff training.
“Infection prevention and control (IPC) procedures were clear and followed by staff.” from the report
Testing and vaccination
Regular COVID-19 testing was in place for staff and residents. The report also recorded good uptake of the vaccine among residents.
“There had been a good uptake of residents receiving the COVID-19 vaccine.” from the report
Staff risk assessments
needs fixingInspectors recommended that the provider complete a COVID-19 risk assessment for every staff member.
“We have recommended that the provider perform a Covid-19 risk assessment for all members of staff.” from the report
- 01Have COVID-19 risk assessments now been completed for all staff?
- 02How often are staff and residents tested for COVID-19 now?
- 03How are visitors screened and supported to use PPE?
- 04How is enhanced cleaning arranged and checked?
- 05How are infection outbreaks prevented and managed?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas of care were not assessed in this report. This explanation was written from the published report of 15 April 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 Connaught Court
4 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- January 2023Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2021Inspected but not ratedSafe: Inspected but not rated
- December 2019Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Outstanding
- February 2019Goodstayed GoodSafe: GoodWell-led: Good
- July 2018Goodstayed GoodSafe: Requires improvementWell-led: Good
- May 2017GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- March 2016
Registered with the Care Quality Commission on 18 March 2016.
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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37 live-in carers within about an hour of York
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 £980 to £1,270 a week. 32 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.