CQC report explained · a nursing home
What the CQC found at Country View Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, January 2022
Inspected but not rated; inspectors found well-organised COVID-19 infection controls, visiting arrangements and contingency plans.
This was an announced, targeted inspection on 11 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected people.
The inspectors were assured that the home was using protective equipment safely, arranging testing, supporting visits and managing admissions. They also found that the home was meeting the COVID-19 vaccination requirement for non-exempt staff and visiting professionals.
The home had up-to-date infection control policies, detailed records of vaccination and test results, and plans to reduce cross-contamination during an outbreak. The service was inspected but not rated, so this report does not give an overall quality rating.
Visitor infection checks
The home had checks for visitors on arrival and inspectors were assured that visits were being facilitated in line with current guidance.
“This included comprehensive checks for visitors on arrival.” from the report
Organised COVID-19 records
Records of vaccination status and test results were described as methodical, detailed and up to date.
“The registered manager had a methodical and organised approach to recording individuals COVID-19 vaccination status and COVID-19 test results.” from the report
Outbreak planning
The home had contingency plans and had arranged its rooms into zones to help reduce cross-contamination during an outbreak.
“In the case of an outbreak contingency plans were prepared and the home was already set up in zones to reduce the risk of cross contamination.” from the report
Infection control arrangements
Inspectors were assured about the home's use of protective equipment, testing, hygiene, social distancing and infection control policies.
“We were assured that the provider was using PPE effectively and safely.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently manage COVID-19 or other infection risks, and when was your infection prevention and control policy last updated?
- 02How would you manage an outbreak in the home, including separating people and reducing cross-contamination?
- 03What are the current visiting arrangements, and how do you support visits when infection risks change?
- 04How do you monitor staffing pressures and make sure they do not affect people's care?
- 05How do you keep records of staff and visitors' vaccination and test results where required?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 26 January 2022 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, December 2019
Country View Nursing Home was rated Good overall; inspectors found kind, safe care, but leadership still Requires Improvement.
This was an unannounced inspection after the previous Requires Improvement rating. Inspectors spoke with people living at the home, relatives, staff and a visiting professional. They reviewed care records, medicines records, staff files and quality checks.
Inspectors found that people felt safe and were treated kindly. Medicines were managed safely. There were enough staff, and staff received training. People received personalised care, enjoyed activities and were supported to access health care.
The home was not always well-led. There was no registered manager, and some records were incomplete. The home was being refurbished, but more dementia-friendly signs were still needed. The overall rating improved from Requires Improvement at the previous inspection in 2018.
Safe staffing and recruitment
Inspectors found enough staff to meet people's needs. Recruitment checks and monitoring systems had been improved.
“People were supported by enough staff to meet their needs.” from the report
Kind and respectful care
People said staff understood them and treated them well. Staff supported privacy, dignity, choice and independence.
“People were treated kindly by staff that understood them well.” from the report
Safe medicines
Qualified nursing staff administered medicines. Records, storage, reviews and guidance for higher-risk medicines were in place.
“People's medicines were safely administered by qualified nursing staff.” from the report
Personalised end of life care
People had individual end of life plans. Staff had relevant training and worked with health professionals on pain and symptom management.
“People received end of life care that was individualised, compassionate and respectful to their needs.” from the report
No registered manager
needs fixingThe home had been without a registered manager since November 2018. Responsibilities had been shared among the management, administration and nursing teams.
“The provider had been without a registered manager since November 2018.” from the report
Leadership improvements not yet established
needs fixingInspectors said systems had improved but had not been embedded long enough to show sustained good practice. This is why well-led remained Requires Improvement.
“Systems and processes in place had improved oversight for staff training, audits and recruitment within the service.” from the report
Incomplete food and fluid records
needs fixingFood and fluid charts were being used, but they were not always fully completed. This could make it harder to check whether people's intake was being properly monitored.
“Food and fluid charts were in place; however, records were not always fully completed.” from the report
Dementia-friendly signs still needed
minorRefurbishment was under way, but inspectors said more dementia-friendly signage would help people find their way around. The provider said this was part of its improvement plan.
“We found people would benefit from more dementia friendly signage to support them to orientate around the home.” from the report
- 01Who is currently responsible for managing the home while there is no registered manager?
- 02How do you check that food and fluid charts are completed fully and reviewed promptly?
- 03What dementia-friendly signs have been added since the inspection, and what remains to be done?
- 04How do you show that the improved audits, training and recruitment checks are now consistently maintained?
- 05How are people and relatives involved in decisions about care, refurbishment and changes to the home?
This was an unannounced planned inspection covering all five CQC questions; the report compares the ratings with the previous inspection published on 6 November 2018. This explanation was written from the published report of 20 December 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 Country View Nursing Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
89 live-in carers within about an hour of North Northamptonshire
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 £1,260 a week. 76 can care for a couple. 12 years' experience on average.
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.