CQC report explained · a residential care home
What the CQC found at Deangate Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, May 2021
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
Inspectors visited the home on 22 April 2021. The announced visit was a targeted inspection of infection prevention and control measures.
They were assured that visitors were screened, used personal protective equipment and followed safety guidance. The home also had cleaning schedules, regular testing and an up-to-date infection control policy.
The home supported safe visits and checked that new residents had recently tested negative for COVID-19. Inspectors found the premises were clean and that staff were trained in infection control.
This inspection did not give an overall quality rating. The safe question was marked inspected but not rated, and the other four questions were not covered.
Safe visiting
The home had arrangements for supported visits, including hand sanitising, protective equipment, temperature checks and lateral flow tests.
“A temperature check and lateral flow screening test were standard requirements for all visitors.” from the report
Clean premises
The home had a cleaning schedule and regularly cleaned frequently touched surfaces.
“Staff regularly cleaned frequent touch points, such as handrails and light switches.” from the report
Staff training
Staff had training in safe infection prevention and control practices, supported by audits and a policy.
“All staff were trained in safe infection, prevention and control (IPC) practices.” from the report
Safe admissions
Checks were made before people moved in, including evidence of a recent negative COVID-19 test.
“Appropriate checks were undertaken before people moved into the home to reduce the risk of infection being introduced to the home.” from the report
Testing and vaccination
There was regular COVID-19 testing for residents and staff, and the report noted good uptake of vaccination among residents.
“There had been a good uptake of people receiving the COVID-19 vaccine.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are infection prevention and control audits carried out now, and what did the most recent audit find?
- 02What checks do visitors currently complete before entering, and how is protective equipment provided and monitored?
- 03What evidence is required before a new resident moves in, including current infection testing?
- 04How often are residents and staff tested for COVID-19 now, and how are outbreaks managed?
- 05How often are frequently touched surfaces cleaned, and how is completion of the cleaning schedule checked?
This was an announced targeted inspection of infection prevention and control measures during the COVID-19 pandemic; it did not assess the other four key questions or give an overall rating. This explanation was written from the published report of 6 May 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.
What inspectors found, July 2019
Deangate Care Home was rated Good overall; inspectors found kind, safe care, but identified some risk and maintenance checks that needed prompt action.
This was an unannounced planned inspection on 3 and 4 July 2019. Inspectors spoke with people living at the home, relatives, staff and a visiting health professional. They also reviewed care records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, clean premises, personalised care, kind staff and activities that reflected people's interests.
Inspectors did find that some staff did not know about one person's dietary risk. They also found that recommendations from an equipment check had not been completed, and that audits had not identified a maintenance concern. The manager took immediate action during the inspection.
Kind and respectful care
Inspectors saw warm relationships between staff and people. Staff supported privacy, dignity, choice and independence.
“We observed warm and positive relationships between people and staff.” from the report
Safe medicines and staffing
People received their medicines as prescribed. Staffing levels were sufficient and staff responded promptly and without rushing people.
“Medicines systems were well-organised and people were receiving their medicines when they should.” from the report
Personalised support
Care plans described people's needs and preferences in detail. Staff knew people's likes, dislikes and communication needs.
“Care and support plans were personalised and detailed how people should be supported with each task.” from the report
Activities and involvement
People were offered varied activities, including trips out, and relatives could visit and help make the home feel personal.
“Activities were varied and included trips out.” from the report
Open management
People, relatives and staff said the home was well-led. The manager held meetings, welcomed feedback and used an improvement plan.
“The registered manager had an open-door policy and people, relatives and staff confirmed this.” from the report
Dietary risk was not known to all staff
seriousInspectors found that staff were unaware of a risk relating to one person's diet. The manager took immediate action when this was raised.
“We found that staff were unaware of a risk relating to a person's diet.” from the report
Equipment recommendations were missed
needs fixingThe home had not completed recommendations from one premises and equipment check. The manager acted immediately after inspectors raised this.
“We found that the service had not undertaken recommendations following one of these checks.” from the report
Audits missed a maintenance concern
needs fixingRegular checks had not identified a concern about lifting equipment maintenance. The manager said systems were put in place to prevent this happening again.
“These checks had not identified a concern we found about maintenance of lifting equipment.” from the report
- 01How are dietary risks recorded, shared at handover and checked to make sure every relevant staff member knows about them?
- 02What action was taken after the missed equipment recommendations, and how are equipment checks now monitored?
- 03How is lifting equipment maintenance checked, and how does management make sure audits identify problems?
- 04Which care plans were being reviewed at the inspection, and was the review programme completed?
- 05How are people and relatives involved in decisions about care, activities and food?
This was an unannounced planned inspection that assessed all five CQC questions, and the previous Good ratings remained unchanged. This explanation was written from the published report of 18 July 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 Deangate Care Home
4 rated inspections over 4 years: the service has improved, from Inadequate to Good.
- May 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- July 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2015InadequateSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: InadequateWell-led: Inadequate
- October 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- March 2012
Registered with the Care Quality Commission on 7 March 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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