CQC report explained · a nursing home
What the CQC found at Deerhurst Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection risks were managed through testing, protective equipment, cleaning, social distancing and visitor controls. They were also told that measures were in place to reduce the effect of COVID-19-related staffing pressures.
- Effective?
- Outstanding
- This area was not assessed in this targeted inspection.
- Caring?
- Outstanding
- This area was not assessed in this targeted inspection, although inspectors noted support for people's emotional wellbeing and meaningful activities.
- Responsive?
- Outstanding
- This area was not assessed in this targeted inspection, although visits were individually risk assessed and supported, including visits at the end of life.
- Well-led?
- Outstanding
- This area was not assessed in this targeted inspection. Inspectors did note that policies, procedures, contingency plans and infection control audits were in place.
What inspectors found, March 2022
Inspected but not rated; inspectors were assured that infection control, visiting arrangements and COVID-19 safety measures were in place.
This was a short-notice, targeted inspection about infection prevention and control during the COVID-19 pandemic. Inspectors also asked about staffing pressures. The visit is recorded as 8 February 2022 in the detailed report and 09 February 2022 on the report cover.
Inspectors were assured that the home was using protective equipment safely, arranging testing, managing visitors, admitting people safely and keeping its infection control policy up to date. They also found that visits, including end-of-life visits, were supported with individual risk assessments.
The home was not given an overall rating or a Safe rating at this inspection. This means the inspection checked a limited area and was not a full assessment of the home's care.
Infection control
Inspectors were assured that the home had measures to prevent and manage infections. Staff received infection control training and checks were carried out on practice.
“We were assured that the provider's infection prevention and control policy was up to date.” from the report
Safe visiting
Visits were supported through testing, protective equipment and individual risk assessments. The home also supported essential care-giver and end-of-life visits.
“Each person had been individually risk assessed to ensure visits were person centred.” from the report
Emotional support
The report describes continued contact with families, activities and support for people's feelings during the pandemic.
“The emotional wellbeing of people and their families had been supported throughout the pandemic.” from the report
Activities and atmosphere
Inspectors saw an activity taking place and reported that people appeared to enjoy it. The report describes a positive atmosphere in the home.
“People were clearly enjoying themselves and there was a happy atmosphere throughout all areas of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01What were the home's latest full inspection ratings for Effective, Caring, Responsive and Well-led?
- 02How are COVID-19-related staffing pressures affecting staffing levels and people's care now?
- 03What infection control, testing and protective equipment arrangements are currently in place?
- 04How are visits arranged now, including essential care-giver and end-of-life visits?
- 05How are people supported with activities and emotional wellbeing if visits or group activities have to change?
This was a targeted, short-notice inspection of infection prevention and control and staffing pressures; it did not rate the other four CQC questions. This explanation was written from the published report of 17 March 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
Deerhurst Care Home was rated Outstanding overall; inspectors found exceptional care, leadership and personal support, with safety rated Good.
This was an unannounced inspection over three visits in August 2019. Inspectors spoke with people living in the home, relatives, staff, volunteers and professionals. They observed care and reviewed care records, staff records, complaints, audits and other documents.
People were consistently described as safe, exceptionally well cared for and treated with kindness, dignity and respect. Staff knew people well and provided highly personalised care. The home had a dementia-friendly environment, meaningful activities, strong links with families and the local community, and good support at the end of life.
Safety was rated Good. The other four areas, effective, caring, responsive and well-led, were rated Outstanding. The overall Outstanding rating means the inspectors found the service exceptional and distinctive, with outcomes that were consistently better than expected compared with similar services.
Kind and compassionate staff
People and professionals consistently praised staff for their kindness, compassion and quality of support.
“People consistently told us that staff were exceptionally kind, caring and compassionate and health and social care professionals told us staff were exceptional in the way in which they provided care and support.” from the report
Personalised care
Staff knew people's preferences and adapted care to help them keep their independence, interests and routines.
“People received care that was extremely personalised and responsive to their specific needs and preferences.” from the report
Dementia-friendly environment
The home had continued to develop its environment to support comfort, reminiscence, socialising and wellbeing.
“The environment of the home continued to be exceptionally dementia friendly.” from the report
Strong safety arrangements
Inspectors found safeguarding, risk management, staffing, medicines and infection control arrangements were effective.
“People were safe. Staff understood their responsibilities in relation to safeguarding.” from the report
Meaningful activities
People were supported to take part in activities linked to their interests, memories, relationships and local community.
“There was a strong focus on providing meaningful activities which promoted people's physical and emotional wellbeing.” from the report
Excellent leadership
The management team created an open culture and encouraged learning, innovation and partnership working.
“The home continued to be exceptionally well led. The ethos, vision and values were led by the registered manager and provider.” from the report
Inspectors raised no specific concerns in this report.
- 01How many staff are currently on duty on each shift, and has this changed since the inspection?
- 02How do you assess and support a new resident's dementia needs, communication and personal preferences?
- 03How do you help residents take positive risks while keeping them safe?
- 04How do you support residents with eating and drinking, including people at risk of dehydration?
- 05How do you involve families in end-of-life wishes and decisions about care?
This was an unannounced comprehensive inspection covering all five key questions, and the report says each rating remained the same as at the previous inspection. This explanation was written from the published report of 5 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 Deerhurst Care Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2019Outstandingstayed OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- January 2017OutstandingSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- June 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 9 November 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
39 live-in carers within about an hour of South Gloucestershire
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 £1,020 to £1,280 a week. 32 can care for a couple. 11 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.