CQC report explained · a residential care home
What the CQC found at Deerlands
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including visitors, PPE, testing, cleaning, ventilation and outbreak planning.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Deerlands was inspected but not rated; inspectors were assured that infection risks were being managed well.
This was an announced, targeted inspection on 18 March 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care provided.
Inspectors found arrangements for visitors, including screening, temperature checks, hand sanitising, PPE and social distancing. Staff were trained, PPE supplies were sufficient, and regular COVID-19 testing was in place.
The home was clean, hygienic and well ventilated. It had an up-to-date infection control policy and plans for managing an outbreak. The service was inspected but not rated, so this report does not give an overall quality rating.
Infection control
Inspectors found that staff used appropriate PPE and that the home had enough supplies. Staff had been trained in safe infection prevention and control practices.
“All staff were trained in safe infection, prevention and control (IPC) practices.” from the report
Clean environment
The home was clean, hygienic and well ventilated, with cleaning schedules in place and being followed.
“The environment was clean, hygienic and well ventilated.” from the report
Visitor arrangements
Visitors were screened and supervised, and facilities were available for hand sanitising and putting on PPE. The home also provided different ways for residents to stay in touch with relatives.
“People were supported to maintain contact with their relatives in different ways including video calls and window visits.” from the report
Outbreak planning
The home had an up-to-date infection control policy and plans for preventing or managing an infection outbreak.
“The service had plans in place and knew how to respond to an outbreak of infection to ensure the safety of people and staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits arranged now, and what infection control steps must visitors follow?
- 02How would you manage an outbreak of infection, and how would you keep relatives informed?
- 03How often are residents and staff tested for infections now?
- 04How do you support residents to keep in contact with relatives if face-to-face visits are restricted?
- 05How are cleaning schedules and ventilation checked in residents' rooms and shared areas?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 30 March 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, March 2018
Rated Good; inspectors found safe, kind care, but some medicines checks were not always completed.
This was an unannounced inspection on 22 January 2018. Inspectors spoke with people living there, relatives, staff and a health professional. They observed care, looked around the home and checked care plans, medicines records, staff files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, safe care plans, good support with food and health needs, and kind and respectful care.
There were some shortfalls in medicines checks. Some less frequently used controlled medicines had not been counted and checked in the previous four weeks. Refrigerator temperatures were also not being recorded every day. Inspectors raised these issues during the visit and were given assurances that they would be corrected.
The home remained Good, the same as at the previous inspection. This means inspectors found the service met the required standards overall, although the medicines and emergency planning checks should still be followed up.
People felt safe
People and relatives told inspectors they felt safe. Staff had safeguarding training and understood what to do if they suspected harm.
“People living at Deerlands told us they felt safe and they liked the staff.” from the report
Kind and respectful care
Inspectors saw staff speaking calmly, being patient and respecting people's privacy. Staff knew people's preferences and supported them in a caring way.
“We saw staff support people in a positive and caring way. Staff sat chatting with people and staff were patient and respectful.” from the report
Staff skills and support
Staff received relevant training, supervision and appraisals. Training included moving and handling, medicines, safeguarding, dementia awareness and other specific needs.
“The records showed care staff had been provided with regular supervision and an annual appraisal for development and support.” from the report
Personalised activities and choices
People could choose how to spend their time and were offered group and individual activities. Activities included entertainment, outings and links with outside organisations.
“The Activities Organiser told us that they varied the activities between group and individual sessions” from the report
Quality checks
The management team used audits, surveys and monitoring visits to check the service and identify improvements. Records showed action was taken after accidents and incidents.
“Regular audits and quality assurance checks were completed covering all aspects of the service” from the report
Controlled medicine checks
needs fixingSome controlled medicines that were not given often had not been counted and verified during the previous four weeks. Management said checks would happen more often.
“However, we found some controlled drugs which were not given on a frequent basis had not been counted and verified as correct in the past four weeks.” from the report
Medicine refrigerator records
needs fixingThe home was not recording the medicine refrigerator temperature every day. Management said staff would be reminded to complete these records.
“We observed that the current temperatures for the medicines refrigerator were not being recorded daily.” from the report
Emergency evacuation information
minorThe main emergency evacuation plan contained some out-of-date information. It was updated during the inspection, and the home planned to review where it was stored.
“A PEEP for all people in the home was kept in the main office but some of the information on the document was out of date.” from the report
Occasional staffing concern
minorThe inspection found enough staff overall, but one relative said there had been a couple of visits when staffing seemed low.
“There have been a couple of times when we've come and it's seemed a bit low staff wise.” from the report
- 01How are controlled medicines counted and checked now, especially medicines that are not given regularly?
- 02How do you make sure medicine refrigerator temperatures are recorded every day?
- 03How often are emergency evacuation plans reviewed and updated for each person?
- 04How do you check that staffing levels remain sufficient at busy times or when people’s needs change?
- 05How will you involve my relative and our family in care plan reviews and choices about activities?
This was an unannounced inspection covering all five key questions and the overall rating. This explanation was written from the published report of 8 March 2018 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 Deerlands
2 rated inspections over 2 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 16 February 2011.
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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Most charge £1,020 to £1,270 a week. 76 can care for a couple. 11 years' experience on average.
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