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CQC report explained · a residential care home

What the CQC found at Dercliffe Care Home

Goodpublished 16 February 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home prevented and managed infection risks, including visitor screening, PPE, testing, cleaning, social distancing and safe admissions.
Effective?
Good
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?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2021

Dercliffe Care Home had a targeted inspection and inspectors were assured about infection prevention, but the service was not rated overall.

This was an announced, targeted inspection on 17 February 2021. It was carried out during the COVID-19 pandemic and focused only on infection prevention and control.

Inspectors found that visitors were screened, PPE was available and used safely, and new residents were admitted after a negative COVID-19 test with a period of self-isolation. They also found that the home was clean, well ventilated and arranged to support social distancing.

The home was marked “Inspected but not rated”. This means the inspection checked infection control arrangements but did not give an overall quality rating or ratings for the other four areas.

What inspectors praised
  • Infection control procedures

    Staff understood and followed the home's infection prevention and control procedures.

    “The registered manager had established effective infection prevention and control procedures which were understood and followed by the staff.” from the report
  • Visitor arrangements

    The home screened visitors and had created a separate visiting area with external access.

    “A visitors pod with external access had been built in the conservatory, which was designed to facilitate visits from friends and family members.” from the report
  • PPE and staffing

    There were plentiful PPE supplies, staff used PPE correctly, and staffing arrangements were in place to provide continuity if there was a shortage.

    “There were sufficient staff to provide continuity of support should there be a staff shortage.” from the report
  • Clean and suitable environment

    Inspectors found the home hygienic, with enhanced cleaning, good ventilation and communal areas suitable for social distancing.

    “The premises had a high level of cleanliness and was hygienic throughout.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently screened, and what PPE or other precautions are required?
  2. 02What happens if a new resident tests positive or needs to self-isolate after admission?
  3. 03How often are infection control procedures and cleaning arrangements checked now?
  4. 04What is the current plan if there is an infection outbreak or a staff shortage?
  5. 05What was the home's most recent full inspection rating for caring, effective care, responsiveness and leadership?

This was a targeted inspection of infection prevention and control under the Safe question; it did not rate the other four questions or the service overall. This explanation was written from the published report of 10 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.

An earlier report, explained

What inspectors found, February 2018

Rated Good; inspectors found kind, safe care, but noted shared use of the medicines room and some care record gaps.

Inspectors made an unannounced visit on 15 and 16 January 2018. They observed care, spoke with people, a relative, staff and managers, toured the home, and checked care records, medicines information, recruitment files, training records and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated well. Inspectors found enough trained staff, suitable care planning, respectful support, activities, access to health professionals and systems to monitor quality.

The previous inspection had found problems with staff recruitment records and late notifications to CQC. Inspectors found these issues had been corrected. They recommended reviewing the shared use of the medicines room, developing a homely remedies policy and improving some risk assessment and care plan records.

What inspectors praised
  • Enough staff

    Inspectors found enough staff were available to meet people's needs. Staffing levels were adjusted when people's needs or circumstances changed.

    “There were sufficient staff to meet people's care and support needs.” from the report
  • Kind and respectful care

    People were treated with warmth, respect and dignity. Staff supported people discreetly and at a pace that suited them.

    “We observed staff interacted in a caring and respectful manner with people living in the home.” from the report
  • Individual support

    Care plans included people's preferences, routines and life history. People and relatives were involved in care planning and reviews.

    “This meant staff were provided with appropriate information to enable them to respond effectively to each person's individual needs and preferences.” from the report
  • Activities and choice

    People could take part in activities in the home and on trips outside. They also had individual time with the activities organiser.

    “The activities inside the home included exercise classes, bingo, reminiscence and games.” from the report
  • Quality monitoring

    The home used audits, feedback and action plans to check care and follow up improvements. An area manager also carried out regular audits.

    “The audits and checks were designed to ensure different aspects of the service were meeting the required standards.” from the report
What inspectors were concerned about
  • Shared medicines room

    needs fixing

    The medicines room was also used for hairdressing and was accessed through the staff toilet. Inspectors recommended reviewing this arrangement and developing a policy for over-the-counter medicines.

    “However, we noted the medicines room also incorporated hairdressing facilities and access to the staff toilet.” from the report
  • Care plan review records

    needs fixing

    Although plans were reviewed, the records did not clearly show which sections had been checked. The manager said the recording process would be considered.

    “This meant it was not clear what aspects of the plan had been reviewed.” from the report
Questions to ask them, based on this report
  1. 01How is the medicines room now used, and are hairdressing and toilet access still part of the same arrangement?
  2. 02Has the homely remedies policy and procedure been completed, and how are over-the-counter medicines managed now?
  3. 03How do you make sure every section of each care plan is reviewed and clearly recorded?
  4. 04What action was taken to complete risk assessments and record strategies for behaviour that may challenge the service?
  5. 05How are staffing levels adjusted when residents' needs change or staff are absent?

This was an unannounced inspection of the whole care home, covering all five CQC questions and the premises and care provided. This explanation was written from the published report of 16 February 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.

The story over the years

Every inspection of Dercliffe Care Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Dercliffe Care Home →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Dercliffe Care Home →

  3. October 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2010

    Registered with the Care Quality Commission on 6 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.

Next steps

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