CQC report explained · a nursing home
What the CQC found at Druid Stoke Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. They found risk assessments, safe medicines systems, infection controls and staffing arrangements in place.
- Effective?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found the home was consistently managed. There were quality checks, opportunities for people and relatives to give feedback, and systems for learning and improvement.
What inspectors found, March 2023
Druid Stoke Care Home is rated Good; inspectors found people were safe and the home was well-led, with improvements needed for short-stay care.
This was an unannounced inspection by two inspectors on 8 February 2023. They spoke with six people, five staff members and managers. They also observed care and checked records about risks, medicines, recruitment, maintenance and how the home was managed.
The home was rated Good for Safe and Well-led. Inspectors found people were protected from abuse, risks were assessed, medicines were administered safely and there were enough safely recruited staff. They also found systems for learning from incidents and monitoring the quality of the home.
This was a focused inspection of Safe and Well-led, not a full inspection of all five areas. The ratings for the other areas were carried forward from the previous inspection. The overall rating remains Good, as it was at the previous inspection published in December 2017.
Protection from harm
Staff understood safeguarding procedures and knew how to protect people. Risk assessments covered issues such as falls, choking and malnutrition.
“People were protected from abuse and avoidable harm.” from the report
Staffing and recruitment
People told inspectors there were enough staff and that they did not have to wait long for help. Recruitment checks included references, identification and DBS checks.
“There were enough staff who were safely recruited to support people.” from the report
Open management
People and staff felt able to raise concerns and expected the management team to listen and act. The home also used meetings, surveys and feedback to identify improvements.
“People and staff were confident that if they raised any issues or concerns with the management team, they would be listened to and these would be acted on.” from the report
Short-stay care
minorThe home had identified that improvements were needed for people coming for a short stay, following a complaint. New guidance was issued, so families should ask what has changed and how standards are checked.
“It had been identified improvements were needed for people coming to the home for short stay.” from the report
- 01What changes have been made to the standards and monitoring of short-stay care since the complaint mentioned in the report?
- 02How many nurses and care staff are currently being recruited, and how often are agency staff being used?
- 03How are risk assessments updated when a person's needs change, particularly for falls, choking or malnutrition?
- 04How are relatives told about accidents, incidents or any shortfalls in care?
- 05What were the most recent actions from resident and relative feedback, and have they been completed?
This was an unannounced focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous inspection. This explanation was written from the published report of 14 March 2023 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 2017
Rated Good; inspectors found safe, kind and personalised care, with some concerns about staff time, activities and overdue training.
This was an unannounced, comprehensive inspection on 9 November 2017. Inspectors spoke with 29 people living at the home and 11 staff. They reviewed six people's care, watched care being provided and checked records and quality systems.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People generally said they felt safe, respected and well cared for. Inspectors found suitable staffing overall, safe medicines practice, detailed care plans, good food and trained staff.
The provider had acted on problems found at the October 2016 inspection. Recruitment checks, consent processes and quality monitoring had improved and the action plan requirements had been met.
Personalised care
Care plans described people's preferences, routines and complex care needs. Staff knew how to provide care in the way each person wanted.
“All of the care plans we saw were comprehensive and contained detailed information and reflected how each person wished to receive their care.” from the report
Respect and dignity
Staff protected people's privacy during personal care and involved them in everyday choices.
“We saw that staff made sure that the curtains were drawn and the doors closed when they were supporting people with personal care.” from the report
Food and healthcare
People were offered choices of food and drinks, with extra support for those at risk of malnutrition or dehydration. Staff worked with healthcare professionals when needed.
“People were supported to eat and drink enough to maintain their optimum health.When people were at risk of poor nutrition or dehydration action was taken.” from the report
Improved management checks
The home had improved its monitoring systems since the previous inspection. Checks covered care planning, medicines, staffing and training, with action taken when problems were found.
“At this inspection we found that quality monitoring systems were being used effectively to make sure that improvements could be made to the overall quality of care and service.” from the report
Staff time
needs fixingAlthough inspectors found enough staff overall to meet people's care needs, some people felt staff were rushed and did not have enough time to talk.
“Some people told us they felt at times there should be more staff on duty.” from the report
Overdue training
needs fixingMost staff had completed mandatory training, but 10% were overdue and 6% had been assigned further training. One staff member also said they needed more training about mental capacity and deprivation of liberty.
“The last review indicated that 84% of staff had completed their mandatory training, 6% had been assigned further training and 10% were overdue.” from the report
Medicine recording
minorInspectors found an incorrect record of the amount of liquid medicine left in a bottle. The issue was dealt with immediately by the nurse in charge.
“On the day of our inspection we identified incorrect recording of the amount of liquid medicine left in a bottle.” from the report
- 01How many staff are usually on duty in each of the two buildings, and how do you respond when people need more time or support?
- 02What extra one-to-one activities are now available for people on the nursing side?
- 03How many staff currently have overdue mandatory training, and when will this be completed?
- 04What checks are now in place to prevent errors when liquid medicines are recorded?
- 05How are people and their families involved in reviewing care plans and decisions made in their best interests?
This was an unannounced comprehensive inspection covering all five quality areas, including both the nursing and residential buildings. This explanation was written from the published report of 6 December 2017 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 Druid Stoke Care Home
4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- March 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodup from Requires improvementSafe: GoodWell-led: Good
- November 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- February 2015
Report published without a new overall rating.
- September 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- October 2010
Registered with the Care Quality Commission on 1 October 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.
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40 live-in carers within about an hour of Bristol, City of
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 £1,300 a week. 34 can care for a couple. 11 years' experience on average.
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