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CQC report explained · a residential care home

What the CQC found at Ewer Court

Goodpublished 4 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including cleaning, testing, vaccinations, social distancing and visitor arrangements. They recommended improvements to the designated PPE areas.
Effective?
Good
This was not assessed in this targeted inspection.
Caring?
Good
This was not assessed in this targeted inspection.
Responsive?
Good
This was not assessed in this targeted inspection.
Well-led?
Good
This was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors were assured about infection prevention, but recommended improvements to PPE changing areas.

This was an announced, targeted inspection on 29 January 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care provided.

Inspectors found good arrangements for cleaning, COVID-19 testing and vaccinations, visitor safety, social distancing and managing possible staff shortages. They were assured that the home was taking steps to prevent and control infection.

The home was inspected but not rated. This means the report does not provide a full overall rating or ratings for all five areas of care.

What inspectors praised
  • Cleaning and hygiene

    The home had a cleaning schedule and carried out regular checks to help reduce infection risks.

    “There was a cleaning schedule in place and regular audits were undertaken to ensure the environment was clean and hygienic to reduce the risk of infections.” from the report
  • COVID-19 testing and vaccinations

    The manager kept oversight of testing and vaccinations for residents and staff.

    “The manager had oversight of testing and vaccinations for COVID-19, for both people living at Ewer Court and for staff.” from the report
  • Updated guidance

    Staff could access regularly updated COVID-19 advice, and virtual meetings were used to discuss new guidance and questions.

    “Staff had access to an app on their mobile phones where advice and information on COVID-19 was regularly updated by the provider.” from the report
  • Staff shortage planning

    The home had plans for sudden and extreme staff shortages, including keeping care and support plans up to date.

    “Contingency plans were in place in case of sudden and extreme staff shortages.” from the report
What inspectors were concerned about
  • PPE changing areas

    needs fixing

    Inspectors recommended improvements to the designated areas for putting on and removing PPE. The manager said the improvements would be made straight away.

    “We recommended some improvements to the designated Personal Protective Equipment (PPE) 'don and doff' areas at the service.” from the report
Questions to ask them, based on this report
  1. 01Have the recommended improvements to the designated PPE 'don and doff' areas been completed?
  2. 02How are the home's cleaning schedules and infection prevention checks reviewed now?
  3. 03How are COVID-19 testing and vaccinations for residents and staff monitored?
  4. 04What is the current plan if there is a sudden and extreme staff shortage?
  5. 05When was the home's full set of care quality ratings last assessed?

This was a targeted inspection of infection prevention and control under the Safe question during the coronavirus pandemic; it did not assess the other four questions and the service was not rated. This explanation was written from the published report of 25 February 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, June 2019

Ewer Court was rated Good; inspectors found safe, kind and personalised care with strong management.

This was a planned, announced inspection on 20 May 2019. One inspector visited, spoke with the person using the home and their relative, and spoke with staff and the manager. Records about care, medicines, recruitment, training, complaints, maintenance and quality checks were also reviewed.

The person using the home was safe. Risks were managed without unnecessarily limiting their freedom. Medicines were given as prescribed, the flat was clean, and staffing and recruitment were suitable for the person's needs.

Care was personalised and supported independence, choice and contact with family and the community. Staff were described as kind and respectful. The home had systems to monitor quality, respond to incidents and complaints, and make improvements.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the first inspection since the home was registered with the CQC in April 2018.

What inspectors praised
  • Managing risks while supporting freedom

    Inspectors found that risks were managed without unnecessarily restricting the person’s choices or independence.

    “Risks to people were identified and managed well to keep them safe, yet ensured they had maximum choice and control to live their life as they chose.” from the report
  • Skilled and trained staff

    Staff had training in areas including epilepsy, safeguarding, medicines, first aid and manual handling. Their experience and training were considered suitable for the person’s needs.

    “Staff had access to a range of training that gave them skills and knowledge to carry out their roles.” from the report
  • Respectful personal space

    Staff respected the person’s privacy and treated their flat as their own home. Inspectors saw staff wait to be invited in.

    “We saw staff knocked on [Person's] door to their flat and waited to be invited in.” from the report
  • Personalised support

    The care plan included the person’s preferences, communication needs and choices. Support helped the person manage daily life, health and community activities.

    “The person using the service told us they received care and support specifically personalised for them.” from the report
  • Quality monitoring

    The home used audits, quality visits, feedback and service improvement plans to monitor care and identify learning.

    “The service had clear and effective governance arrangements in place to assess the ongoing quality of the service provided.” from the report
What inspectors were concerned about
  • Extra security measure still being arranged

    minor

    A relative had raised concerns about security. Risk controls were in place, but an additional keypad for the rear gates was still being arranged with the housing association.

    “The registered manager was in the process of liaising with the housing association to have a security key pad fitted on the rear gates, for extra security.” from the report
Questions to ask them, based on this report
  1. 01Has the security keypad for the rear gates now been fitted, and what security measures are currently in place?
  2. 02If more people move into the other flats, how will staffing levels be reviewed and increased if needed?
  3. 03How will you make sure care remains personalised if the number of people living in the home changes?
  4. 04What health support can staff provide, given that the home does not provide nursing care?
  5. 05How often are medicines, finances, health and safety, and care quality checked?

This was a planned inspection covering all five CQC questions and both the premises and care provided; one person was using the home at the time. This explanation was written from the published report of 4 June 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.

The story over the years

Every inspection of Ewer Court

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at Ewer Court →

  2. June 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ewer Court →

  3. April 2018

    Registered with the Care Quality Commission on 30 April 2018.

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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