CQC report explained · a nursing home
What the CQC found at Falcon House Care Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2021
Falcon House Care Home was inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 outbreak.
This was an unannounced, targeted inspection on 4 February 2021. It focused on infection prevention and control because the home had experienced a coronavirus outbreak.
Inspectors were assured that the home was managing visitors, admissions, shielding, social distancing, PPE, testing, hygiene and outbreak prevention safely. The infection control policy was up to date, and staff had received relevant training.
The home was undergoing a full refurbishment. Carpets had almost all been replaced with laminate flooring, which inspectors said made cleaning easier and reduced the risk of contamination.
The service was inspected but not rated. This report does not provide a rating for the overall quality of care or for areas such as caring, responsive or well-led.
Infection control training
Staff had training in PPE, coronavirus and infection control procedures. Inspectors saw PPE was available and used in line with current guidance.
“Staff had received further training in COVID-19 and infection control procedures.” from the report
PPE and hygiene
PPE was accessible throughout the home and inspectors saw staff using it appropriately. The home also had updated infection control policies and audits.
“Staff had received training in the use of personal protective equipment (PPE), and we saw this was accessible throughout the home and staff used it in accordance with the most up to date guidance.” from the report
Safer cleaning arrangements
Almost all carpets had been replaced with laminate flooring. Inspectors said this made cleaning easier and reduced the risk of contamination.
“this meant that it was easier to keep clean and reduced the risk of contamination.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently managed to prevent infections spreading?
- 02How often are staff and residents tested, and what happens if someone tests positive?
- 03How do you check that staff continue to use PPE correctly?
- 04How are new residents admitted safely and protected from infection?
- 05Who is currently managing the home, and what support is available if the registered manager is absent?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak; it was not a full inspection and the service was not rated. This explanation was written from the published report of 13 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 2019
Rated Good; inspectors found safe, kind care, good activities and strong management.
This was an unannounced, planned inspection on 12 February 2019. Inspectors spoke with residents, visitors, staff, managers and a visiting professional. They reviewed care plans, staff files, medicines, safety checks, complaints and accident records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, well-trained staff and care plans that were reviewed when people's needs changed.
People and relatives described kind and respectful care. Residents were involved in decisions, offered activities and supported to eat, drink and access healthcare. The home had a clean environment and systems for listening to concerns and improving the service.
The overall rating was unchanged from the previous inspection, published in October 2017. Good means the inspectors found the service met legal requirements and provided consistently good care at the time of this inspection.
Enough staff
Staffing was assessed against people's needs. Inspectors found enough staff to provide safe care and support activities and outings.
“There were enough staff to support people safely and to ensure that people's needs could be met.” from the report
Kind and respectful care
People said staff were kind, caring and helpful. Inspectors saw staff explain tasks, reassure people and show patience.
“People and their relatives commented positively about staff and said that they were kind, caring and helpful.” from the report
Personalised activities
Staff gathered information about people's backgrounds and interests. The activities programme included group discussions and creative reminiscence work.
“There was an activities co-ordinator at the home who engaged well with residents and offered a diverse range of things to do.” from the report
Strong oversight
The home had regular care plan reviews, safety checks and quality audits. The manager encouraged feedback and acted on it.
“The quality assurance system was robust and included lots of checks in all aspects of the service delivery.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you review staffing levels when residents' needs change?
- 02How will you make sure my relative's medicines, including any 'as and when required' medicines, are given safely?
- 03How will you involve my relative and our family in care planning and decisions if their capacity changes?
- 04Which activities would match my relative's interests, background and abilities?
- 05What changes have been made to the handover process and record keeping following the recommendations mentioned in the report?
This was an unannounced comprehensive inspection covering all five CQC questions and both the care provided and the premises. This explanation was written from the published report of 15 March 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 Falcon House Care Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- May 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 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.
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