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CQC report explained · a residential care home

What the CQC found at Ferndale Residential Home

Goodpublished 12 October 2017, 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 about infection prevention and control, including PPE, testing, hygiene, admissions and outbreak management. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Requires improvement
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Ferndale Residential Home was inspected but not rated; inspectors found infection control and visiting arrangements in place.

This was an announced, targeted inspection on 16 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected people.

Inspectors found systems to support safe visiting. Visitors needed a negative lateral flow test, proof of vaccination, screening and a temperature check. Staff and visitors had to wear personal protective equipment, and staff had received training on using it safely.

The home supported contact with families through calls, video calls and different types of visits. Inspectors were assured about infection control, testing, protective equipment, admissions, hygiene and the arrangements for preventing or managing outbreaks.

The service was inspected but not rated. This report does not provide ratings for the other four areas of care.

What inspectors praised
  • Safe visiting

    Visitors had to complete checks before entering, including a negative lateral flow test, vaccination evidence, screening questions and a temperature check.

    “Visitors were required to provide a negative lateral flow COVID-19 test and proof of COVID-19 vaccination prior to entering the service.” from the report
  • PPE practice

    Staff had training in the safe use and disposal of PPE. The provider also used competency checks and discussions to check infection control practice.

    “Staff had received training during the COVID-19 pandemic on the safe wearing, use and disposal of PPE.” from the report
  • Family contact

    People were supported to keep in touch with relatives through calls, video calls and different visiting arrangements, including essential care giving.

    “People had been encouraged to maintain contact with their families and friends during the COVID-19 pandemic through use of video and telephone calls.” from the report
  • Infection control systems

    Inspectors were assured that the provider had measures covering testing, admissions, hygiene, social distancing and preventing or managing outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” 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. 01What are the current visiting rules, and are essential care givers still supported?
  2. 02How do you currently check and record COVID-19 vaccinations and testing for staff and visitors?
  3. 03What measures are in place now if COVID-19 causes staffing pressures?
  4. 04How do you currently prevent and manage infection outbreaks?
  5. 05When were the other areas of the service last assessed and rated?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 25 February 2022 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, October 2017

Rated Good overall; inspectors found safe, kind and person-centred care, but the well-led rating was Requires Improvement.

The unannounced inspection took place on 20 July 2017. One inspector and an Expert by Experience spoke with people, relatives, staff and healthcare professionals. They also observed care and checked care, medicine, staffing and management records.

The home was rated Good overall. Inspectors found that people were safe, supported by trained staff, treated with kindness and given care that reflected their needs. Medicines were being managed safely, after problems found at the previous inspection.

The well-led rating was Requires Improvement. The home did not have a registered manager, and some required notifications had not been sent to the CQC promptly. The management team acted during the inspection and said it would improve its systems.

What inspectors praised
  • Safer medicines

    The home had corrected the medicines problems found at the previous inspection. Staff observed people taking medicines and completed the records fully.

    “Staff members were diligent in their administration of people's medicines and made sure that Medication Administration Record (MAR) charts were completed in full.” from the report
  • Kind and respectful care

    Inspectors saw positive relationships between staff and people. Staff protected privacy and encouraged people to remain as independent as possible.

    “Throughout our inspection we saw that staff were sensitive to people's privacy and took steps, such as speaking quietly and confidentially to people” from the report
  • Individual care

    The home assessed people before admission and kept care plans under review. Staff used people's preferences to guide the support they provided.

    “These assessments were used to develop initial care plans for people which were then reviewed and updated on a regular basis” from the report
  • Food and health support

    People enjoyed the food and had choices. The home considered dietary needs and followed advice from healthcare professionals.

    “People enjoyed the food and drink provided by the service. One person told us, "The food is lovely and the menu gives us choice.” from the report
  • Open culture

    Staff and managers were described as approachable and supportive. Staff said they knew how to raise concerns, including with organisations outside the home.

    “The service had a positive and open culture. Staff were highly motivated to perform their roles and were keen to ensure that people were well cared for.” from the report
What inspectors were concerned about
  • Required notifications

    needs fixing

    Some statutory notifications were not sent to the CQC promptly. This included notifications about six Deprivation of Liberty Safeguards authorisations. The management team acted immediately and said new systems would prevent this happening again.

    “We found that the provider had not always sent us notifications of certain incidents or events which took place at the service.” from the report
  • No registered manager

    needs fixing

    There was no registered manager at the time of the inspection. A new manager had been appointed and was being supported by experienced managers, but inspectors noted some teething issues during the changeover.

    “The service did not have a registered manager, although the provider had taken steps to appoint a new manager.” from the report
Questions to ask them, based on this report
  1. 01Who is currently responsible for managing the home, and has the manager's registration with the CQC been completed?
  2. 02What new checks make sure all required notifications, including Deprivation of Liberty Safeguards authorisations, are sent to the CQC on time?
  3. 03How are medicines observed, recorded and audited now, following the problems found at the previous inspection?
  4. 04How are staffing levels decided as people's needs change, and has the use of agency staff reduced?
  5. 05What activities are currently available, and how are they adapted to each person's interests and abilities?

This was an unannounced comprehensive inspection covering all five questions and the overall rating, with checks of care, medicine, staffing and management records. This explanation was written from the published report of 12 October 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.

The story over the years

Every inspection of Ferndale Residential Home

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

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ferndale Residential Home →

  2. October 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Ferndale Residential Home →

  3. April 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. August 2014

    Registered with the Care Quality Commission on 8 August 2014.

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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