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CQC report explained · a nursing home

What the CQC found at Ford House

Goodpublished 11 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 most infection control arrangements. They were only somewhat assured about shielding, social distancing and the safe use of PPE.
Effective?
Good
This was not covered by this targeted inspection.
Caring?
Good
This was not covered by this targeted inspection.
Responsive?
Requires improvement
This was not covered by this targeted inspection.
Well-led?
Good
This was not covered by this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Ford House: Inspected but not rated; inspectors found strong infection controls but some PPE and distancing practices needed improvement.

This was an unannounced, targeted inspection on 2 February 2021. It looked only at infection prevention and control during the COVID-19 pandemic.

Inspectors were assured about visitor arrangements, safe admissions, testing, cleaning, outbreak planning and infection control policies. Staff had enough protective equipment and visitors were scheduled and escorted.

Inspectors were only somewhat assured about shielding, social distancing and the safe use of protective equipment. They discussed zoning for new people coming into the home and correct PPE use with the registered manager.

The service was inspected but not rated. This means the visit checked infection control arrangements but did not give an overall quality rating.

What inspectors praised
  • Controlled visiting

    Visits were scheduled, limited to certain areas and supported by staff escorts to reduce infection risks.

    “Staff made sure that people were protected against the transmission of infection from visitors by scheduling visits, limiting areas that visitors could access and being available to escort visitors.” from the report
  • Safe admissions

    The home had arrangements to admit people safely.

    “Staff put appropriate actions into place to make sure people were admitted safely into the service.” from the report
  • Testing and PPE

    Regular COVID-19 testing was carried out, and staff had supplies of masks, gloves and aprons.

    “Staff had enough personal protective equipment, such as masks, gloves and aprons, and had supported people so that they also understood the need for this.” from the report
  • Cleaning and outbreak planning

    The home increased cleaning of frequently touched surfaces and had COVID-19 policies and plans to guide staff.

    “There was COVID-19 specific policies and plans, which meant staff were guided to take appropriate actions to reduce the risk of transmission.” from the report
What inspectors were concerned about
  • Shielding and social distancing

    needs fixing

    Inspectors were only somewhat assured that shielding and social distancing rules were being met. They discussed considering zoning for new people coming into the home.

    “We were somewhat assured that the provider was meeting shielding and social distancing rules.” from the report
  • Correct PPE use

    needs fixing

    Inspectors found that staff did not always wear PPE correctly and discussed safe practice with the registered manager.

    “We discussed safe practice with the registered manager when staff did not wear PPE correctly.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure all staff wear PPE correctly every time?
  2. 02What zoning arrangements are used for people who are newly admitted?
  3. 03How are shielding and social distancing rules monitored in the home?
  4. 04How often are residents and staff tested for COVID-19 now?
  5. 05How are visiting arrangements managed if there is an infection risk or outbreak?

This was an unannounced targeted inspection of infection prevention and control only; the other areas of care were not inspected or rated. This explanation was written from the published report of 11 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, October 2017

Rated Good overall; inspectors found safe, effective and kind care, but care plans were not always detailed or up to date.

This was an unannounced inspection on 7 September 2017. Two inspectors and an expert by experience spoke with people living in the home, relatives, staff and managers. They also looked at care records, training records, audits and meeting minutes.

The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found enough staff, safe medicines procedures, suitable training, support with food and health needs, and respectful care. People could make choices and take part in activities.

Responsive was rated Requires Improvement. Some care plans did not give enough detail about how care should be provided, including oral hygiene, diabetes care and creams. Staff knew people's needs, but the records did not always show this clearly.

The overall rating was Good. The report says two breaches found at the previous comprehensive inspection had been met by the focused inspection in March 2017, and that improvements had been maintained.

What inspectors praised
  • Safe medicines

    People received their prescribed medicines on time. Medicines were stored safely, reviewed and checked through regular audits.

    “Medicines were stored securely and within the required temperature range.” from the report
  • Trained staff

    Staff received training and supervision, and inspectors saw that they applied their learning when supporting people.

    “This meant that people had staff that were correctly trained to support their assessed needs.” from the report
  • Food and health support

    People had a choice of meals and drinks, with extra help when needed. Staff supported access to healthcare professionals.

    “When people needed help to eat and drink, they were given the encouragement and support with these needs.” from the report
  • Open management

    Managers were available and knew what was happening in the home. Audits and meetings were used to identify and follow up improvements.

    “These measures all helped to ensure that staff were well led and had the knowledge and systems they needed to care for people in an effective way.” from the report
What inspectors were concerned about
  • Care plans lacked detail

    needs fixing

    Some care plans did not clearly explain how staff should meet specific needs, such as oral hygiene, diabetes care and applying creams. The report says this could put people at risk of receiving care that did not meet their needs.

    “Care plans that we looked at did not always provide detailed information on how peoples care needs were to be met.” from the report
Questions to ask them, based on this report
  1. 01Has the promised review of all care plans been completed, and how do you check that they remain up to date?
  2. 02How are staff given clear instructions for oral hygiene, diabetes support and applying creams?
  3. 03How do you make sure agency nurses know each person's needs when they work in the home?
  4. 04How do residents and relatives influence activities, menus and changes to care?
  5. 05How are accidents, incidents and complaints reviewed, and what changes have resulted?

This was an unannounced inspection of the overall quality of the home, including all five key questions. This explanation was written from the published report of 11 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 Ford House

4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Ford House →

  2. October 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read what inspectors found at Ford House →

  3. April 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvement

    Read this report on cqc.org.uk

  4. September 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2015Requires improvement
    Safe: GoodEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  6. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  14. January 2011

    Registered with the Care Quality Commission on 25 January 2011.

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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