CQC report explained · a nursing home
What the CQC found at Foresters Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Infection control, medicines, risk assessments, staffing and recruitment were managed safely.
- Effective?
- Good
- This question was not rated in this inspection report.
- Caring?
- Good
- This question was not rated in this inspection report.
- Responsive?
- Good
- This question was not rated in this inspection report.
- Well-led?
- Good
- Inspectors found improved oversight, stable management and systems that identified risks, reviewed incidents and supported continued improvement.
What inspectors found, February 2023
Foresters Nursing Home was rated Good; inspectors found safe care and stronger management, with a minor gap in monitoring emergency call-bell response times.
This was an unannounced follow-up inspection on 12 and 16 January 2023. Inspectors spoke with people living in the home, relatives, staff and a health professional. They also observed care and checked care records, medicine records, staff files, audits and other management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found that medicines, infection control, safeguarding, staffing and risk assessments were being managed safely. People and relatives said they felt safe and were happy with the care.
The home had improved since the previous inspection, which was rated Requires Improvement and found breaches of regulations. The provider was no longer in breach at this inspection. Inspectors will continue to monitor information received about the home.
Detailed care planning
Care records and risk assessments were detailed and personalised. Staff were able to explain people's needs and followed updated advice from health professionals.
“People had detailed and comprehensive care plans and risk assessments.” from the report
Safe medicines management
Staff were trained before giving medicines. Records were checked, errors were investigated and medicines were stored securely.
“People received their medicines in line with their prescribed needs.” from the report
Improved management
There was a registered manager in post and clearer oversight of care, risks, incidents, infection control and medicines.
“There was now stability in the management of the home and a registered manager was in post.” from the report
People and relatives involved
People and relatives said they were happy with the home. Regular meetings took place and relatives said their views helped shape people's routines and rooms.
“There were regular family and resident meetings.” from the report
Emergency call-bell monitoring
minorSome people used the emergency call bell when it was not needed, and there was no way to monitor response times for these calls. The home planned to set a two-minute response expectation and install a system to monitor this.
“there was currently no way of monitoring the time it was taking to respond to the sounding of an emergency bell for these people.” from the report
- 01Has the new call-bell system been installed, and what do the recorded response times show?
- 02How do you make sure emergency call bells are answered within two minutes?
- 03How are medicine errors recorded, investigated and checked to prevent them happening again?
- 04How do you check that people's care plans and risk assessments remain accurate and up to date?
- 05How are families involved in reviewing a person's care and daily routine?
This was an unannounced follow-up inspection focused on Safe and Well-led, including infection control; the report does not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 7 February 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, March 2021
Rated Requires Improvement; inspectors found unsafe medicines and weak checks on infection control, care records and management.
The inspection took place on 26 and 29 January 2021. It was focused on Safe and Well-led after concerns about medicines, infection control and whether people's care needs were being met. Inspectors spoke with people, relatives and staff, and checked care records, medicines records and management documents.
The home had enough staff on duty and people and relatives generally said they felt safe and had confidence in the care. However, medicines were not always given or recorded correctly. Temperature checks, mask use, some care records, risk assessments and staff training also needed improvement.
Management checks had not found several of these problems. There was no registered manager in post at the time of the inspection, and confidential records were left in an unlocked room. The overall rating fell from Good at the previous inspection to Requires Improvement.
Staffing levels
Inspectors found enough staff on duty to meet people's needs at the time of the inspection.
“There were enough staff on duty at the time of the inspection to meet the needs of people living there.” from the report
People felt safe
People told inspectors they felt safe, and staff understood their responsibility to protect people from abuse and harm.
“People felt safe living at the home and staff were aware of their responsibility to keep people safe.” from the report
Positive views from relatives
Most relatives gave positive feedback about the care and said they had confidence in how people were looked after.
“The majority of comments from people's family members were positive and we were informed they felt confident in the standard of care provided” from the report
Medicines were not always safe
seriousPeople could not be assured that medicines were always given as prescribed. Records contained errors, including missing tablets and incorrect remaining quantities.
“Medicines were not always managed safely and recorded accurately. People could not be assured they would always receive their medicines as prescribed.” from the report
Infection control records and practice
needs fixingTemperature checks were not always recorded, some masks were worn incorrectly and staff did not always follow the expected PPE practice when entering an isolation room.
“We were not assured staff were using PPE (personal protective equipment) effectively and safely.” from the report
Care records did not always reflect needs
seriousCare plans, risk assessments and records of food, fluids, weights and care provided were incomplete, conflicting or out of date.
“Monitoring records, care records and risk assessments to evidence the care and support provided were not always in place or an accurate account of people's needs.” from the report
Weak management checks
seriousThe home's audits and checks did not identify several problems found by inspectors. There was also no registered manager in post during the inspection.
“The provider had audit processes in place as well as action plans and regular meetings with managers. However, these had not identified the concerns we highlighted throughout the inspection.” from the report
- 01What changes have been made to ensure medicines are given and recorded correctly every time?
- 02How are twice-daily temperature checks and staff temperature records now being completed and checked?
- 03What is the current position on the manager's CQC registration?
- 04How are care plans, risk assessments, food and fluid charts, and weight records being kept accurate and up to date?
- 05What training has been completed by staff who lead shifts, especially in fire safety, infection control and moving and handling?
This was a focused inspection of Safe and Well-led, including infection prevention and control; the other key question ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 19 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.
Every inspection of Foresters Nursing Home
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- February 2023Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2021Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- September 2019Goodstayed GoodSafe: GoodWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Good
- August 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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