CQC report explained · a residential care home
What the CQC found at Framland
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from harm, risks were assessed and reviewed, staffing was sufficient, medicines were managed safely and infection control arrangements were in place.
- Effective?
- Good
- This area was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Caring?
- Good
- This area was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Responsive?
- Good
- This area was not inspected during this focused visit. Its previous rating was used in calculating the overall rating.
- Well-led?
- Good
- Inspectors found a positive, person-centred culture, approachable management, regular audits and good communication with relatives and staff.
What inspectors found, August 2021
Rated Good; a focused inspection found safe care and strong management, with a past medicine recording error addressed through refresher training.
Inspectors visited the home without warning on 17 June 2021. They spoke with three people, 11 relatives and 11 staff. They reviewed care records, medicine records, staff files and management records.
The inspection was prompted partly by concerns about safe care. Inspectors found enough experienced staff, personalised care, suitable risk assessments and safe medicine arrangements. They were also assured about infection prevention and control, including visits, protective equipment and testing.
The home was rated Good for Safe and Well-led. This was a focused inspection, so inspectors did not reassess Effective, Caring or Responsive. Those ratings from the previous comprehensive inspection were used when calculating the overall Good rating.
Personalised care
Care was tailored to people's needs, preferences, life histories and relationships. Staff were described as kind and caring.
“People received personalised care.” from the report
Enough staff
Inspectors found enough qualified and experienced staff to meet people's needs safely and promptly. Rotas showed staffing levels were consistent.
“Enough qualified and experienced staff were deployed to meet people's needs in a timely way.” from the report
Good risk management
Individual and environmental risks were assessed and reviewed. Staff understood how to support people safely when their needs changed.
“Risks to people's individual health and wellbeing were assessed, managed and regularly reviewed within people's care plans” from the report
Open management
The management team monitored the quality of care through audits and responded when shortfalls were found. Relatives said communication was good.
“The provider and registered manager closely monitored the quality of the service.” from the report
Medicine recording error
minorA medicine had been given but was not recorded on the medicine administration record. An audit found the error, and refresher training was provided to reduce the chance of it happening again.
“However, following a medicine audit, this was identified as a recording error.” from the report
- 01How is the new electronic medicine management system checked to make sure medicines are recorded correctly?
- 02What refresher training have medicines administration staff received since the recording error?
- 03How will you make sure staffing levels remain consistent when people's needs change?
- 04How are relatives involved when care plans, routines or people's preferences change?
- 05How are infection prevention arrangements and visits managed if there is an outbreak?
This was an unannounced focused inspection of Safe and Well-led only; the other key question ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 3 August 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, December 2020
Inspected but not rated; inspectors were assured that infection control arrangements were keeping people safe during a COVID-19 outbreak.
The CQC made an unannounced, targeted inspection on 27 November 2020. It looked at infection prevention and control because the home had experienced a COVID-19 outbreak. There were 23 people living in the home, which can accommodate up to 31 people.
Inspectors found clear COVID-19 guidance, regular testing for staff and residents, enough protective equipment and a cleaning programme. They were assured that the home was managing visitors, shielding, social distancing, admissions and outbreaks safely.
The inspection did not give the home an overall quality rating. It was marked 'Inspected but not rated', and only infection prevention and control was examined.
COVID-19 testing
The home had a testing programme for both staff and residents. This was intended to allow prompt action after a positive result.
“A COVID-19 testing programme was in place for staff and people living in the service.” from the report
Outbreak management
Inspectors found that a recent COVID-19 outbreak had been managed well, including shielding people who tested positive or had symptoms.
“A recent outbreak of COVID-19 at the service had been managed well.” from the report
Protective equipment and cleaning
There were sufficient supplies of protective equipment and a cleaning programme. Housekeeping staff understood how their work reduced the risk of infection spreading.
“Sufficient stocks of Personal Protective Equipment (PPE) enabled staff to follow safe Infection Prevention and Control (IPC) practice.” from the report
Keeping families in touch
Residents could use telephone calls and video links to contact relatives. Safe visits were possible for people receiving end of life care.
“People were supported to keep in touch with their relatives via telephone calls and video links.” from the report
Inspectors raised no specific concerns in this report.
- 01How are staff and residents tested for COVID-19 now, and what happens after a positive result?
- 02What protective equipment and cleaning checks are currently in place?
- 03How would you manage a new infection outbreak, including shielding and social distancing?
- 04How can residents keep in touch with relatives, and when can relatives visit?
- 05What arrangements are in place for people being admitted to the home?
This was an unannounced targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 9 December 2020 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 Framland
5 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- August 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- July 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- August 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 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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