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 were assured that the home managed infection risks through screening, testing, protective equipment, cleaning, social distancing and isolation arrangements. They also found measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection control, safe visiting arrangements and no reported COVID-19 outbreaks.
This was an announced, targeted inspection on 9 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
Inspectors found appropriate supplies of protective equipment, regular staff training and checks, clear procedures for visitors, safe admissions and additional cleaning. Staff were seen using protective equipment correctly. The home had not reported any COVID-19 outbreaks since the start of the pandemic.
The home offered several types of visits, including essential caregiver visits. Inspectors also found a stable staff team and arrangements to manage possible staffing pressures.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or ratings for all five areas of care.
Protective equipment
The home had suitable protective equipment, clear signs and designated areas for putting it on and taking it off. Staff training and competence were checked regularly.
“Staff were observed to put on and take off PPE correctly and there were designated PPE stations for staff to use.” from the report
Infection control
Inspectors found screening, testing, cleaning and infection control procedures in place. The home had not had a COVID-19 outbreak since the pandemic began.
“The home had not had any Covid-19 outbreaks since the start of the pandemic.” from the report
Visiting arrangements
The home offered several ways for relatives to visit safely, including essential caregiver visits. Families and friends were encouraged to take on the essential caregiver role.
“Several visitation adjustments had been introduced including end of life, essential care givers, window, garden and drive through visits” from the report
Staffing stability
The manager told inspectors there had been no staffing shortages, including before the pandemic. The home had a long-standing team and a pool of bank staff.
“They had a long-standing stable staffing team who worked very well as a team.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened and supported to use protective equipment before entering the home?
- 02Can relatives still become essential caregivers, and what visiting options are available now?
- 03How do you manage staffing shortages or staff absence, and how many bank staff are available?
- 04What testing and isolation arrangements are used when someone moves into the home?
- 05How often are staff trained and checked on infection control and the use of protective equipment?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not rate the other areas of care. This explanation was written from the published report of 23 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.
What inspectors found, February 2018
Rated Good; inspectors found safe, kind and personalised care, with some medicine-record inconsistencies identified and improved.
Inspectors made an unannounced visit on 18 December 2017. One inspector spoke with people, relatives, staff and the registered manager. They reviewed care records, staff files, medicine records and other management records.
All five areas were rated Good: safe, effective, caring, responsive and well-led. People said they felt safe and described staff as kind, respectful and compassionate. Staff understood people's needs, supported their health and offered personalised care.
The home had enough staff, safe medicine systems, suitable training and links with health professionals. Managers used audits, meetings and feedback to monitor care. An audit had found inconsistencies in some medicine records, but these were checked and the standard of recording improved.
Kind and respectful staff
Inspectors saw staff communicate warmly, respect privacy and dignity, and give people time to express themselves.
“Staff were kind and respectful and treated people with dignity and respect.” from the report
Personalised care
Care records included people's routines, preferences, interests and health needs. Staff knew this information and used it in practice.
“People's care records contained detailed information about their health and social care needs.” from the report
Safe support
Risks such as falls, pressure damage, medicines and malnutrition were assessed. Staff followed the guidance in people's care records.
“People experienced care in a safe environment because staff were aware of how to safeguard people from avoidable harm” from the report
Open management
People, relatives and staff felt able to speak with managers. Feedback was collected and used to make changes.
“The service had a culture of openness and honesty.” from the report
Medicine records needed checking
minorAn audit found inconsistencies in some medicine administration records. Managers checked the records against care plans and said the standard of recording improved.
“The management team identified inconsistencies in peoples MAR charts.” from the report
- 01How do you now check that medicine administration records stay accurate?
- 02How do you use the dependency tool to decide staffing levels for my relative's needs?
- 03How will you support my relative's religious preferences while respecting their choice about taking part?
- 04What activities are available if my relative does not want to join a group activity?
- 05How are care plans updated when GPs, therapists or other health professionals give new advice?
This was an unannounced inspection covering all five CQC questions; inspectors spoke with five people, three relatives and staff, and reviewed care, staffing, medicines and management records. This explanation was written from the published report of 13 February 2018 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
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2016
Registered with the Care Quality Commission on 21 December 2016.
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.
Weigh the report against the rest
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38 live-in carers within about an hour of Oxfordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.