CQC report explained · a nursing home
What the CQC found at Goatacre Manor Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Goatacre Manor Care Centre was inspected but not rated; inspectors found good COVID-19 infection controls and visiting arrangements.
This was a targeted inspection on 8 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures were affecting the home. The visit was announced two days in advance.
Inspectors found good infection control practice. Visitors were screened and given protective equipment. Staff were trained to use protective equipment, testing was taking place, and the building was clean.
The home had a visiting pod with direct outdoor access and had supported the essential care giver role. Its infection control policy was up to date and its arrangements for checking COVID-19 vaccinations were effective.
The service was inspected but not rated. This means the report does not give an overall rating or a full rating for the quality of care.
Protective equipment
Protective equipment was available throughout the home. Staff were seen using it effectively and their knowledge was checked regularly.
“PPE was available to staff throughout the service and staff were seen using it effectively.” from the report
Clean environment
The home had introduced extra cleaning measures and inspectors found all areas were clean.
“Additional cleaning measures had been introduced in the home. All areas of the home were clean.” from the report
Safer visiting
The home supported essential care givers and had adapted part of the building to provide a visiting pod with outdoor access.
“Some areas of the building had been repurposed, for example to provide a visiting pod area which had direct visitor access from outdoors.” from the report
COVID-19 checks
Visitors were screened, testing was carried out for people and staff, and the provider checked vaccination status for staff and professional visitors.
“The provider had effective systems in place to check staff and professional visitors were vaccinated against COVID-19.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing any staffing pressures linked to COVID-19, and what effect do they have on people's care?
- 02How can an essential care giver visit, and is the visiting pod still available?
- 03What screening, testing and protective equipment arrangements are currently required for visitors?
- 04How do you check that staff and professional visitors meet the current vaccination or exemption requirements?
- 05Have your infection prevention and control arrangements changed since the inspection?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide ratings for the other quality areas. This explanation was written from the published report of 19 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, April 2018
Rated Good overall; inspectors found kind, responsive care, but medicines records and cream administration needed improvement.
This was an unannounced, comprehensive inspection on 7 and 8 February 2018. Inspectors spoke with people living in the home, relatives and staff. They reviewed care plans, medicines, staff records and the environment.
The home was rated Good overall. Effective, Caring, Responsive and Well-led were rated Good. Safe was rated Requires Improvement because medicines records were not always complete and prescribed creams were not always recorded as given.
Inspectors found enough trained staff, a clean home and good safeguarding knowledge. People and relatives spoke positively about the staff. The report also made recommendations about medicines, mental capacity records and behavioural support plans.
Kind and friendly care
Inspectors found a calm atmosphere and saw staff speaking warmly with people. People and relatives were positive about the staff team.
“The atmosphere was calm and friendly. People were relaxed around staff as they happily conversed together.” from the report
Enough trained staff
Inspectors found sufficient skilled staff, including extra support at mealtimes for nutrition and hydration.
“There were sufficient numbers of skilled staff supporting people.” from the report
Personalised care plans
Care plans included people's preferences about personal care, communication, activities and daily routines. Life histories and important personal details were also recorded.
“Care plans were person centred and included details about people's choices and preferences in relation to how they wanted to receive their care.” from the report
Support at the end of life
The home involved people and relatives in advance care planning and had links with a local hospice. Staff also supported relatives during and after a person's death.
“We support the families as well as the person who is dying.” from the report
Medicines records
seriousRecords for as-needed medicines did not always explain when or why they should be used. Records for creams and lotions were inconsistent, creating a risk that people did not receive them as prescribed.
“Recordings for topical medicines such as creams and lotions were inconsistent and were not always signed to evidence when prescribed creams had been applied.” from the report
Mental capacity records
needs fixingMental capacity assessments did not contain enough detail about how decisions were made. They did not clearly record the best interest decision or whether a less restrictive option had been considered.
“However, the assessments did not contain enough information to explain how the person was assessed and what the best interest decision was and whether there was a less restrictive option.” from the report
Behavioural support guidance
needs fixingSome plans did not clearly describe signs of anxiety or agitation, or what staff should try before offering medicine. The guidance sometimes conflicted with later reviews.
“This meant it was not clear exactly how staff should support the person, as the plan indicated that staff should always administer medicines rather than try alternative methods .” from the report
Audits did not find all shortfalls
needs fixingThe home's checks had not identified some of the medicines and record-keeping problems found during the inspection. Managers knew about some issues but had not yet resolved them effectively.
“The audits that had been completed regarding these aspects of the service had not identified the issues that were found to be present during the inspection.” from the report
- 01How do you now make sure as-needed medicine protocols explain the person's triggers, symptoms and alternatives to medicine?
- 02How do you record and check that prescribed creams and lotions are applied at the right times?
- 03How are best interest decisions recorded, including how you show that the decision is the least restrictive option?
- 04How do behavioural support plans describe signs of distress and what staff should try before offering medicine?
- 05How do your audits now identify and resolve the shortfalls found in this inspection?
This was an unannounced comprehensive inspection of the home and all five key questions, carried out on 7 and 8 February 2018. This explanation was written from the published report of 26 April 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 Goatacre Manor Care Centre
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2018Goodstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- April 2013
Registered with the Care Quality Commission on 8 April 2013.
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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