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CQC report explained · a residential care home

What the CQC found at Halcyon Court Care Home

Goodpublished 2 February 2023, 3 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that risks, safeguarding, staffing, medicines and infection control were managed safely. They found no evidence that the reported concerns about staffing or medicines had put people at risk of harm during this inspection.
Effective?
Good
This area was not inspected during this visit. Its rating was carried over from the previous inspection.
Caring?
Good
This area was not inspected during this visit. Its rating was carried over from the previous inspection.
Responsive?
Good
This area was not inspected during this visit. Its rating was carried over from the previous inspection.
Well-led?
Good
Inspectors found effective quality checks, good management oversight and an open, positive culture. Staff felt supported and people spoke positively about the care.
The latest report, explained

What inspectors found, February 2023

Halcyon Court Care Home is rated Good; inspectors found safe staffing, medicines management and positive leadership, but a serious incident was outside this inspection.

This was an unannounced focused inspection on 16 January 2023. Inspectors looked mainly at safety and leadership, after concerns about an incident causing serious injury, staffing, medicines and environmental risks. The circumstances of the serious incident were not examined during this visit.

Inspectors found people were protected from avoidable harm. They found enough staff, safe recruitment, effective medicines systems and suitable infection control. People said they felt safe and were positive about the care and staff.

The home was rated Good overall, with Safe rated Good and Well-led rated Good. The other three areas were not inspected during this visit, so their previous ratings were used. The last overall rating was also Good, published in September 2018.

What inspectors praised
  • Safe staffing

    Inspectors found enough staff to meet people's needs safely. Recruitment checks were also in place.

    “There were enough staff to meet people's needs safely.” from the report
  • Positive care culture

    People consistently spoke well of the staff, manager and care they received. Staff also said they felt supported.

    “People consistently spoke positively about the registered manager, staff and the care and support they received.” from the report
  • Quality oversight

    The home used quality checks, staff meetings and shared learning to monitor and improve the service.

    “Quality assurance systems and processes were in place to monitor and improve the service.” from the report
What inspectors were concerned about
  • Serious incident was not examined

    needs fixing

    The inspection followed a serious injury, but inspectors did not examine the circumstances of that incident. A separate CQC investigation was still taking place, so this report cannot reassure families about what happened.

    “As a result, this inspection did not examine the circumstances of the incident.” from the report
Questions to ask them, based on this report
  1. 01What environmental risk was identified after the serious injury, and what changes have been made to reduce it?
  2. 02What is the current staffing level on each floor, including at night, and how are shortfalls covered?
  3. 03How are medicines audits used to identify and prevent errors?
  4. 04What is the current position of the CQC investigation into the serious injury incident?
  5. 05What are the home's current arrangements for assessing people's needs and responding to complaints, given that Effective, Caring and Responsive were not inspected?

This was an unannounced focused inspection of Safe and Well-led, including infection control and specific staffing, medicines and environmental risks; the other ratings carried over from the 2018 inspection. This explanation was written from the published report of 2 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.

An earlier report, explained

What inspectors found, March 2022

Halcyon Court Care Home was inspected but not rated; infection controls were reassuring, but some kitchen appliances were dirty.

This was a targeted inspection after a COVID-19 outbreak. Inspectors visited on 15 February 2022 and gave 24 hours' notice. They looked mainly at infection prevention and control, and asked about staffing pressures.

Inspectors were assured that the home had suitable infection controls. Staff used protective equipment correctly, had regular COVID-19 testing and vaccinations, and received infection control training. The home also assessed visitor risks and carried out regular infection control audits.

The home was mostly clean, but some kitchen appliances were dirty. This was raised with the leadership team, which agreed to take immediate action. The home was inspected but not rated, so this report does not provide an overall quality rating.

What inspectors praised
  • Infection control checks

    The home carried out regular infection prevention and control audits and had an up-to-date policy.

    “Regular infection prevention control (IPC) audits were undertaken.” from the report
  • Protective equipment

    Inspectors saw staff wearing masks correctly and were assured that PPE was being used safely.

    “We were assured the provider was using PPE effectively and safely.” from the report
  • Testing and vaccination

    Staff had regular COVID-19 testing and had received vaccinations. Staff also had training about preventing infection.

    “All staff had regular testing for COVID-19, and all had received their vaccinations.” from the report
What inspectors were concerned about
  • Dirty kitchen appliances

    needs fixing

    The home was mostly clean, but inspectors found some dirty kitchen appliances. This was raised with the leadership team, which agreed to take immediate action.

    “The location was clean, however we found some dirty kitchen appliances.” from the report
Questions to ask them, based on this report
  1. 01What action was taken to clean the kitchen appliances found to be dirty?
  2. 02When was the follow-up audit of cleaning standards completed, and what did it show?
  3. 03How are you currently managing staffing pressures linked to COVID-19, and have these affected people's care?
  4. 04How do you check that visiting professionals meet the vaccination requirements or have a valid exemption?
  5. 05How often are infection prevention and control audits completed, and can you explain the latest findings?

This was a targeted inspection triggered by a COVID-19 outbreak, focused on infection prevention and control and staffing pressures; only Safe was inspected and it was not rated. This explanation was written from the published report of 2 March 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.

The story over the years

Every inspection of Halcyon Court Care Home

3 rated inspections over 7 years: the service has held its Good rating throughout.

  1. February 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Halcyon Court Care Home →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Halcyon Court Care Home →

  3. September 2018Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. November 2010

    Registered with the Care Quality Commission on 25 November 2010.

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.

Next steps

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