CQC report explained · a residential care home
What the CQC found at Hallamshire Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, including cleaning, protective equipment, testing, admissions and outbreak arrangements. Visiting arrangements were being restarted after the COVID-19 outbreak.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Requires improvement
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, November 2021
Inspected but not rated; inspectors found strong infection control, while visiting arrangements were still being restarted.
This was a planned, announced inspection on 3 November 2021. It was a targeted inspection looking only at infection prevention and control after a COVID-19 outbreak.
Inspectors found the home was very clean. Staff followed cleaning schedules, used protective equipment correctly, and had enough supplies. COVID-19 testing and checks before new people moved in were also being carried out.
Visits had stopped during the outbreak and were being restarted. A screened visiting area had reopened, but inspectors signposted the home to updated government guidance to help it develop its visiting arrangements.
The home was inspected but not rated. This report does not provide an overall quality rating or ratings for most areas of care.
Clean environment
The home was very clean, with regular cleaning of all areas and extra cleaning of frequently touched surfaces.
“The premises were very clean. Staff followed cleaning schedules to ensure all areas of the home were regularly cleaned.” from the report
Protective equipment
Staff had training in infection safety and used protective equipment correctly. The home had enough supplies available.
“Staff had received training about how to keep people safe from the risk of infection and how to use personal protective equipment (PPE) correctly.” from the report
Testing and admissions
Testing was being carried out for staff and residents. The home checked that new residents had recently tested negative before arriving.
“Tests for COVID-19 were being carried out in line with government guidance, by both staff and people living in the home.” from the report
Infection control systems
Inspectors were assured that the home had arrangements to prevent and manage infection outbreaks and an up-to-date infection control policy.
“We were assured the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting arrangements were still developing
minorVisits were being restarted after the outbreak. Inspectors asked the home to review its arrangements against updated government guidance.
“We signposted the provider to the updated government guidance in respect of visits to care homes, to support them to develop their approach.” from the report
- 01What are the current visiting arrangements, and can family members enter the main building?
- 02What would happen to visits if there were another COVID-19 outbreak?
- 03How will you tell families about any changes to visiting arrangements?
- 04How often are staff and residents tested when infection levels rise?
- 05What checks do you complete before someone moves into the home?
This was a targeted inspection of infection prevention and control only; the home was inspected but not rated, and the other care areas were not assessed. This explanation was written from the published report of 16 November 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, November 2020
Inspected but not rated; inspectors found strong infection controls, with some cleaning and staff risk-assessment issues.
Inspectors visited on 23 October 2020 as part of a national review of infection prevention and control in care homes. The visit was announced and focused on how the home was managing COVID-19 risks.
They found good arrangements for preventing infection. These included safe visiting areas, updated policies, staff training, correct use of protective equipment, testing, hand hygiene and extra cleaning.
Some areas needed attention. Shower chairs and grout in the main bathroom needed a deeper clean. There were also no formal arrangements in place for staff who might be at increased risk from COVID-19, although the registered manager said this would be addressed.
The home was inspected but not rated. This means the report does not give a Good, Requires improvement or Inadequate rating. It only reports on the infection prevention and control measures inspected at that visit.
Good infection control
Inspectors found that people were protected against infection and that the home had systems to prevent and manage outbreaks.
“People were protected against the risk of infection.” from the report
Safer visiting arrangements
The home had created designated visiting areas and made separate arrangements for visits to people receiving end of life care.
“The home had robust systems in place to support relatives to visit their family members, minimising the risk of infection.” from the report
Trained and informed staff
Staff had training in infection control, COVID-19 and the use of PPE. They were also kept informed about changes to government advice.
“Staff we spoke with were knowledgeable about the updates and were working in line with them.” from the report
PPE and hygiene
Inspectors observed staff changing PPE when appropriate and washing or sanitising their hands.
“We observed staff changed PPE, when appropriate, and washed and sanitised their hands.” from the report
Some cleaning needed improvement
needs fixingShower chairs needed further cleaning and the grout in the main bathroom needed a deep clean. The registered manager agreed to address this immediately.
“We identified some areas required attention. For example, shower chairs required further cleaning and the grout between the wall tiles in the main bathroom required a deep clean.” from the report
- 01What was done after the inspection to deep-clean the shower chairs and the grout in the main bathroom?
- 02What formal arrangements are now in place for staff who may be at increased risk from COVID-19?
- 03How are infection control policies and staff training kept up to date?
- 04How do family visits work now, including visits to people receiving end of life care?
- 05How are COVID-19 tests arranged for residents and staff?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care quality areas were not assessed. This explanation was written from the published report of 18 November 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 Hallamshire Residential Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Hallamshire Residential Home →
- November 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Hallamshire Residential Home →
- May 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 9 December 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.
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