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CQC report explained · a nursing home

What the CQC found at Hallmark Arlington Manor Luxury Care Home

Goodpublished 21 November 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control arrangements were safe. This included visitors, admissions, protective equipment, testing, cleaning, social distancing and outbreak management.
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.
The latest report, explained

What inspectors found, February 2021

Targeted infection-control inspection; the home was inspected but not rated, and inspectors were assured about its COVID-19 measures.

This was an unannounced, targeted inspection on 11 January 2021. It focused on infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, cleaning and outbreaks safely. The home was not allowing visits except in exceptional circumstances, such as end-of-life care.

The building was clean and free from clutter. People, visitors and staff were included in whole-home testing. The service was inspected but not rated, so this report does not give a Good, Requires improvement or Inadequate rating.

What inspectors praised
  • Entry checks

    Everyone entering the building had temperature checks, handwashing, a health questionnaire and full protective equipment.

    “Any person entering the building had their temperature taken, washed their hands, completed a health questionnaire and wore full personal protective equipment (PPE).” from the report
  • Protective equipment

    Staff wore full protective equipment when supporting people, whether they were known to have COVID-19 or not.

    “People were supported by staff in full PPE, whether that person was COVID-19 positive or negative.” from the report
  • Clean environment

    Inspectors found the building clean and without clutter. The cleaning schedule had been updated and cleaning took place frequently during the day.

    “The building was clean and free from clutter.” from the report
  • Testing

    Testing was in place across the home for people living there, visitors and staff.

    “Whole home testing was in place for people, visitors and the staff.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection-control arrangements are currently used for visitors and people entering the home?
  2. 02How often are residents and staff tested now, and what happens if someone tests positive?
  3. 03How are visits managed when there is no end-of-life or other exceptional circumstance?
  4. 04How often are shared areas and frequently touched surfaces cleaned?
  5. 05What is the current plan for preventing and managing an infection outbreak?

This was an unannounced targeted inspection of infection prevention and control practices during the coronavirus pandemic; the service was inspected but not rated and the report does not assess the other care questions. This explanation was written from the published report of 4 February 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.

An earlier report, explained

What inspectors found, November 2019

Rated Good; inspectors found safe, kind and personalised care, with some records and care plans still being improved.

This was the home's first inspection since registering. It was unannounced and took place on 1 and 9 October 2019. Inspectors spoke with people living there, relatives, staff and outside professionals. They also checked care records, medicines records, staff files and management records.

Inspectors found that people felt safe and well cared for. Staff were described as kind, respectful and well trained. Care was personalised, people were offered choices, and there were many activities and links with the local community. The home was clean and staff worked well with health professionals.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means the inspectors found consistently good care and management at the time of the inspection. They also noted some minor improvements, including adding more detail to care plans and making some records more consistent.

What inspectors praised
  • Kind, personalised care

    Staff knew people well and supported their privacy, dignity, independence and personal choices. Inspectors saw staff giving extra help beyond basic tasks.

    “Staff 'went the extra mile' on numerous occasions.” from the report
  • People felt safe

    People and relatives said they felt safe. Staff understood safeguarding and risks such as falls, pressure sores and poor eating or drinking.

    “People were happy at the home and felt safe and well-cared for.” from the report
  • Clean and well maintained

    The home was clean and fresh. Equipment, fire safety systems and emergency plans were checked.

    “The home was spotlessly clean and smelt fresh throughout.” from the report
  • Activities and relationships

    There was a broad activities programme, including individual and group activities, exercise, music, gardening and links with children and the local community.

    “There's an extensive activities programme; they know each person really well.” from the report
  • Strong leadership

    The manager was visible and approachable. Staff, relatives and professionals said communication was good and that the management team acted on feedback.

    “The management team were developing a culture of learning and improvement.” from the report
What inspectors were concerned about
  • Some care plans lacked detail

    needs fixing

    Some care plans did not include all relevant information, including some people's food preferences. The home was continuing to develop and review its electronic care planning system.

    “We found some care plans were lacking in a few details, such as some people's food preferences.” from the report
  • Some records were inconsistent

    needs fixing

    The manager identified inconsistent recording on food and fluid charts and repositioning charts. Processes were put in place to improve this.

    “They had put processes in place to address other issues we had found, such as inconsistent recording on food and fluid charts and repositioning charts.” from the report
  • Minor medicines improvements

    minor

    Medicines were given as prescribed and staff were trained. Inspectors found a couple of minor areas for improvement, and the manager acted immediately.

    “Although we found a couple of minor areas for improvement, the registered manager took action immediately to ensure the issues would not happen again.” from the report
Questions to ask them, based on this report
  1. 01What details are now recorded in each person's care plan, including food preferences and personal routines?
  2. 02How do you check that food, fluid and repositioning records are complete and accurate?
  3. 03What were the minor medicines issues found at the inspection, and what action was taken to prevent them happening again?
  4. 04How have staff numbers and deployment changed at busy times such as mornings, evenings and weekends?
  5. 05How will you make sure activities and community links continue to reflect each person's interests and abilities?

This was the first comprehensive inspection of the newly registered home and covered all five CQC questions, each rated Good. This explanation was written from the published report of 21 November 2019 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 Hallmark Arlington Manor Luxury Care Home

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Hallmark Arlington Manor Luxury Care Home →

  2. November 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Hallmark Arlington Manor Luxury Care Home →

  3. November 2018

    Registered with the Care Quality Commission on 8 November 2018.

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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