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CQC report explained · a residential care home

What the CQC found at Headonhey

Goodpublished 11 February 2020, 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 risks were being managed, including visitors, testing, protective equipment, cleaning and outbreak response.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control and safe visiting arrangements during a COVID-19 outbreak.

This was a targeted, announced inspection on 9 February 2022. The inspectors looked mainly at infection prevention and control, and asked about staffing pressures linked to COVID-19.

They found safe visiting arrangements, regular testing and appropriate use of protective equipment. The home was clean, staff had infection control training, and vaccination or exemption checks were in place for staff and professional visitors.

Staff from other services covered colleagues who were isolating. These staff already knew the people living at the home, and the arrangements had been risk assessed.

The home was inspected but not rated. This means the visit did not provide a new overall quality rating.

What inspectors praised
  • Infection control training

    Staff had regular training in infection control and protective equipment. Inspectors observed staff using the correct equipment.

    “Staff had completed regular infection control and use of PPE training.” from the report
  • Clean home

    The home was clean, with daily cleaning schedules completed by the housekeeper and staff.

    “The home was clean throughout. A housekeeper and staff completed daily cleaning schedules.” from the report
  • Staff vaccination and testing

    Staff were vaccinated or exempt and took part in regular testing. Professional visitors were checked before entering.

    “All staff had had their COVID-19 vaccinations, or were exempt, and took part in the regular testing programme at the home.” from the report
  • Staffing cover

    Staff from other services covered colleagues who were isolating. The cover was risk assessed and involved staff who already knew the residents.

    “These moves were risk assessed and involved members of staff who already knew the people living at the home.” 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. 01How are visiting arrangements currently managed, including testing and the use of the external marquee?
  2. 02How do you cover shifts when staff are isolating or unavailable, and will replacement staff already know my relative?
  3. 03How often are staff trained and checked on infection control and use of protective equipment?
  4. 04How do you manage future infection outbreaks and keep families informed?
  5. 05Which current ratings cover areas that were not assessed during this inspection?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not provide ratings for the other care areas. This explanation was written from the published report of 3 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.

An earlier report, explained

What inspectors found, February 2020

Headonhey rated Good; inspectors found safe, kind and person-centred care, but end-of-life training and planning needed further work.

The inspection was unannounced and took place on 7 and 8 January 2020. One inspector spoke with a person living at the home, relatives and staff. They also observed care and checked care plans, training records, audits, maintenance records and policies.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines, detailed care plans and support for people to make choices, build independence and take part in activities.

The main area needing improvement was end-of-life care. Staff had not yet received training, and discussions about people's wishes and relatives' preferences had not always been fully completed. The home was not supporting anyone at the end of their life during the inspection.

The overall rating remained Good, the same as at the previous inspection published on 12 July 2017. Good means inspectors found the service met the relevant standards at the time of this inspection, although some improvements were still needed.

What inspectors praised
  • Safe medicines

    Medicines were administered using clear routines. The records checked were accurate, and staff had been trained and assessed as competent.

    “The medication administration records we checked were accurate and easy to follow.” from the report
  • Personalised support

    Care plans described people's needs, wishes and communication methods in detail. Staff supported people to make choices and become more independent.

    “People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.” from the report
  • Kind and respectful care

    Inspectors saw staff providing patient and compassionate support. People’s dignity, privacy and independence were respected.

    “Our observations throughout the inspection indicated that staff were warm, kind and caring in their interactions with people.” from the report
  • Activities and relationships

    People took part in activities in the home and local community, including trips, exercise, arts and crafts, swimming and holidays. Staff also supported people's relationships.

    “We saw a varied range of activities on offer which included, music, arts and crafts, exercise, trips to local cafes, restaurants, swimming and supported holidays.” from the report
What inspectors were concerned about
  • End-of-life staff training

    needs fixing

    Support staff had not received end-of-life care training when inspectors visited. The training manager said this was being sourced.

    “However, we found the support staff had not received training in end of life care.” from the report
Questions to ask them, based on this report
  1. 01What end-of-life care training have support staff completed since this inspection?
  2. 02How do you discuss and record a person's end-of-life wishes if they cannot communicate verbally or may find the subject distressing?
  3. 03How are relatives involved in recording and reviewing end-of-life preferences?
  4. 04How will you support my relative's particular communication methods, such as gestures, facial expressions, pictures or Makaton?
  5. 05What activities and community outings would be suitable for my relative's interests and abilities?

This was an unannounced inspection of the care home covering all five CQC questions, including both the premises and the care provided. This explanation was written from the published report of 11 February 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.

The story over the years

Every inspection of Headonhey

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Headonhey →

  2. February 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Headonhey →

  3. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. March 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 20 January 2011.

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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