CQC report explained · a nursing home
What the CQC found at Home of Comfort Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, February 2020
Home of Comfort Nursing Home was rated Good; inspectors found kind, safe and personalised care, with some improvements needed to the building and dementia-friendly design.
This was an unannounced inspection on 17 and 18 December 2019. One inspector reviewed records and policies, observed care, spoke with three people, five relatives and six staff, and gathered information from professionals.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, well-managed medicines and good infection control. Staff knew people's needs and treated them with kindness, dignity and respect.
People had personalised care plans, choices about daily life and support to take part in activities. Complaints were dealt with appropriately, and people were supported with healthcare, nutrition, communication and end of life decisions.
The home needed some redecoration and modernisation. Inspectors also said its dementia-friendly design could be developed further. These points did not change the overall Good rating.
Kind and personalised care
Staff knew people well and adapted care to their preferences. Inspectors observed kindness, compassion, dignity and respect.
“People's needs were met in an individual and personalised way by staff who were kind, caring and responsive to their needs.” from the report
Safe medicines
Nurses were trained and had their competence checked. Inspectors observed medicines being given safely and without rushing.
“During the inspection, we observed nurses supporting six people with their medicines in a safe and unhurried manner.” from the report
Good food and nutrition support
People had a choice of meals and drinks, including support based on dietary needs. Inspectors saw people enjoying lunch and being supported appropriately.
“People were provided with a nutritious and balanced diet and a choice of meals and drink.” from the report
Activities and relationships
The home offered activities inside and outside the home, including individual sessions for people cared for in their bedrooms. Relatives and friends were welcomed.
“People who were cared for in their bedrooms were supported with one to one activity sessions.” from the report
Listening and improvement
The management team gathered feedback and used audits, incidents and suggestions to plan improvements.
“There was a clear action plan is put in place to address concerns found in audits and from feedback and this evidenced continuous improvement.” from the report
Building condition
minorSome parts of the home needed redecoration and modernisation. The manager had plans to replace some old and stained carpets.
“Although the service needed some redecoration and modernisation in places, it was warm and welcoming.” from the report
Dementia-friendly design
needs fixingInspectors recommended further work to bring the environment in line with best practice for people living with dementia. They noted patterned carpets, unpainted temporary door frames and non-personalised bedroom doors.
“However, we found this could be further developed in line with best practice guidance.” from the report
Weekend staffing concerns raised
minorOne relative felt there were fewer staff at weekends. Inspectors checked the rota and found staffing levels were consistent and sufficient during the inspection.
“I think they are short of staff at weekends.” from the report
Equality information
minorThe home did not always ask about all protected characteristics during initial assessments. It said a new form had been introduced and individual needs were considered during care planning.
“They did not always ask questions about all protected characteristics during the assessment stage however, they told us they ensured they looked at individual needs during care planning.” from the report
- 01What redecoration and modernisation work has been completed since the inspection, including the replacement of old and stained carpets?
- 02What changes have been made to improve the environment for people living with dementia?
- 03How do you make sure there are enough staff at weekends, and how do you respond if staffing falls short?
- 04How do you record and review a new resident's equality, diversity and personal needs?
- 05How will you keep us involved in care plan reviews and decisions about end of life care?
This was an unannounced inspection of the care provided and the premises, covering all five CQC questions; all five ratings were Good. This explanation was written from the published report of 8 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.
Every inspection of Home of Comfort Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2020Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Home of Comfort Nursing Home →
- January 2019
Registered with the Care Quality Commission on 4 January 2019.
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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