CQC report explained · a nursing home
What the CQC found at Hundens Park
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including through PPE, testing, cleaning, social distancing, safe admissions and outbreak arrangements.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Requires improvement
- This question was not assessed in this targeted inspection.
What inspectors found, December 2021
Inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19-focused visit.
Inspectors made an unannounced, targeted visit on 16 November 2021. They looked specifically at infection prevention and control because of the CQC's response to COVID-19 outbreaks in care homes.
They found arrangements for safe visits from health professionals, including checks on vaccination status and COVID-19 test results. There was enough personal protective equipment, staff used it correctly, and staff had completed related training.
The home was clean and tidy. Inspectors were assured about visitor arrangements, social distancing, testing, admissions, PPE, cleaning, outbreak management and the infection control policy. The service was inspected but not rated, so this report does not give an overall quality rating.
Personal protective equipment
There was enough PPE, including masks, gloves, aprons and hand sanitiser. Staff used PPE appropriately and there were enough PPE stations throughout the home.
“Staff were seen to be wearing PPE appropriately during the visit and there were enough PPE stations throughout the home.” from the report
Cleanliness
The home was clean and tidy, with particular attention given to frequently touched areas such as door handles and light switches.
“we observed the home was clean and tidy with emphasis on cleaning and sanitising regular touch points, such as door handles and light switches.” from the report
Safe visiting arrangements
Visits from health professionals included checks on vaccination status and COVID-19 test results. The home was also facilitating visits for people living there in line with current guidance.
“Safe arrangements were in place for people to receive visits from health professionals which included checks on their vaccination status and Covid-19 test results.” from the report
Staff training
Staff had completed training on putting on and removing PPE, as well as other COVID-19-related training.
“Staff had undertaken training in putting on and taking off PPE and other Covid-19 related training.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently managed, and what checks are made on visitors' vaccination status and COVID-19 test results?
- 02How often do staff refresh their training on putting on and taking off PPE?
- 03How do you check that PPE stations remain fully stocked and that staff use PPE correctly?
- 04How often are frequently touched areas such as door handles and light switches cleaned and sanitised?
- 05What arrangements are in place now for testing, safe admissions and managing any infection outbreak?
This was an unannounced, targeted inspection of infection prevention and control only, and the service was inspected but not rated. This explanation was written from the published report of 15 December 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, March 2021
Rated Good overall, with safe care but well-led rated Requires Improvement.
This was an unannounced focused inspection on 25 February and 1 March 2021. Inspectors looked only at Safe and Well-led, after concerns about management support, food preparation and staffing. They spoke with staff and relatives, observed lunch preparation, and checked care, medicine, recruitment and management records.
Safe was rated Good. Inspectors found effective infection control, safe medicine management, suitable safeguarding procedures and well-managed risks. Staffing was safe during the visit, although some staff said busy periods could feel stretched. The provider was asked to review how staff were deployed at key times.
Well-led was rated Requires Improvement, the same as at the previous inspection. The home had an interim management team and no registered manager at the time. Inspectors found that improvements had started, including better quality checks and staff engagement, but management and leadership were still inconsistent. The overall rating remained Good because the other three question ratings were carried forward from the previous comprehensive inspection.
Infection control
Inspectors found that infection control arrangements were embedded and that staff followed guidance on protective equipment and preventing infection.
“Infection control processes were embedded and staff were observed to understand and follow government guidance regarding the wearing of PPE and understood good infection control practice.” from the report
Medicines
Medicines were stored, given and recorded safely by trained staff.
“Medicines were safely managed. Appropriate arrangements were in place for the safe storage, administration and recording of medicines.” from the report
Risk and safeguarding
Individual risks were reviewed and managed, and staff understood safeguarding procedures.
“People were protected from the risk of abuse. The management team and staff understood safeguarding procedures and had been trained in safeguarding vulnerable adults.” from the report
Family communication
Relatives generally felt communication was good and said staff were kind and knowledgeable.
“Relatives we spoke with felt that communication with the service was generally good and they felt staff were caring, knowledgeable and kind.” from the report
Recent improvements
The home had taken action on mealtimes through training, extra support and recruitment, and the interim managers had introduced further checks and staff support.
“The interim manager had undertaken a range of quality checks and audit processes and re-introduced peer reviews for lead staff to undertake to ensure consistency across the units.” from the report
Staffing at busy times
needs fixingAlthough staffing was safe during the inspection, some staff said the first floor could feel stretched at key times. The provider was asked to review staff deployment.
“Some staff raised with us they felt at key times on the first floor that staffing was "stretched".” from the report
No permanent registered manager
needs fixingThere was no manager registered with the CQC during the inspection. The manager in post was temporary and a recruitment process was under way.
“There was no registered manager formally registered with the CQC at the home, during the inspection the previous manager had de-registered.” from the report
Previous lack of staff support
minorSome staff said they had not felt supported under the previous manager. Inspectors found that the interim team had begun taking steps to improve support.
“Some staff we spoke with told us they had not felt supported under the previous manager.” from the report
- 01How will you make sure there are enough staff on the first floor during the busiest times?
- 02Who is currently managing the home, and when do you expect a permanent registered manager to be in post?
- 03What changes have been made to meals since the concerns about presentation and nutritional appropriateness?
- 04How are staff asked for their views, and how do managers act on concerns about support?
- 05How will you show families that the new quality checks and peer reviews are improving care consistently across the units?
This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 23 March 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.
Every inspection of Hundens Park
3 rated inspections over 5 years: the service has held its Good rating throughout.
- December 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2021Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2017Goodstayed GoodSafe: GoodWell-led: Requires improvement
- November 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 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.
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