CQC report explained · a nursing home
What the CQC found at Hurstead House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection control arrangements, including PPE, testing, safe admissions and managing outbreaks. They found incomplete cleaning records and no routine infection control audits.
- 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.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong infection control arrangements but incomplete cleaning records and visitor risk assessments.
This was an unannounced targeted inspection on 26 January 2021. It checked infection prevention and control during the coronavirus outbreak.
Inspectors were assured about PPE, testing, social distancing, shielding, safe admissions and managing infection outbreaks. Families were kept updated, and the home had clear coronavirus signs, good ventilation and enough PPE.
There were some shortfalls. Cleaning records were not always completed, including for high-touch areas such as handrails. Infection control audits were not routinely taking place, and visitor risk assessments had not been completed at the time of the visit. The home said these issues would be addressed.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.
PPE and infection control
Inspectors were assured that PPE was being used safely and that there was enough stock.
“National guidance was followed on the use of personal protective equipment (PPE) and the service had sufficient stock.” from the report
Testing and vaccination
Residents and staff were taking part in regular coronavirus testing and the vaccination programme.
“Staff and residents were taking part in regular covid 19 testing and the vaccination programme.” from the report
Family communication
The home displayed clear information about the outbreak and kept families updated about relatives' health.
“There was clear signage displayed about the covid outbreak and families were kept updated about their relatives health.” from the report
Ventilation and staffing
The home had good ventilation, an air-purifying machine, an infection control lead and more domestic staffing.
“There was good ventilation with windows open in the home and the provider had invested in an air purifying machine.” from the report
Cleaning records
needs fixingCleaning records were not consistently completed, including for high-touch areas such as handrails.
“Cleaning records had not always been consistently completed, including the cleaning of high touch areas such as handrails.” from the report
Infection control audits
needs fixingRoutine infection control audits were not taking place. The provider said these would be implemented.
“IPC audits were not routinely taking place.” from the report
Visitor risk assessments
needs fixingThe home had visitor risk assessments, but they had not been completed when inspectors visited. The home later confirmed that this had been implemented.
“We noted that although the service had visitor risk assessments, they were not being completed.” from the report
- 01How are cleaning records for handrails and other high-touch areas completed and checked now?
- 02Are infection control audits now taking place routinely, and can families see the latest findings?
- 03How are visitor risk assessments completed before visits?
- 04What changes were made after the inspection to domestic staffing and cleaning hours?
- 05How are residents and staff taking part in coronavirus testing and the vaccination programme?
This was an unannounced targeted inspection of infection prevention and control during a coronavirus outbreak; the report does not rate Effective, Caring, Responsive or Well-led. This explanation was written from the published report of 27 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.
What inspectors found, November 2019
Hurstead House Care Home rated Good; inspectors found safe, kind and well-organised care, with improvements still needed to fire drills and end-of-life records.
This was an unannounced inspection over two days. Inspectors spoke with people living at the home and staff, and reviewed care plans, medicines records, recruitment files, meetings and quality checks. There were 25 people living there, although the home can accommodate up to 30.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, care was personalised and staff treated people with dignity and respect.
The inspectors made two recommendations. Fire drills were held at the same time each week, so some staff might not have practised what to do in an emergency. End-of-life wishes were recorded, but not in enough detail. The home was no longer in breach of regulations.
The previous inspection, published in August 2018, rated the home Requires Improvement and found a breach relating to good governance. Inspectors found that the provider had acted on its improvement plan and that the service had improved to Good.
Safe medicines
Inspectors found no medicines errors. Staff had training and competency checks, and medicines systems were audited.
“The administration of medicines remained safe. We checked the systems for ordering, storing, administering and disposing of medicines.” from the report
Personalised care
Care plans included people's histories, preferences and interests. This helped staff provide individual support.
“We saw in the plans of care that there were good details about a person's past life, their likes and dislikes, interests and hobbies.” from the report
Kind and respectful staff
People were supported to make everyday choices and their privacy and dignity were respected.
“Other people told us their independence was respected by not being cajoled into attending activities or completing personal care themselves.” from the report
Activities and social life
The home offered group and one-to-one activities, trips and entertainment. Inspectors saw people enjoying activities during the visit.
“There were trips to places of interest, outside entertainers came into the home and themed days held such as Diwali to celebrate different cultures.” from the report
Improved management
Managers used audits, meetings and links with other organisations to improve the service. The previous governance breach had been resolved.
“At this inspection the service had made improvements. The deputy and registered managers conducted audits around the quality of service provision.” from the report
Fire drill arrangements
needs fixingFire drills took place at the same time each week. Inspectors were concerned that some staff might not get the chance to practise their emergency response.
“However, because they were held at the same time each week it may be that some staff never get to be involved in how they should respond to a fire.” from the report
End-of-life wishes
needs fixingThe home recorded some basic end-of-life wishes, but inspectors said the records were not detailed enough to make sure people's preferences would be followed if their health deteriorated.
“However, the records were not particularly detailed, and we have recommended the provider look at best practice regarding the details needed to effectively record people's end of life wishes” from the report
- 01How often are fire drills now held at different times, including for night staff?
- 02How are you recording each person's detailed end-of-life wishes and keeping those records up to date?
- 03What areas of the home still need redecoration, and when will this work be completed?
- 04How do you check that care plans are reviewed promptly when a person's needs change?
- 05What further end-of-life training has staff completed since the inspection?
This was an unannounced inspection covering all five CQC questions, including the care provided and the home environment. This explanation was written from the published report of 13 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.
Every inspection of Hurstead House Care Home
4 rated inspections over 5 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2018Inadequatedown from GoodSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- January 2015GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- August 2014
Report published without a new overall rating.
- August 2013
Registered with the Care Quality Commission on 12 August 2013.
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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