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CQC report explained · a residential care home

What the CQC found at Iddenshall Hall

Goodpublished 28 November 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including PPE, testing, social distancing, visiting, admissions and outbreak management. They also found the premises clean and hygienic.
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?
Outstanding
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

Iddenshall Hall was inspected but not rated; inspectors were assured about infection control, with some further development suggested.

This was an announced, targeted inspection on 25 January 2021. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was managing visitors, social distancing, admissions, PPE, testing and possible outbreaks. They also found the environment clean and hygienic, with extra cleaning in place.

The home was inspected but not rated. This means the report does not give an overall quality rating or a separate rated judgement for safety. Inspectors signposted the provider to resources to develop its approach.

What inspectors praised
  • Clean environment

    The home was clean and hygienic, with increased cleaning to reduce the risk of infection spreading.

    “The environment was very clean and hygienic and increased cleaning schedules to reduce the risks of cross infection were in place.” from the report
  • PPE and testing

    Staff were seen wearing the correct PPE and inspectors were assured that PPE was used safely. People living in the home and staff were taking part in regular COVID-19 testing.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Communication with relatives

    Relatives said they received regular updates about COVID-19 cases, visiting arrangements and vaccinations.

    “They are very open and transparent, and we always know whether visiting is allowed or not.” from the report
What inspectors were concerned about
  • Further development suggested

    minor

    Inspectors signposted the provider to resources to develop its infection prevention and control approach. The report does not explain which parts needed development.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What infection prevention and control resources did inspectors ask the home to use, and what changes were made afterwards?
  2. 02How are people living in the home and staff tested for COVID-19 now?
  3. 03How does the home currently manage visits and protect people from infection?
  4. 04What arrangements are in place if someone develops symptoms or there is an outbreak?
  5. 05How often are communal areas and other parts of the home cleaned?

This was a targeted inspection of infection prevention and control only, so it did not rate the home's wider care or overall quality. This explanation was written from the published report of 12 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 2018

Rated Good overall, with Outstanding responsiveness and highly personalised activities and care planning.

This was an unannounced comprehensive inspection on 24 September and 3 October 2018. Inspectors spoke with people living in the home, relatives, managers and care staff. They also checked care records, staff recruitment records and other management records.

The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found that people's risks were assessed, medicines were managed safely, staff were trained and people were treated with dignity and respect.

The home was rated Outstanding for Responsive. Inspectors found very detailed personal care plans and a wide range of activities based on people's interests, abilities and backgrounds. The overall Good rating stayed the same as at the previous inspection, while Responsive improved from Good to Outstanding.

What inspectors praised
  • Personalised care planning

    Care plans included detailed information about people's histories, cultural backgrounds, wishes and changing needs. People and families were involved in reviews where appropriate.

    “Care plans provided highly detailed and personalised information with clear guidelines for staff to support people in important aspects of their lives.” from the report
  • Meaningful activities

    The home offered group and one-to-one activities linked to people's interests and goals. Inspectors saw examples of activities helping people build confidence, mobility and social connections.

    “The activities available to people were extensive.” from the report
  • Kind and respectful staff

    Staff knew people well and understood their likes, dislikes and communication needs. Inspectors observed privacy and dignity being maintained during care.

    “Many of the staff had worked at the service for a number of years; it was clear when speaking with staff and observing their actions that they knew people well and had good positive relationships with them.” from the report
  • Safe medicines management

    Medicines were stored securely and administered by trained staff. Records, storage temperatures and medicine expiry dates were checked.

    “There were safe systems for the administration, ordering, storage and disposal of medicines.” from the report
  • Open management

    People, relatives and staff described managers as visible, supportive and approachable. The home carried out regular checks and acted to maintain quality and safety.

    “The quality and safety of the service was regularly checked.” from the report
What inspectors were concerned about
  • Falls work was still being evaluated

    minor

    The home had introduced movement classes and worked with a falls team, but it was still collecting information to find out whether falls had reduced.

    “The service was in the process of collating information to determine whether falls had been reduced as a result of this initiative.” from the report
Questions to ask them, based on this report
  1. 01How will you measure whether the Morning Movement falls prevention work has reduced falls?
  2. 02How would you match activities to my relative's interests, abilities, communication needs and preferred level of social contact?
  3. 03How often would my relative's care plan be reviewed, and how would our family be involved?
  4. 04What training and supervision would the staff supporting my relative receive?
  5. 05How would I raise a concern or complaint, and who would keep me informed about the outcome?

This was an unannounced comprehensive inspection covering the overall service, including care, accommodation, records, staffing, medicines and management. This explanation was written from the published report of 28 November 2018 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 Iddenshall Hall

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

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

    Read what inspectors found at Iddenshall Hall →

  2. November 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Iddenshall Hall →

  3. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. 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.

Next steps

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