CQC report explained · a nursing home
What the CQC found at Iffley Residential and Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that people were protected from abuse and avoidable harm. Risks were assessed, staffing was sufficient, medicines were given safely and the home was clean.
- Effective?
- Good
- People's needs and dietary preferences were assessed and supported. Staff received ongoing training, and the home worked with health professionals when people needed healthcare.
- Caring?
- Good
- Staff were described and observed as caring, respectful and compassionate. People were involved in decisions, and their privacy, confidentiality and independence were promoted.
- Responsive?
- Good
- Care plans reflected people's needs and preferences. People had activities and outings, communication was adapted to individual needs, and complaints were dealt with promptly.
- Well-led?
- Good
- Inspectors found experienced leadership, regular audits and an open culture. The home was continuing to introduce electronic systems, although some care-plan templates were confusing.
What inspectors found, October 2019
Iffley Residential and Nursing Home was rated Good; inspectors found safe, kind and responsive care, with some care-plan templates needing improvement.
This was an unannounced planned inspection on 26 September 2019. Inspectors spoke with 10 people, two relatives, 16 staff members and eight outside health and social care professionals. They also checked care records, medicines records, staff files, complaints, accidents and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably trained staff, safe medicines practice, good support with food and healthcare, and care that reflected people's needs and choices.
People were treated with kindness and respect. They were involved in decisions, supported to stay independent and offered activities based on their interests. The home had systems to check quality and respond to concerns, although some parts of a new electronic care-planning system were confusing.
Kind and respectful care
Staff involved people in decisions, protected their dignity and encouraged independence. Inspectors saw a warm and calm atmosphere.
“There was a warm and calm atmosphere at the home and staff communicated well to ensure people's needs were met.” from the report
Personalised activities
The home offered activities and outings, and staff explored people's interests. This included arranging activities linked to individual hobbies.
“Staff explored people's interests in order to provide them with meaningful interactions.” from the report
Good partnership working
The home worked with GPs, therapists, hospice staff and other health and social care professionals to support people's needs.
“The team worked well with external health professionals such as GPs, Speech and Language Therapists and Care Home Support Service (CHSS).” from the report
Confusing electronic care-plan templates
needs fixingSome pre-populated pages in the new electronic care-planning system were confusing. The management team said further training and amendments were planned.
“We found that some of the pre-populated pages of the templates were confusing in places.” from the report
Further dementia signage planned
minorMore dementia-friendly signage was due to be introduced on the middle floor. Ask whether this work has been completed.
“There was further dementia friendly signage to be introduced on the middle floor which was primarily occupied by people living with the condition.” from the report
- 01What changes have been made to the confusing pre-populated pages in the electronic care-planning system?
- 02What extra training have staff received on using the electronic care-planning system?
- 03Has the planned dementia-friendly signage on the middle floor been introduced?
- 04How will you make sure my relative's care plan reflects their choices, interests and communication needs?
- 05How are medicines, accidents, care plans and other quality issues checked through the home's audits?
This was an unannounced comprehensive inspection covering all five CQC questions, and all five ratings were Good. This explanation was written from the published report of 19 October 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.
What inspectors found, April 2017
Rated Good; inspectors found safe, kind and responsive care, with medicines management improved since the previous inspection.
Inspectors visited the home without notice on 15 and 16 March 2017. They observed care, spoke with people, relatives, staff and an outside professional, and checked care records, medicines records, recruitment files and management information.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, staff were kind and respectful, and people received support that met their needs.
The previous inspection found problems with medicines records and medicines not always being given as prescribed. Inspectors found this had been put right. They also noted some areas still needed attention, including keeping care plans up to date and making some capacity assessments more specific.
Medicines were safer
The earlier medicines problem had been addressed. Inspectors found medicines were given safely and records were accurate.
“At this inspection in March 2017 we found people received their medicine safely and medicine records were completed accurately.” from the report
Enough staff
Inspectors found staffing levels were sufficient to keep people safe and people were helped without unnecessary delay.
“There were sufficient staff to keep people safe.” from the report
Kind and respectful care
People described staff as kind and patient. Inspectors saw staff supporting privacy, dignity, communication and independence.
“People we spoke with praised the caring nature of staff.” from the report
Individual support
Staff used people's histories, preferences and interests to shape activities and daily support.
“Staff used the information about people's background to enhance their well-being.” from the report
Management oversight
The manager used audits and action plans to monitor the home and address identified improvements.
“The registered manager had systems in place to monitor the quality of the service.” from the report
Capacity assessments
needs fixingSome assessments did not relate to the particular decision being made. The manager had already identified this and planned further training for senior staff.
“However, we noted that some capacity assessments were generic and did not relate to specific decisions.” from the report
Food choices
minorSome people said there was not enough choice on the menus, particularly at tea time. Others felt some of the food was too elaborate.
“We did however received some negative feedback about the menus; some people said there was not enough choice, especially at tea time, when others said the food was 'too fancy'.” from the report
Care records needed updating
needs fixingThe manager knew that some care plans were not fully up to date and had arranged a meeting to reinforce staff responsibilities.
“The registered manager was aware some care plans needed updating.” from the report
Night and day communication
needs fixingManagers had identified that the working relationship between night and day staff could be better. The deputy manager planned to work night shifts to help introduce improvements.
“They had identified that working relationship between the night staff and the day staff could be improved.” from the report
- 01How are you making sure each person's capacity assessment relates to the specific decision being considered?
- 02What changes have been made to the menu, especially the choice available at tea time?
- 03Which care plans needed updating, and how do you check that they now remain current?
- 04What has changed in the working relationship and handover between night staff and day staff?
- 05How do you check that medicines continue to be given as prescribed and recorded accurately?
This was an unannounced inspection covering all five areas, with the overall rating and each individual rating assessed. This explanation was written from the published report of 28 April 2017 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 Iffley Residential and Nursing Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Iffley Residential and Nursing Home →
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Iffley Residential and Nursing Home →
- August 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- January 2013
Registered with the Care Quality Commission on 23 January 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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