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CQC report explained · a residential care home

What the CQC found at Katherine House Rest Home

Goodpublished 22 August 2019, 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 that infection risks were being managed, including visitor safety, protective equipment, testing, hygiene, social distancing and outbreak planning.
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, October 2020

Inspected but not rated; inspectors found good infection control and support for visits and wellbeing.

This was an announced, targeted inspection on 14 October 2020. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors found that the home was preventing visitors from spreading infections, using protective equipment safely, arranging testing, and following shielding and social distancing rules. They also found up-to-date policies and plans.

The home supported planned visits and people's wellbeing. It helped people stay in touch with relatives, including using a sign language translator for one person receiving end of life care.

The service was marked “Inspected but not rated”. This means the inspection did not give a full quality rating or reassess all five areas of care.

What inspectors praised
  • Visitor safety

    Visitors were asked to complete health checks, use handwashing facilities and wear protective equipment. Visits were planned and allowed time for cleaning between them.

    “Visitors were asked to read and sign a health declaration and have their temperature checked” from the report
  • Infection control systems

    Inspectors found arrangements for testing, protective equipment, hygiene, admissions and managing possible outbreaks.

    “We were assured that the provider was making sure infection outbreaks could be effectively prevented or managed.” from the report
  • Planning and communication

    The home had policies, procedures and contingency plans, and audits were used to support improvements. Staff and relatives received regular communication.

    “Katherine House had clear policies, procedures and contingency plans in place.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What infection prevention and control arrangements are in place now?
  2. 02How are visitors currently checked and supported to use protective equipment?
  3. 03How often are people living in the home and staff tested, if testing is still needed?
  4. 04How does the home support people to communicate with relatives, including people receiving end of life care?
  5. 05What arrangements are in place to prevent and manage an infection outbreak?

This was a targeted inspection of infection prevention and control only; it did not provide a full rating across the five questions. This explanation was written from the published report of 29 October 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.

An earlier report, explained

What inspectors found, August 2019

Rated Good overall, with Outstanding responsive care; inspectors found kind, personalised support and only minor areas being addressed.

This was an unannounced planned inspection on 20 June 2019. Inspectors spoke with people living at the home, relatives and staff. They observed care and checked care, medicine, recruitment and other records.

The home was rated Good for Safe, Effective, Caring and Well-led. People were found to be safe, treated with kindness and respect, and supported by staff who understood their needs. The home was clean and there were enough staff to meet people's needs.

Responsive was rated Outstanding. Inspectors found highly personalised care, varied activities, strong links with the community and thoughtful support for equality, communication, relationships and end of life wishes.

The overall rating stayed Good, the same as at the previous inspection in 2016. Responsive care improved from Good to Outstanding.

What inspectors praised
  • Personalised care

    Care was tailored to people's interests, preferences and life histories. People and families were involved in creating care plans.

    “People received care of very good quality that was person centred and valued people as individuals.” from the report
  • Activities and relationships

    The wellbeing team arranged varied activities and outings, including theatre trips, dancing, yoga and community projects. Links with other homes and organisations helped reduce social isolation.

    “People living at the home were supported to live active and fulfilling lives.” from the report
  • Kind and respectful staff

    Inspectors saw warm, cheerful interactions throughout the day. Staff understood people's individual preferences and supported independence and privacy.

    “Conversation was fun and light hearted, which created a pleasant and cheerful atmosphere.” from the report
  • Support for equality and communication

    The home supported people to express their identity and preferences. It used measures such as larger print, a hearing loop and personalised communication approaches when needed.

    “There was an understanding of the diverse needs of people living in the home including those who identified as LGBT.” from the report
  • Positive leadership

    Inspectors found motivated staff and managers who listened to people's views. Regular audits and meetings were used to monitor the quality and safety of the home.

    “The management team provided good leadership to a committed and motivated staff team.” from the report
What inspectors were concerned about
  • Training delivery

    needs fixing

    Some feedback said staff training was mainly paper based and that more variety would help. The home said this was already being addressed with a new trainer.

    “We did receive some feedback that training was very much 'paper based' and that some variety in how training was delivered would be beneficial.” from the report
  • Night staffing vacancies

    minor

    The home was recruiting to vacant night shift posts and sometimes used agency staff. Inspectors still found staffing levels sufficient at the time of the visit.

    “The home was in the process of recruiting to vacant night shift posts.” from the report
  • Medicine supply system

    minor

    Medicines were supplied in a monitored dosage system, but this arrangement was being reviewed. Inspectors found suitable storage, stock checks and recording arrangements.

    “At the time of our inspection, medicines were being supplied in a monitored dosage system, but this was under review.” from the report
Questions to ask them, based on this report
  1. 01What changes have been made to make staff training less paper based?
  2. 02Have all vacant night shift posts now been filled, and how often is agency staff used at night?
  3. 03What decision was reached about the monitored dosage system for medicines?
  4. 04How will activities be matched to my relative's interests, history, communication needs and identity?
  5. 05How will my relative's end of life wishes be recorded and supported if they want to remain at the home?

This was an unannounced planned inspection covering all five CQC questions; the overall rating remained Good and Responsive improved from Good to Outstanding since 2016. This explanation was written from the published report of 22 August 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.

The story over the years

Every inspection of Katherine House Rest Home

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

  1. October 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Katherine House Rest Home →

  2. August 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at Katherine House Rest Home →

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

    Read this report on cqc.org.uk

  4. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 14 January 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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