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CQC report explained · a nursing home

What the CQC found at Kings Bromley Care Home

Goodpublished 1 July 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, safe medicine management and effective infection control.
Effective?
Good
This key question was not inspected during this focused visit. The report says ratings for key questions not inspected were carried over from the last inspection.
Caring?
Good
This key question was not inspected during this focused visit. The report does not give new findings for Caring.
Responsive?
Good
Care plans were personalised and activities reflected people's interests and preferences. Complaints were handled according to the home's policy, and end of life care was described as effective and dignified.
Well-led?
Good
Inspectors found clear staff responsibilities, regular audits and systems to monitor and improve quality. People, relatives and staff were involved and able to give feedback.
The latest report, explained

What inspectors found, July 2023

Kings Bromley Care Home was rated Good; inspectors found safe, personalised care and effective management, with the overall rating unchanged.

This was an unannounced focused inspection on 25 and 26 May 2023. Inspectors spoke with 2 people, 12 relatives and 9 staff. They observed care and activities, reviewed care records, staff files, medicines records and management documents.

Safe, responsive and well-led care were rated Good. Inspectors found enough staff, safe medicine arrangements, suitable infection control and good safeguarding systems. Care plans reflected people's needs and preferences, activities were available, and complaints were handled in line with the home's policy.

This inspection was prompted partly by concerns about the overall quality of the service. The overall rating stayed Good. The previous overall rating was Good, published on 21 December 2017. Responsive care improved from Requires Improvement to Good.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff had safeguarding training and knew how to respond to concerns.

    “People were supported to feel safe and were protected from the risk of harm by a staff team who were well trained.” from the report
  • Enough staff

    Inspectors found staffing levels met people's needs. They did not observe people waiting for care during the inspection.

    “There were enough staff to meet people's needs and staff were recruited safely.” from the report
  • Personalised care

    Care plans recorded people's needs and wishes. Activities were organised around individual interests, including quieter one-to-one activities.

    “Care plans were individualised and considered people's needs and wishes.” from the report
  • End of life care

    Inspectors found that people were supported with dignity at the end of their lives, and their wishes were recorded in care plans.

    “People were supported effectively, and with dignity at the end of their life.” 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. 01How will you keep my relative's care plan up to date as their needs and wishes change?
  2. 02Which activities would match my relative's interests, background and preferred level of social contact?
  3. 03How will you support my relative's specific communication needs?
  4. 04How can I raise a complaint, and how will you keep me informed about the response?
  5. 05What evidence can you share about the Effective and Caring aspects of my relative's day-to-day care, which were not inspected during this visit?

This was a focused inspection of Safe, Responsive and Well-led only; Effective and Caring were not inspected during this visit, and the overall rating used previous ratings for the areas not inspected. This explanation was written from the published report of 1 July 2023 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, March 2021

Inspected but not rated; inspectors found strong infection control measures during a targeted Covid-19 inspection.

Inspectors visited on 8 March 2021. This was an announced, targeted inspection focused on infection prevention and control in response to the coronavirus pandemic.

They found that visitors were screened and tested, people could keep in touch with loved ones, and visits were arranged through a visiting pod in line with guidance.

The home was clean. Staff received infection control training and competency checks. Inspectors were assured about the use of protective equipment, testing, social distancing, admissions and outbreak management.

The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • Safe visiting

    Visitors were screened and tested, and the home provided a visiting pod so people could receive visits in line with government guidance.

    “Visitors were screened for symptoms of Covid-19 to ensure their visit could take place safely in line with current guidance.” from the report
  • Keeping families connected

    People were supported to stay in contact with loved ones through phone calls, video calls and window visits.

    “People were supported to maintain contact with loved ones via telephone calls, video calls and window visits.” from the report
  • Clean environment

    Inspectors found regular cleaning of frequently touched areas and monthly deep cleaning of people's rooms.

    “The environment was clean. The domestic team cleaned touch points frequently throughout the day.” from the report
  • Staff training

    Staff had infection control training and practical competency checks, including on protective equipment and deep cleaning.

    “Staff were supported by the registered manager and received training and competency checks.” 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. 01How have the visiting arrangements described in the report changed since March 2021?
  2. 02How are visitors and staff currently tested and screened for infections?
  3. 03How often are touch points and residents' rooms cleaned now?
  4. 04What training and competency checks do staff currently receive for infection prevention and control?
  5. 05How would the home manage an infection outbreak involving my relative?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas were not covered. This explanation was written from the published report of 31 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.

The story over the years

Every inspection of Kings Bromley Care Home

2 rated inspections over 6 years: the service has held its Good rating throughout.

  1. July 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Kings Bromley Care Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Kings Bromley Care Home →

  3. December 2017Good
    Safe: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. October 2016

    Registered with the Care Quality Commission on 17 October 2016.

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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