CQC report explained · a nursing home
What the CQC found at Knights' Grove Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed through visiting controls, cleaning, testing, social distancing, handwashing and safe use of personal protective equipment.
- Effective?
- Outstanding
- This targeted inspection did not provide a finding or rating for effective care.
- Caring?
- Outstanding
- This targeted inspection did not provide a finding or rating for caring.
- Responsive?
- Outstanding
- This targeted inspection did not provide a finding or rating for responsive care.
- Well-led?
- Outstanding
- This targeted inspection did not provide a finding or rating for well-led care.
What inspectors found, March 2021
Inspected but not rated; inspectors were assured infection-control measures were in place during a targeted COVID-19 inspection.
Inspectors visited the home on 9 February 2021. This was an announced, targeted inspection looking at infection prevention and control during the coronavirus pandemic.
They found planned visiting arrangements, including a visiting pod and a separate indoor visiting area. The home also supported contact with families through video calls, social media and telephone calls.
Inspectors were assured that the home used personal protective equipment safely, followed social distancing and shielding rules, carried out regular testing and maintained good cleaning standards. A recent outbreak had been contained to one floor.
The service was inspected but not rated. This means the visit did not give the home a full quality rating or a rated judgement across all five areas of care.
Safer visiting
The home had a visiting policy, a garden-accessed visiting pod and a separate indoor visiting area. Visits were scheduled with time allowed for cleaning between them.
“All visits were scheduled and included time in between each visit to allow for staff to clean the visiting areas.” from the report
PPE and handwashing
Staff had ongoing training about infection prevention, personal protective equipment and handwashing. The home regularly checked whether procedures were being followed.
“Staff had received specific and ongoing training including IPC, personal protective equipment, and handwashing.” from the report
Testing arrangements
Residents were tested monthly and staff weekly. Extra rapid tests had also been introduced.
“Staff were tested weekly for Covid 19 and additional rapid flow tests had been introduced.” from the report
Clean environment
Inspectors found the home clean and hygienic. Cleaning of frequently touched areas had been increased.
“Routine cleaning schedules had been enhanced with increased cleaning of contact points, such as doors, handles, handrails, and light switches.” from the report
Outbreak management
The home had managed to contain a recent outbreak to one floor.
“Staff had successfully contained a recent outbreak to one floor of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01What visiting arrangements are in place now, and how are visiting areas cleaned between visits?
- 02How are staff trained and checked on the safe use of personal protective equipment and handwashing?
- 03How often are residents and staff tested now, and what happens if someone tests positive?
- 04How does the home prevent an infection outbreak from spreading between floors?
- 05When was the last full inspection covering effective, caring, responsive and well-led care?
This was a targeted inspection of infection prevention and control under Safe; it did not rate the other four key questions or give a full overall quality rating. This explanation was written from the published report of 3 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.
What inspectors found, March 2019
Rated Outstanding overall; inspectors found exceptionally caring, personalised support, with Safe rated Good and occasional medicines shortfalls addressed promptly.
This was a routine comprehensive inspection on 5 and 12 December 2018. The first day was unannounced. Inspectors spoke with people living in the home, staff, visitors and health professionals. They also reviewed care plans, medicines records, recruitment and training files, audits and maintenance records.
The overall rating was Outstanding. Effective, Caring, Responsive and Well-led were all rated Outstanding. Safe was rated Good. Inspectors found people were treated with kindness and respect, received personalised care, and were supported to stay active, maintain relationships and make choices.
The home supported older people, including people living with dementia, and provided nursing care. Inspectors found strong staff training, good links with health professionals, safe medicines systems, meaningful activities and robust checks on the quality of care.
The home was being refurbished during the inspection. Inspectors found it remained clean, well maintained and homely despite the disruption. Medicines audits had found occasional shortfalls, but the report says immediate action was taken.
Kind and personal care
Staff knew people well and supported their dignity, independence and personal choices. Inspectors saw staff spending time talking with people and helping them feel relaxed.
“Feedback from people, relatives and visitors was that staff provided outstanding care and support and went the 'extra mile' to ensure that people felt cared for.” from the report
Meaningful activities
Activities were based on people's interests and histories. Staff supported people to take part in community events and helped make personal wishes happen.
“There was a very strong emphasis on the provision of activities that were meaningful to the people living in the home.” from the report
Strong staff training
New staff completed a comprehensive induction and staff received regular training and supervision. Staff were not left to work alone until their competence was clear.
“Staff completed a comprehensive induction and did not work unsupervised until they and the management team were confident they were competent to do so.” from the report
Good improvement work
The home used audits, feedback and analysis to identify improvements. Projects to reduce falls and dehydration had produced positive results.
“Analysis of the project showed that the number of falls had significantly decreased.” from the report
Support at the end of life
People's end-of-life wishes were recorded and reviewed. Staff worked with health services and aimed to provide a comfortable and dignified death.
“The service supported people nearing the end of life to have a comfortable and dignified death by working closely with health care services and through consulting people about end of life wishes.” from the report
Inspectors raised no specific concerns in this report.
- 01What were the occasional medicines shortfalls found by your audits, and what has changed to prevent them happening again?
- 02How will you assess and review my relative's individual risks, including falls, pressure damage, nutrition and hydration?
- 03How do you make sure activities reflect my relative's interests, history, culture and communication needs?
- 04What training and supervision will the staff caring for my relative receive, particularly for dementia and nursing needs?
- 05How will you record and review my relative's wishes for end-of-life care?
This was a routine comprehensive inspection covering all five key questions, the premises and the care provided. This explanation was written from the published report of 27 March 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 report was longer than we could read in one go; the later sections may not be reflected.
Every inspection of Knights' Grove Care Home
2 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2019Outstandingup from GoodSafe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- June 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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26 live-in carers within about an hour of Hampshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.
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