CQC report explained · a nursing home
What the CQC found at Leominster Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. This included visitor screening, use of PPE, testing, social distancing and managing infection outbreaks.
- 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?
- Good
- 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.
What inspectors found, January 2021
Leominster Care Home was inspected but not rated; inspectors were assured that infection prevention and control measures were being followed.
This was a planned, announced inspection on 9 December 2020. It was a targeted inspection because of coronavirus outbreaks and looked only at infection prevention and control.
Inspectors were assured that the home used safe procedures for visitors, social distancing, admissions, testing and personal protective equipment. They also found suitable arrangements for separating people who tested positive from those who tested negative.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for care areas other than infection prevention and control.
Visitor safety
Visitors were asked to sanitise their hands, have their temperatures taken and complete a COVID-19 screening questionnaire. PPE and clear information were available at the entrance.
“Visitors to the home were invited to sanitise their hands, had their temperatures taken and completed a Covid-19 screening questionnaire prior to entering the home.” from the report
Family contact
People were supported to stay in contact with relatives and friends using video, social media and telephone calls. The management team also kept relatives informed about people's wellbeing.
“People were supported to maintain contact with relatives and friends who were important to them through video, social media and telephone calls.” from the report
Managing infection
People who tested positive were supported to self-isolate, while people who tested negative were kept separate as much as possible during the isolation period.
“People who had tested positive for Covid-19 self-isolated in line with current guidance; whilst ensuring those people testing negative were kept separate as much as possible for the duration of the isolation period.” from the report
Staff precautions
Staff used a separate entrance, changed their clothing on arrival and had arrangements to support social distancing during breaks.
“Staff used a separate entrance to access the home and changed their clothing on arrival.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently screen visitors, including hand sanitising, temperature checks, screening questions and PPE?
- 02How are residents supported to keep in contact with relatives and friends if face-to-face visits are restricted?
- 03What arrangements are currently in place for staff to change clothing and keep apart during breaks?
- 04How do you separate people who test positive from people who test negative, and how is self-isolation supported?
- 05How are PPE, clinical waste and laundry managed now?
This was a targeted inspection of infection prevention and control practices only; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 6 January 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, June 2019
Leominster Care Home was rated Good in all five areas; inspectors found safe, kind and personalised care, with some care staff still developing their understanding of capacity decisions.
This was an unannounced scheduled inspection on 7 May 2019. One inspector spoke with six people living at the home, one relative and several staff. They also looked at care records, medicine records, audits and other management records.
The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines practice, clean surroundings and good communication about people's changing needs.
People were involved in their care and were treated with dignity. They were supported with food, healthcare, activities, hobbies and complaints. The home had the same Good overall rating at its previous inspection, published in November 2016.
Safe staffing and medicines
People and staff said there were enough staff to meet people's needs. Inspectors found medicines were received, stored, given and disposed of safely.
“People were receiving their medicines when they should. The provider was following safe protocols for the receipt, storage, administration and disposal of medicines.” from the report
Good communication
Staff shared information about people's changing health and care needs through meetings and handovers. This helped care remain consistent.
“There was a very good communication system in place for ensuring consistent and timely care was delivered.” from the report
Kind and respectful care
People described a calm and friendly home. Inspectors saw staff treating people respectfully and supporting their privacy and independence.
“We found the atmosphere in the home to be calm and relaxed. We heard conversations between people and staff were friendly and supportive.” from the report
Personalised activities
People were supported to continue hobbies, interests and faith activities. The home offered group activities, one-to-one time, outings and visits from local children.
“People told us they were supported to maintain their hobbies and interests and enjoyed the activities within the home.” from the report
Care staff knowledge of capacity decisions
needs fixingMost care staff inspectors spoke with did not have a sound understanding of how the Mental Capacity Act could affect the way they supported people. The home was introducing competency checks and said any gaps would be addressed with further training.
“However, while care staff were up to date with this aspect of training, most care staff we spoke with did not have sound knowledge of how this might affect the way they support people.” from the report
- 01How do you check that care staff understand the Mental Capacity Act and know how it affects the support they provide?
- 02How far have the new competency checks for care staff progressed, and what further training has been provided?
- 03How do you make sure staffing levels continue to match residents' individual needs and changes in their care?
- 04How are families and residents involved in care reviews and decisions about changing care needs?
- 05How do you check that medicines arrive from the pharmacy correctly and that any stock problems are dealt with promptly?
This was a scheduled inspection covering all five CQC questions, including the accommodation and care provided; the previous overall rating was Good. This explanation was written from the published report of 19 June 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.
Every inspection of Leominster Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- November 2012
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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11 live-in carers within about an hour of Herefordshire, County of
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 £960 to £1,410 a week. 10 can care for a couple. 8 years' experience on average.
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.