CQC report explained · a nursing home
What the CQC found at Middleton Grove Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Middleton Grove Nursing Home was inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.
This was an announced targeted inspection on 25 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.
Inspectors found safe arrangements for visitors, including testing, temperature checks and personal protective equipment. They also found adequate PPE supplies, safe admissions, testing arrangements, cleaning schedules and regular infection control audits.
The home supported people to keep in touch with relatives and provided activities to support mental health. Staff were trained in infection control and the provider had measures to manage COVID-19 related staffing pressures.
The service was inspected but not rated. This means the report gives findings about the areas checked, but does not give an overall quality rating.
Safe visiting
Visitors had to provide evidence of a negative lateral flow test, have their temperature checked and use PPE. Visiting professionals showed vaccination evidence or an exemption.
“Safe arrangements were in place for visitors. This included confirmation of a negative lateral flow test, temperature checks, and the use of personal protective equipment (PPE).” from the report
PPE and infection control
There were PPE stations around the home, staff used PPE appropriately, and infection control training was repeated during the pandemic.
“There were adequate supplies of personal protective equipment (PPE) throughout the home.” from the report
Cleaning and outbreak management
The home had cleaning schedules covering high-touch areas. Records showed that the schedules were followed, including deep cleaning after an outbreak.
“Records showed compliance with the cleaning schedule. This included deep cleaning following an outbreak.” from the report
Contact with relatives
The home provided visiting areas and supported people to keep in contact with family and friends, including through virtual contact during an outbreak.
“People were supported to maintain contact with relatives using virtual methods during a recent outbreak.” from the report
Managing risks
The home used daily meetings to discuss COVID-19 and other risks. The manager kept a record of learning and shared it with other homes.
“There was a comprehensive approach to risk management and changes included the implementation of daily huddles where all aspects of Covid-19 and other risks were discussed.” from the report
Further development identified
minorInspectors signposted the provider to resources to develop its approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What changes were made after the provider was signposted to resources to develop its infection control approach?
- 02How are visitors, visiting professionals and new admissions currently tested and managed?
- 03How do you manage staffing pressures when staff are absent because of COVID-19?
- 04How can residents keep in contact with relatives during an outbreak or other visiting restrictions?
- 05How often are cleaning schedules, infection control measures and outbreak arrangements audited now?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 16 February 2022 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
Middleton Grove Nursing Home was rated Good overall, with inspectors finding safe, kind and personalised care.
This was an unannounced inspection on 04 June 2019. One inspector and an expert by experience spoke with people, visitors and staff, observed care and reviewed care plans, staff files, medicines records and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe, were treated kindly and had enough staff support. Inspectors also found good medicines management, suitable care plans, activities, food and links with health professionals.
This was the first inspection under the home's registration with CQC. A Good rating means inspectors found the service met the legal requirements and provided consistently good care at the time of the visit.
Kind and respectful care
People told inspectors they were happy, felt safe and were treated with kindness. Observations found friendly relationships between people and staff.
“People were happy with the care they received, felt relaxed with staff and told us they were treated with kindness.” from the report
Safe medicines and risk management
Inspectors found accurate medicines records, secure storage and regular audits. Risks such as falls were assessed with clear guidance for staff.
“Regular auditing of medicine procedures had taken place, including checks on accurately recording administered medicines as well as temperature checks.” from the report
Activities and daily life
People had access to varied activities, trips, entertainers and faith support. Inspectors also found that food and drink needs were met.
“We saw a varied range of activities on offer which included, music, arts and crafts, exercise, trips out to the local community and visits from external entertainers.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and update a new resident's care plan, and how are families involved?
- 02How do you make sure staffing levels remain suitable when people's needs change or staff are absent?
- 03How would you support my relative's specific communication, religious, cultural or dietary needs?
- 04What activities and community visits would be available for my relative, and how would you adapt them to their interests?
- 05How would you discuss and record my relative's wishes for end-of-life care?
This was an unannounced inspection of the care, premises and management of the home, and all five CQC questions were rated. This explanation was written from the published report of 29 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 Middleton Grove Nursing Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Middleton Grove Nursing Home →
- June 2019GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Middleton Grove Nursing Home →
- June 2018
Registered with the Care Quality Commission on 5 June 2018.
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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46 live-in carers within about an hour of Brighton and Hove
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Most charge £1,020 to £1,280 a week. 37 can care for a couple. 10 years' experience on average.
“Lottie showed incredible patience and empathy, adapting her routine to fit in with Mum's moods. Most importantly, Lottie's cheerful manner helped Mum to get some enjoyment out of life.”
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