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CQC report explained · a nursing home

What the CQC found at Moston Grange Nursing Home

Outstandingpublished 5 February 2020, 6 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, admissions, visits and outbreak management. The provider also told inspectors it had measures to manage COVID-19-related staffing pressures.
Effective?
Outstanding
This area was not assessed in this targeted inspection.
Caring?
Outstanding
This area was not assessed in this targeted inspection.
Responsive?
Outstanding
This area was not assessed in this targeted inspection.
Well-led?
Outstanding
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Moston Grange Nursing Home was inspected but not rated; inspectors were assured about infection prevention and control.

This was a targeted inspection on 13 January 2022 during the COVID-19 pandemic. Inspectors looked at infection prevention and control and asked about staffing pressures.

The home had four separate units, with separate staff teams and staff facilities. Inspectors found measures to reduce cross-contamination, including social distancing, zoning and extra cleaning.

Inspectors said they were assured that the home was managing visitors, admissions, personal protective equipment, testing, outbreaks, cleaning and visiting arrangements safely. The home also met the requirement for non-exempt staff and visiting professionals to be vaccinated.

The service was inspected but not rated. This was not a full inspection of all five areas of care.

What inspectors praised
  • Separate unit arrangements

    The four units had separate entrances and exits. Staff were allocated to specific units to reduce the risk of infection spreading between them.

    “Teams of staff were allocated to work on specific units at the home to prevent cross-contamination.” from the report
  • Agency staff included

    Regular agency staff were treated as part of the wider team. They were booked to work only at the home and joined training and testing arrangements.

    “Regular agency staff attended training sessions and took part in the same testing regimes as permanent members of staff.” from the report
  • Contact with relatives

    The home provided a portable device so people could have video calls with relatives and other important people.

    “People were able to have video chats with relatives and others important to them as the home had bought a portable video calling device.” from the report
  • Infection control measures

    Inspectors were assured that the home was using PPE safely, providing testing and managing cleaning, visits and possible outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” 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 are staffing pressures affecting care now, and what measures are in place if staffing levels fall?
  2. 02How are regular agency staff trained, tested and allocated to units?
  3. 03How does the home currently manage COVID-19 or other infection outbreaks, including isolation and extra cleaning?
  4. 04How are visits arranged, and what alternatives are available if a relative cannot visit in person?
  5. 05How often are PPE, testing, vaccination and infection control arrangements reviewed?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection of all five questions and the service was not rated. This explanation was written from the published report of 1 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.

An earlier report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors were assured that infection prevention and control measures were in place.

This was an announced, targeted inspection on 20 October 2020. Inspectors checked how the home was preventing and controlling coronavirus infection because it had been put forward as a designated care setting.

Inspectors were assured about visitors, social distancing, admissions, personal protective equipment, testing, cleaning, outbreak planning and the infection control policy. The home had a separate Covid recovery unit and used staff teams linked to specific units.

The home also provided video calling equipment to help residents stay in touch with relatives. The overall service was inspected but not rated, so this report does not give a full rating of the quality of care.

What inspectors praised
  • Separate Covid unit

    The home had created a self-contained, segregated unit for people recovering from Covid-19, with separate entrances and exits.

    “The home had designated a fully self-contained and segregated unit as a Covid recovery unit.” from the report
  • Staff infection control

    Staff were allocated to specific units. The home provided work uniforms, changing areas, PPE and laundry bags to reduce the risk of cross-contamination.

    “The manager allocated teams of staff to specific units at the home to prevent cross-contamination.” from the report
  • Contact with relatives

    The home had bought a video calling system to help residents keep in touch with relatives during the pandemic.

    “The home had purchased a high specification video calling system to enhance contact between residents and their relatives.” from the report
  • Staff availability

    The home booked and paid agency staff for their usual weekly hours so they would not work in other homes and could cover shortages.

    “The home booked and paid agency staff for all their normal weekly hours to ensure that they did not work in other homes.” 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 is the Covid recovery unit being used now, and what arrangements are in place for people admitted from hospital?
  2. 02Are staff still allocated to specific units, and are agency staff prevented from working across different homes?
  3. 03How are residents supported to keep in contact with relatives when face-to-face visits are restricted?
  4. 04How often are residents and staff tested, and what happens when someone tests positive?
  5. 05When was the infection prevention and control policy last reviewed?

This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated overall. This explanation was written from the published report of 5 November 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.

The story over the years

Every inspection of Moston Grange Nursing Home

5 rated inspections over 3 years: the service has improved, from Requires improvement to Outstanding.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Moston Grange Nursing Home →

  2. November 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Moston Grange Nursing Home →

  3. February 2020Outstandingup from Requires improvement
    Safe: GoodEffective: OutstandingCaring: OutstandingResponsive: OutstandingWell-led: Outstanding

    Read this report on cqc.org.uk

  4. December 2018Requires improvementup from Inadequate
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2018Inadequatedown from Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  6. August 2017Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. October 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  8. March 2015

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. January 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. January 2011

    Registered with the Care Quality Commission on 27 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.

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