CQC report explained · a nursing home
What the CQC found at Myford House Nursing & Residential Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2021
Inspected but not rated; inspectors found good Covid-19 infection control in the designated unit, but this was not a full inspection.
Inspectors visited the home on 15 January 2021. The visit was announced and targeted infection prevention and control because the home was being used as a designated setting for people discharged from hospital with Covid-19.
Inspectors found good practice. The designated unit had a separate coded entrance, its own staff group, cleaning checks and staff using protective equipment correctly. Testing, safe admissions, shielding, social distancing and outbreak arrangements were also found to be in place.
The home was inspected but not rated. Inspectors looked only at the designated unit and infection control. This report does not give an overall rating for the home or ratings for most areas of care.
Separate designated unit
People were cared for in a self-contained unit with a separate coded entrance. This helped keep the designated area separate from the rest of the home.
“People were supported within a self-contained designated unit that had a separate key coded entrance.” from the report
Dedicated staff team
Staff working in the designated unit did not work elsewhere in the home. Staff who had received a Covid-19 vaccination were allocated to this unit to reduce transmission risk.
“Staff who had received their Covid-19 vaccination were allocated to work on the designated unit to minimise risk of transmission of Covid-19 to staff.” from the report
Cleaning and protective equipment
Cleaning schedules and daily checks were in place. Staff used protective equipment in line with guidance.
“Cleaning schedules were in place and cleaning was undertaken in line with current guidance.” from the report
Support for people isolating
People who tested positive were supported to self-isolate. Where cognitive needs made this difficult, the home used capacity and best-interests decisions and considered less restrictive safety measures.
“Where people were non-compliant with self isolation due to their cognitive needs, capacity assessments were completed and best interests' decisions were made” from the report
Inspectors raised no specific concerns in this report.
- 01Is the separate designated unit still being used, and how is it kept apart from the rest of the home?
- 02Do staff working in the designated unit still work only there, rather than elsewhere in the home?
- 03How are cleaning schedules checked now, and who reviews the results?
- 04How are Covid-19 testing, protective equipment and safe admissions managed now?
- 05How would you support a person with cognitive needs who cannot follow self-isolation, and how would you make sure any measures used are the least restrictive?
This was a targeted inspection of infection prevention and control in the designated setting only; the whole service was not inspected and the service was not rated. This explanation was written from the published report of 9 February 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, December 2020
Myford House Nursing & Residential Home was rated Good; inspectors found safer care and stronger management, but did not assess all five areas.
This was an unannounced, focused inspection on 4 December 2020. Inspectors checked whether the home had acted on a previous warning notice and action plan. They spoke with five people, 11 staff and two visiting professionals, and reviewed care, medicine, staff and management records.
Inspectors found people were supported safely, received medicines as prescribed and had enough trained staff. They found good infection control arrangements and saw that accidents and incidents were reviewed so care could be changed when needed.
Management systems had improved. Audits were completed, problems were acted on more quickly and staff said communication had improved. The home was rated Good overall, with Safe and Well-led also rated Good.
This inspection only covered Safe and Well-led. Ratings for the other areas came from the previous comprehensive inspection.
Safe care
Staff understood people's needs and inspectors observed safe support, including moving and handling. People received their medicines as prescribed.
“At this inspection we observed people were being supported safely and staff demonstrated a good understanding of people's needs.” from the report
Staffing
There were enough staff to meet people's needs without rushing them. Staff had time to talk with people and worked as a team.
“We observed there was sufficient staff on duty to attend to people's needs in a timely manner.” from the report
Learning from incidents
The provider reviewed accidents and incidents each month and changed care plans when patterns or risks were identified.
“We found the provider had reviewed them each month and documented the changes made as a result of their analysis.” from the report
Improved management
Management had strengthened its checks and audits. Staff said issues were acted on more quickly and communication had improved.
“Since then the provider had increased and improved on their governance systems and this had a positive impact on the quality of care people receive.” from the report
People's involvement
People were asked about choices such as meals, activities, music and where they wanted to sit. Inspectors saw people taking part in discussions with staff.
“People's views were sourced on numerous different subjects from meal choices and activities to what music should be played.” from the report
Unused areas not checked
needs fixingInspectors did not assess the unoccupied units. The provider was asked to check that these areas were suitable before admitting people there.
“We recommended the provider assessed the unoccupied units within the home to ensure the environment was up to standard before opening them up to new admissions.” from the report
- 01Have the unoccupied units now been assessed and confirmed as suitable before any new admissions?
- 02What were the previous ratings for Effective, Caring and Responsive, which were not assessed during this visit?
- 03How are medicine records checked now, including records for medicines that are not taken?
- 04How often are care, medicine and health and safety audits completed, and how are actions followed up?
- 05How will you keep families informed if accidents, incidents or infection risks affect their relative?
This was an unannounced focused inspection of Safe and Well-led, including infection control; the other ratings carried over from the previous comprehensive inspection. This explanation was written from the published report of 25 December 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.
Every inspection of Myford House Nursing & Residential Home
8 rated inspections over 5 years: the service has improved, from Inadequate to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Myford House Nursing & Residential Home →
- December 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Myford House Nursing & Residential Home →
- April 2020Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- March 2019Goodup from Requires improvementSafe: GoodWell-led: Requires improvement
- December 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2017Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- May 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- December 2016Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Inadequate
- April 2016InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- June 2014
Report published without a new overall rating.
- March 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.
- March 2013
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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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