CQC report explained · a nursing home
What the CQC found at Nesbit House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that safeguarding, risk assessments, medicines, staffing, recruitment and infection control were managed safely. Accidents and incidents were investigated, with lessons shared with staff.
- Effective?
- Good
- Care plans included people's needs, choices and wishes. Staff were trained and supported, people received help with food and drink, and healthcare professionals were involved when needed.
- Caring?
- Good
- People and relatives described staff as kind and respectful. Inspectors saw that people were given choices, their privacy was protected and their independence was encouraged.
- Responsive?
- Good
- Care plans were highly personalised and activities reflected people's interests. Communication needs were recorded, complaints were investigated, and end of life plans included people's preferences.
- Well-led?
- Good
- Inspectors found an open culture, clear management arrangements and robust quality monitoring. People, relatives and staff were asked for their views and action plans were used to address issues.
What inspectors found, July 2021
Nesbit House Care Home was rated Good in all five areas; inspectors found safe, caring and well-organised care.
This was the first inspection since the home was registered. It was an unannounced visit on 02 June 2021. Inspectors spoke with people living there, relatives and staff, observed care, and checked care, medicines, recruitment and management records.
The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. People and relatives said they felt safe. Inspectors found that risks, medicines, infection control and staffing were managed safely.
Care plans were detailed and personalised. People were involved in decisions, treated with dignity and supported to remain independent. Inspectors also found activities, communication support, healthcare arrangements and complaints handling were responsive.
The report says this was a newly registered service and therefore there was no previous inspection rating to compare with. The home could accommodate up to 60 people, but 26 people lived there and only two of its three floors were in use at the time.
Safe care and medicines
Inspectors found detailed risk assessments, safe medicine systems and enough staff to meet people's needs. The home also investigated incidents and used them to reduce risks.
“Care plans and risk assessments were comprehensive and up to date.” from the report
Respect and independence
People were involved in decisions about their routines and care. Staff respected privacy and supported people to do things for themselves where possible.
“People were being treated with dignity and respect; their privacy was protected, and they were encouraged to be independent where possible.” from the report
Personalised activities
Activities were based on people's interests, histories and preferences. People were encouraged to lead some clubs and activities themselves.
“This enabled a more personalised activity programme to be developed, which was delivered by the home makers (care staff).” from the report
Strong management
Inspectors found approachable management, regular meetings and detailed quality checks. Action plans were monitored after incidents, complaints and audits.
“The provider had a robust electronic quality monitoring system.” from the report
Inspectors raised no specific concerns in this report.
- 01How many people live here now, and are all three floors currently in use?
- 02How do you record the actual food eaten and portion sizes for people who need food intake monitoring?
- 03How are care plans reviewed with residents and relatives, and how often are changes made?
- 04What activities and visiting arrangements are available now for people living with dementia or nursing needs?
- 05How do you make sure lessons from medicine errors, falls, complaints or other incidents are followed through?
This was an unannounced first inspection covering all five key questions, including infection prevention and control under Safe; the service had no previous rating. This explanation was written from the published report of 16 July 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
Inspected but not rated; inspectors were assured the home had strong infection prevention and control measures.
This was an unannounced, targeted inspection on 18 November 2020. It followed concerns about infection prevention and control.
Inspectors looked at how the home managed visitors, admissions, testing, protective equipment, social distancing, cleaning and infection outbreaks. They were assured that the arrangements were safe.
The home was not given an overall rating or a rating for safe care at this inspection. This report does not assess the other areas of care.
Controlled visits
Visitors attended by appointment, used protective equipment and had their temperatures recorded. A separate visiting room reduced the need for visitors to enter the home.
“Visits were by appointment and visitors were given personal protective equipment and had temperatures recorded.” from the report
Safer admissions
People arriving from hospital needed a negative COVID-19 test and seven days of recorded clinical observations. New residents had 14 days of isolation in their room.
“New people moving in had a 14 day period of isolation in their room, minimising the risk of infection spread to other people.” from the report
Regular infection checks
The home had current infection control policies, monthly audits and action plans for concerns. A compliance officer monitored cleaning and infection control.
“IPC audits were undertaken monthly within the home and action plans in place to address any concerns identified.” from the report
Inspectors raised no specific concerns in this report.
- 01How have your visitor arrangements changed since the inspection on 18 November 2020?
- 02How do you now manage infection risks when someone moves into the home from hospital?
- 03How often are infection prevention and control audits carried out now, and how are any concerns followed up?
- 04How do you make sure staff have access to testing and use protective equipment safely?
- 05What arrangements are in place to prevent or manage an infection outbreak?
This was a targeted inspection of infection prevention and control, and the service was inspected but not rated. This explanation was written from the published report of 24 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 Nesbit House Care Home
Each visit the CQC has published, newest first, back to the day the home was registered.
- July 2021Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- August 2019
Registered with the Care Quality Commission on 9 August 2019.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
39 live-in carers within about an hour of Kent
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 £980 to £1,260 a week. 33 can care for a couple. 12 years' experience on average.
“Always on time and with a lovely smile for my mum. Theresa is kind and sensitive to my mum's needs.”
“Irene was a very kind and empathetic carer who knew just the right words to say to put a smile on my face.”
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.