CQC report explained · a nursing home
What the CQC found at Nether Hall Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Risks, medicines, staffing, recruitment and infection control were managed safely, although minor discrepancies in medicines records had recently been found and addressed.
- Effective?
- Good
- People's needs and choices were assessed and care was provided by trained staff. People received suitable food and drink, healthcare support and specialist treatment when needed.
- Caring?
- Good
- People and relatives described kind and compassionate care. Inspectors found that privacy, dignity, independence, religious beliefs and personal choices were respected.
- Responsive?
- Good
- Care plans were detailed, personalised and regularly updated. People had access to activities, support with communication and contact with relatives, and complaints were recorded and resolved.
- Well-led?
- Good
- The provider and registered manager had oversight through audits and acted when problems arose. People, relatives and staff had regular opportunities to give feedback and suggest improvements.
What inspectors found, November 2022
Nether Hall Care Home rated Good; inspectors found kind, person-centred care and strong oversight, with recent agency nurse use and minor medicines-record discrepancies noted.
Inspectors visited without notice on 20 and 23 September 2022. They spoke with people, relatives and staff, and checked care records, medicines records, recruitment files and management records. They also checked infection prevention and control.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, detailed care plans, suitable staff training and good support with food, drink and healthcare.
People were treated with kindness, dignity and respect. Families were involved in care planning and kept updated. The home had activities, personalised rooms and a refurbished environment. Inspectors also found that managers monitored the service and acted when things went wrong.
Kind, personalised care
Inspectors found that care followed people's preferences and wishes. People and relatives consistently described staff as kind and respectful.
“People were provided with person centred care that met their preferences and wishes delivered by kind and compassionate staff.” from the report
Safe staffing
Inspectors found enough staff to meet people's needs promptly. Recruitment checks, training and competency checks were in place.
“Records and observations showed there were enough staff to keep people safe and meet their individual needs in a timely way.” from the report
Good activities and environment
People had a varied programme of activities. Inspectors also noted personalised rooms, dementia-friendly signs and substantial environmental improvements.
“A full and varied programme of activities was in place throughout the week.” from the report
Strong management oversight
The management team used audits and reviews to monitor quality and safety. They analysed incidents and shared lessons with staff.
“The registered manager had full oversight of the service through a structured schedule of audits which checked all aspects of the quality and safety of the service.” from the report
Recent use of agency nurses
minorThere had been a recent increase in agency nurses. Inspectors noted that two regular nurses had been recruited during the inspection, but families may wish to ask about staff continuity.
“There had been a recent increase in agency nurses deployed at the service however, during the inspection a further two regular nurses had been recruited.” from the report
Minor medicines record discrepancies
minorChecks had found minor discrepancies in medicines administration records shortly before the inspection. These were addressed promptly, and the report says the audit system should identify future discrepancies.
“At the time of the inspection this level of medicines scrutiny had enabled minor discrepancies in MAR's to be identified and promptly addressed in the week prior to our inspection.” from the report
- 01How many agency nurses are currently working here, and how are you ensuring people see familiar staff?
- 02What were the minor discrepancies in medicines administration records, and what checks are now in place to prevent them happening again?
- 03What further environmental improvements are planned, and when will they be completed?
- 04How will you support my relative's particular interests, communication needs and relationships with family?
- 05How are end of life wishes recorded, reviewed and shared with the staff and health professionals involved?
This was an unannounced inspection covering all five key questions and infection prevention and control; it was described as the first inspection of the newly registered service, while the previous rating related to the former provider. This explanation was written from the published report of 12 November 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.
Every inspection of Nether Hall Care Home
5 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2022Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2019Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- November 2017Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2021
Registered with the Care Quality Commission on 11 January 2021.
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
62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.