CQC report explained · a residential care home
What the CQC found at Nethermoor House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. There were enough safely recruited staff, medicines were administered safely, risks were assessed, and infection control had improved.
- Effective?
- Good
- The report does not give a separate rating or detailed findings for this question.
- Caring?
- Good
- The report does not give a separate rating for this question. Inspectors did report that staff treated people with respect and kindness.
- Responsive?
- Good
- The report does not give a separate rating or detailed findings for this question.
- Well-led?
- Good
- Inspectors found better quality checks, accessible management and a culture of learning. People, relatives and staff were involved and their views were considered.
What inspectors found, December 2022
Nethermoor House rated Good; inspectors found safe, kind care and improvements since the previous inspection.
The inspection was unannounced and took place on 7 November 2022. One inspector visited the home, and an expert by experience contacted relatives afterwards. Inspectors spoke with 3 people, 8 relatives and 7 staff. They checked care records, medicines records, recruitment files, training records and quality checks.
Inspectors rated Safe as Good. They found enough safely recruited staff, safe medicines practices, suitable risk assessments and improved infection prevention and control. People and relatives said they felt safe, and staff understood how to recognise and report abuse.
Inspectors rated Well-led as Good. They found the provider had improved its checks on care, medicines, records, safety and cleanliness. People were supported with kindness and respect, and staff and relatives said managers listened to them.
The home was previously rated Requires Improvement, with a breach of Regulation 12. Inspectors found improvements had been made and the home was no longer in breach. This report gives ratings only for Safe and Well-led.
Safe staffing
Inspectors found enough staff to meet people's needs safely. Recruitment checks were also carried out before staff started work.
“People were supported by enough safely recruited staff to meet their needs.” from the report
Safe medicines
Staff had training and guidance for giving medicines. Medicines were stored safely and records showed when people had received them.
“Medicines were stored safely, and accurate records were in place of administration.” from the report
Kind, respectful care
People and relatives described staff as kind, respectful and familiar with people's needs and preferences.
“People were supported by staff who treated them with respect and kindness.” from the report
Improvement since the last inspection
The provider had acted on the previous inspection findings. Inspectors found the earlier breach had been resolved.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Inspectors raised no specific concerns in this report.
- 01What checks are now used to make sure the improvements in infection prevention and control continue?
- 02How do you use the dependency tool to decide how many staff are needed on each shift?
- 03How often are medicines audits completed, and what happens if an error or concern is found?
- 04How are people's care plans checked and updated when their needs or risks change?
- 05What actions have been taken since the previous inspection, and how do you know they have been effective?
This inspection gave ratings for Safe and Well-led only; the report does not give current ratings for Effective, Caring or Responsive. This explanation was written from the published report of 30 December 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, February 2021
Targeted infection-control inspection; inspectors were assured about safety, but the home was not rated.
The inspection took place on 27 January 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, looking at infection prevention and control.
Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, cleaning and outbreaks safely. They also found that the infection prevention and control policy was up to date.
The home screened visitors for symptoms and increased cleaning. Staff used creative ways to help people understand coronavirus and masks. A visiting pod was being created so people could see and hear visitors while socially distancing.
The service was inspected but not rated. This means the report does not give an overall quality rating or ratings for the other areas of care.
Visitor safety
Visitors were screened for coronavirus symptoms before entering, in line with current guidance.
“On arrival at the home, visitors were screened for symptoms of Covid-19 to ensure their visit could take place safely and in line with current guidance.” from the report
Infection control
Inspectors were assured that the home had arrangements covering infection risks, including protective equipment, testing, cleaning and outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Cleanliness checks
Cleaning schedules had been increased and hand-washing practice was checked through staff competency assessments.
“Cleaning schedules had been increased and the registered manager completed competency assessments of staff hand washing practices.” from the report
Maintaining contact
The home supported links with the local community and was creating a visiting pod to help people see and hear visitors safely.
“In response to people's feedback a visiting pod was being created.” from the report
Inspectors raised no specific concerns in this report.
- 01What is the current arrangement for the visiting pod, and can residents and visitors see and hear each other clearly?
- 02How are visitors currently screened for symptoms before entering the home?
- 03How often are people living at the home and staff tested, and what happens after a positive result?
- 04How does the home make sure staff use protective equipment and wash their hands correctly?
- 05What are the home's current arrangements for preventing and managing an infection outbreak?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was inspected but not rated and did not assess the other areas of care in detail. 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.
Every inspection of Nethermoor House
5 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2021Inspected but not ratedSafe: Inspected but not rated
- April 2020Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- October 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementstayed Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 18 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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At least 100 live-in carers within about an hour of Staffordshire
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