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CQC report explained · a residential care home

What the CQC found at Neville House Residential Home

Goodpublished 10 October 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was managing infection risks, including PPE, testing, visiting, cleaning and social distancing. They were also told that measures were in place to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection-control arrangements and robust visiting procedures.

This was an announced, targeted inspection on 10 February 2022. The inspectors checked infection prevention and control, and asked about staffing pressures linked to COVID-19.

They found the home was very clean. Staff and visitors had access to plenty of PPE, staff were using it correctly, and people and staff were tested regularly for COVID-19.

Visiting arrangements followed government guidance. Professional visitors had to take a lateral flow test, complete a questionnaire and show vaccination evidence before entering.

The home was inspected but not rated. This means the report does not give an overall Good, Requires Improvement or Inadequate rating.

What inspectors praised
  • Clean environment

    Inspectors found the home very clean, with extra cleaning measures in place.

    “The home was very clean throughout and additional cleaning measures were in place.” from the report
  • PPE and training

    Staff had access to enough PPE and had been trained in infection control and how to use PPE safely.

    “Staff had completed training in infection control, COVID-19 and putting on and taking off PPE.” from the report
  • Testing

    People living at the home and staff were tested regularly for COVID-19, with action taken after positive results.

    “Staff and people using the service were tested regularly for COVID-19 and action taken if a test was positive.” from the report
  • Visiting arrangements

    The home had controls for professional visitors and followed the latest government visiting guidance.

    “Visiting arrangements were robust and in accordance with the latest government guidance.” 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. 01What arrangements are currently in place for PPE, testing, cleaning and managing infection outbreaks?
  2. 02How do you currently manage staffing pressures, and have these affected people living at the home?
  3. 03What are the current rules for family and professional visitors?
  4. 04What full inspection ratings or more recent CQC findings should we consider alongside this targeted report?

This was a targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 3 March 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, October 2018

Neville House Residential Home was rated Good in all five areas; inspectors found safe, kind care, with activities and sensory support needing improvement.

This was an unannounced inspection on 11 September 2018. Inspectors spoke with people living in the home, relatives, staff and health professionals. They observed care, checked records and medicines, and reviewed staff training and quality checks.

The home was rated Good overall and Good in Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, suitable risk assessments, kind care and good support for people's health, nutrition, choices and independence.

The inspectors made two recommendations. The home should look at current good practice for supporting people with sensory loss and for providing more stimulating activities. These were recommendations rather than breaches of regulations.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs. Medicines records and stocks showed that medicines were given as prescribed.

    “The service provided sufficient staff to meet people's needs.” from the report
  • Kind and respectful care

    Staff protected people's privacy, listened to them and encouraged independence. Inspectors observed patient and reassuring support when someone became upset.

    “We observed staff speaking to people kindly and with respect.” from the report
  • Strong management oversight

    The home had regular audits, staff observations, feedback and meetings. Incidents were investigated and used to help prevent them happening again.

    “Effective quality assurance audits were in place to monitor the service.” from the report
What inspectors were concerned about
  • Activities were not stimulating enough

    minor

    Some people said there were not enough activities, and inspectors saw few purposeful activities. The home was advised to follow current best practice to provide more stimulation.

    “We observed that there was a lack of purposeful activities such as resident's setting the table or folding linen.” from the report
  • Support for sensory loss

    minor

    One person sometimes felt excluded from activities because of sensory loss. The home was advised to review current best practice for supporting people with sensory needs.

    “One person told us that they sometimes feel excluded from activities due to their sensory loss.” from the report
  • Limited storage and laundry space

    minor

    Inspectors noted that storage space was limited and the laundry facilities were small. Management said it planned an extension and improvements to bathrooms and toilets.

    “We noted that the service seemed short of storage space and that the laundry facilities were small.” from the report
Questions to ask them, based on this report
  1. 01What activities are now available for people who need more stimulation?
  2. 02How do you include people with hearing, sight or other sensory loss in activities?
  3. 03Have the planned improvements to storage, laundry facilities, bathrooms and toilets been completed?
  4. 04How do you make sure medicines are given on time when there are delays from a pharmacist?
  5. 05How do you involve residents and relatives in reviewing care plans and activities?

This was an unannounced inspection of the whole service, covering all five CQC questions, the care provided and the home environment. This explanation was written from the published report of 10 October 2018 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 Neville House Residential Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Neville House Residential Home →

  2. October 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Neville House Residential Home →

  3. March 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 7 December 2010.

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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