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CQC report explained · a residential care home

What the CQC found at New Stead House

Goodpublished 11 October 2019, 6 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 infection prevention and control arrangements were in place. They were also told that measures were being used to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Outstanding
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, January 2022

New Stead House was inspected but not rated; inspectors were assured about infection control and visiting arrangements.

This was a targeted inspection on 13 January 2022. It looked at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.

Inspectors were assured that the home was managing infection risks. This included the use of personal protective equipment, testing, cleaning, social distancing, safe admissions and visits.

The home had a visitor declaration form to record test results, vaccination status and contact details. Staff also used social stories to help residents understand COVID-19 and supported better nutrition.

The service was inspected but not rated. This was not a full inspection of all five areas of care, so the report does not provide ratings for caring, effective, responsive or well-led care.

What inspectors praised
  • Visitor checks

    Visitors and visiting professionals had to complete a declaration before entering. This recorded recent negative COVID-19 tests, vaccination status and contact details.

    “The service had implemented a comprehensive visitor declaration form, which all visitors and visiting professionals were required to complete before entry into the care home.” from the report
  • Helping residents understand COVID-19

    Staff used social stories to explain why protective equipment might be needed and why vaccinations were important.

    “Staff used social stories to help increase residents' awareness and understanding of COVID-19” from the report
  • Infection control

    Inspectors were assured about testing, protective equipment, hygiene, social distancing, safe admissions and the management of possible outbreaks.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Health and nutrition support

    Staff shared extra health information and worked to improve residents' nutrition intake.

    “Staff had focused on sharing additional health promotion information with residents, and had worked to further help improve residents' nutrition intake.” 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. 01How do you currently check visitors' COVID-19 test results, vaccination status and contact details?
  2. 02How do you help residents understand infection risks, protective equipment and vaccinations?
  3. 03What measures are in place when COVID-19 causes staffing pressures?
  4. 04How do you support residents to improve their nutrition intake?
  5. 05How are visits being facilitated now, and what happens if there is an infection outbreak?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 21 January 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 2019

Rated Good overall; inspectors found exceptionally person-centred care, with Responsive rated Outstanding.

This was an unannounced inspection on 23 and 26 July 2019. One inspector spoke with relatives, staff and professionals, observed care, and reviewed care, medicine, recruitment and management records.

The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found people were safe, supported by trained staff, treated with dignity, and helped to make choices and develop independence.

Responsive was rated Outstanding. Support plans were highly personal, staff understood how people communicated, and people were supported to enjoy activities, maintain relationships and achieve personal goals.

The overall rating stayed Good, as it was at the previous inspection. Responsive improved from Good to Outstanding.

What inspectors praised
  • Highly personal support

    Inspectors found that people were central to their care. Support plans reflected their needs, choices and preferences.

    “People received an extremely person-centred service where they were at the heart and focus of the support provided.” from the report
  • Safe care

    Risks, medicines, staffing and safeguarding arrangements were checked and found to be managed safely.

    “Risks to people's health, safety and wellbeing continued to be assessed and strategies were in place to help minimise harm.” from the report
What inspectors were concerned about
  • Larger than current guidance

    minor

    The home was registered for up to 17 people and 15 people lived there at the inspection. Inspectors noted that this was larger than current best practice guidance, although they said the design and approach reduced the possible negative impact.

    “This is larger than current best practice guidance.” from the report
  • No end-of-life plans

    minor

    No one was receiving end-of-life care during the inspection. End-of-life plans were not in place because people had chosen not to discuss the subject.

    “End-of-life plans were not in place as people had chosen not to discuss the matter when asked by the service.” from the report
Questions to ask them, based on this report
  1. 01How will you keep my relative's support plan up to date and involve them, their family or an advocate in reviews?
  2. 02How do staff learn and recognise my relative's individual way of communicating pain, distress, choices or anxiety?
  3. 03What activities, relationships and community opportunities could you support my relative to continue or develop?
  4. 04How would you balance my relative's independence and positive risk-taking with their safety?
  5. 05How would you record and revisit my relative's wishes about end-of-life care if they do not want to discuss them now?

This was a planned inspection covering all five key questions; four ratings stayed Good and Responsive improved from Good to Outstanding. This explanation was written from the published report of 11 October 2019 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 New Stead House

3 rated inspections over 4 years: the service has held its Good rating throughout.

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

    Read what inspectors found at New Stead House →

  2. October 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good

    Read what inspectors found at New Stead House →

  3. March 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Inspected but not rated
    Effective: Requires improvement

    Read this report on cqc.org.uk

  5. April 2015Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. May 2014

    Registered with the Care Quality Commission on 15 May 2014.

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.

Next steps

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