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CQC report explained · a residential care home

What the CQC found at Northlands Village Rest Home

Goodpublished 28 December 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 the home had effective infection prevention and control measures. These included visitor screening, testing, safe admissions, protective equipment, cleaning, ventilation and social distancing.
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?
Good
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, April 2021

Inspected but not rated; inspectors were assured that the home had strong COVID-19 infection control measures.

This was an announced, targeted inspection on 23 March 2021. CQC checked how the home was prepared to prevent and control coronavirus infection.

Inspectors were assured about visitor screening, social distancing, safe admissions, personal protective equipment, testing, cleaning, ventilation and infection control policies. Staff were observed using protective equipment correctly.

The home had enough protective equipment and staff to provide continuity if there was a staff shortage. The home was clean, calm and hygienic, with regular audits of its infection control arrangements.

The service was inspected but not rated. This report therefore does not give an overall rating for the quality of care or a full rating for all five areas.

What inspectors praised
  • Visitor screening

    Visitors were screened when entering the home. This included health and temperature checks, protective equipment and lateral flow testing for COVID-19.

    “The registered manager had introduced a screening process for visitors when entering the building, which included health and temperature checks as well as the provision of personal protective equipment (PPE) and lateral flow device testing for COVID-19.” from the report
  • Safe admissions

    People were admitted only after a negative COVID-19 test and were supported to self-isolate for up to 14 days. Their health and wellbeing was monitored during this period.

    “People were only admitted following a negative COVID-19 test result and supported to self-isolate for up to 14 days following admission to reduce the risk of introducing infection.” from the report
  • Clean and hygienic home

    The home was clean and hygienic. Staff followed an enhanced cleaning schedule, and the building had good ventilation and suitable areas for social distancing.

    “The premises had a good level of cleanliness and was hygienic throughout.” from the report
  • Protective equipment and staffing

    There were plentiful supplies of protective equipment, which were monitored carefully. Inspectors saw staff using it appropriately and found enough staff to maintain continuity during a shortage.

    “There were sufficient staff to provide continuity of support should there be a staff shortage.” 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 have the visitor screening, testing and protective equipment arrangements changed since the March 2021 inspection?
  2. 02How does the home now manage new admissions and any required isolation period?
  3. 03How often are infection prevention and control audits carried out, and what happens when an issue is found?
  4. 04How would the home maintain staffing and continuity of care if there were a staff shortage?
  5. 05How are cleaning schedules and ventilation checked in communal areas and bedrooms?

This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic; the service was inspected but not rated and the report does not assess the other areas of care. This explanation was written from the published report of 15 April 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.

An earlier report, explained

What inspectors found, December 2019

Northlands Village Rest Home was rated Good; inspectors found safe, kind and personalised care, but some care records needed more detail.

This was an unannounced inspection on 6 November 2019. Two inspectors spoke with six people, one relative and six members of staff. They reviewed care records, medicines records, safety checks and quality records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated kindly, supported to make choices and given care that generally met their needs.

There were two areas to improve. Staff knew people well but some important information was not written in care plans. Staff also lacked knowledge about mental capacity and deprivation of liberty rules. The provider agreed to review its training and processes.

The overall rating remained Good, the same as at the previous inspection published in May 2017. The report made a recommendation about recording people's care needs clearly enough to guide staff.

What inspectors praised
  • Safe care and medicines

    Inspectors found that risks were assessed, staffing was sufficient and medicines were administered by trained staff whose competence had been checked.

    “Only staff who had been trained, and had their competence assessed, administered people's medicines.” from the report
  • Kind and respectful staff

    People and relatives gave positive feedback about staff. Inspectors saw that privacy, dignity, equality and independence were respected.

    “People were treated with respect, compassion and kindness, by staff who promoted equality and valued diversity.” from the report
  • Personalised support

    Staff involved people in care planning and understood their needs and preferences. People were supported to make choices and remain as independent as possible.

    “People received care and support which was personalised to them.” from the report
  • Activities and relationships

    People were supported to take part in activities and maintain contact with relatives. Inspectors found no restrictions on relatives visiting.

    “People were provided with and supported to participate in activities to help maintain their social health.” from the report
  • Open management

    The management team gathered feedback from people, relatives and staff, and used audits to identify improvements.

    “The registered manager used a variety of method to assess, monitor and improve the quality of the service provided.” from the report
What inspectors were concerned about
  • Care plans lacked some detail

    needs fixing

    Some care plans did not record important information about people and how staff should support them. Inspectors made a recommendation that recording should be improved.

    “We found some care plans lacked important information about people and how staff should care for them.” from the report
  • Mental capacity knowledge

    needs fixing

    Staff had not assessed people's capacity for care decisions and lacked knowledge about the relevant rules. No one was restricted at the time, and the provider agreed to review training and processes.

    “Staff had not assessed people's capacity to consent to and make decisions about their care.” from the report
Questions to ask them, based on this report
  1. 01How have you improved care plans so important information about each person is recorded clearly?
  2. 02Has the move to the electronic care planning system been completed, and how do you check the records are accurate?
  3. 03What training have staff received about mental capacity and deprivation of liberty safeguards?
  4. 04How do you check that staff follow each person's recorded preferences and risk plans?
  5. 05How are residents and relatives involved in decisions about food, activities and improvements to the home?

This was an unannounced comprehensive inspection covering all five CQC questions, with the overall rating and each question rating assessed during the visit. This explanation was written from the published report of 28 December 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 Northlands Village Rest Home

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Northlands Village Rest Home →

  2. December 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Northlands Village Rest Home →

  3. May 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 19 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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