CQC report explained · a nursing home
What the CQC found at Number 9 Anson
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm, and there were enough staff to meet their needs. Inspectors recommended that staff follow best practice when observing people taking medicines.
- Effective?
- Good
- Staff had training and support, and people were helped with their physical and mental health, nutrition and medical appointments. Practical breakaway training had not yet been completed and was being arranged.
- Caring?
- Good
- Staff treated people with dignity and respect and knew how to support their individual needs. People and relatives were positive about the staff team.
- Responsive?
- Good
- Care was personalised around people's routines, preferences and communication needs. People were supported with activities and outings, often on a one-to-one basis.
- Well-led?
- Good
- The home had a management structure, regular audits and meetings to review incidents and improve care. Staff said they felt supported and able to raise concerns.
What inspectors found, February 2024
Number 9 Anson was rated Good overall; inspectors found kind, personalised care, with improvements needed in observing medicines and practical breakaway training.
This was an unannounced inspection on 9 and 10 January 2024. One inspector spoke with six people, nine staff and four professionals. They also observed care and checked care plans, medicines, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, clean premises, appropriate infection control and care that reflected people's mental health needs, choices and routines.
There were two areas to improve. One person was not observed taking a tablet, so the home was advised to follow best practice. Staff had not yet completed practical breakaway training, although this was being arranged. The overall Good rating was unchanged from the previous inspection, published in May 2018.
Enough staff
Inspectors found enough staff to meet people's needs, including helping people go out into the local community.
“There were enough staff on duty to meet people's needs.” from the report
Personalised support
Care, medicines, activities and staffing were adjusted to people's routines, preferences and mental health needs.
“People's support was adapted to their routines and wishes.” from the report
Kind and respectful care
People were treated with dignity and respect. Staff understood individual needs and helped people make choices about their care.
“People were well supported. Staff knew people and their needs, including how to support people with their mental health and reduce their anxieties.” from the report
Good activities and community access
People were supported to take part in activities and go out, including shopping, visiting cafés and attending football matches.
“People were supported to follow their interests and take part in activities that were relevant to them.” from the report
Open management
The home used audits, handovers and management meetings to review incidents, training and care quality.
“A quality assurance system was in place, including regular audits for medicines, care plans and reviews of any incidents.” from the report
Medicine observation
needs fixingOne person was not observed taking a tablet. This created a risk that the person might not take the medicine without the home knowing.
“However, we saw one person was not observed taking a tablet by the nurse.” from the report
Practical breakaway training
needs fixingStaff had completed online training, but had not yet completed practical training to disengage safely during physical altercations. The manager was arranging this training.
“Staff had not completed practical training in breakaway techniques so they could disengage from any physical altercations safely.” from the report
- 01How do you now make sure staff observe people taking every prescribed medicine?
- 02Has all staff completed practical breakaway training, and if not, when will it be completed?
- 03How will you support my relative's particular mental health needs, triggers and ways of communicating?
- 04How will you involve our family in care reviews and tell us about changes in my relative's wellbeing?
- 05What has changed at the home since the previous Good rating published in May 2018?
This was an unannounced inspection covering all five CQC questions, including care, medicines, staffing, activities and management systems. This explanation was written from the published report of 6 February 2024 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, May 2018
Victoria Nursing Home was rated Good; inspectors found kind, safe and personalised care, with some electrical work and medicine records still needing attention.
Inspectors visited on 23 and 24 April 2018. The first day was unannounced and the second was arranged by agreement. They spoke with people, staff and managers, and checked care plans, medicine records, training, recruitment and safety records.
They found the home was safe, effective, caring, responsive and well-led. People said they felt safe and that staff were kind. Inspectors saw good support with medicines, health appointments, meals, activities and personal care. Staff understood how to support people with mental health needs and respect their choices.
The home had improved since the previous inspection in February 2017, when it was rated Requires Improvement and had four breaches. At this inspection, the earlier problems with recruitment, dignity, premises checks and management systems had been addressed. Some electrical work was still outstanding, and some records for medicines taken when needed needed more detail.
Safe medicines
Inspectors found medicines were in stock, stored correctly and matched the electronic records. Nursing staff had received suitable training.
“Medicines were securely stored, were safely administered and accurately recorded.” from the report
Kind and respectful care
People described staff as caring. Inspectors saw staff protect privacy, ask permission before providing care and use people's preferred names.
“We saw staff knocking on doors before entering, calling people by their preferred name and requesting permission to care and support people.” from the report
Activities and community access
Two activities coordinators supported activities seven days a week. These included individual outings, group activities and hobbies based on people's interests.
“There were a range of activities available to people which took place every day including Saturdays and Sundays.” from the report
Improved management
Managers had improved the home's audits and quality checks since the previous inspection. People and staff said managers were approachable and supportive.
“At this inspection we found improvements in this area.” from the report
Electrical work outstanding
needs fixingAn electrical installation report had identified some unsatisfactory elements. The provider said some work had been completed and that the electricity company would complete the remaining tasks.
“The operations manager provided assurances some of this work had been completed and confirmed the electricity company was due to complete the outstanding tasks.” from the report
Some medicine instructions needed more detail
needs fixingSome records for medicines prescribed to be taken when needed did not give enough help for staff and managers to make decisions. The manager said this would be addressed immediately.
“Some records for medicines that were prescribed 'as required' needed further development to assist decision making for staff” from the report
- 01Has all the outstanding electrical work identified in the May 2017 report now been completed, and can you show us the updated safety records?
- 02How are instructions for medicines prescribed as needed recorded now, and how do you check that staff use them safely?
- 03How will activities be matched to my relative's interests, abilities and choices?
- 04How will my relative and our family be involved in care plan reviews and decisions about their care?
- 05How do you monitor changes in my relative's mental health needs and arrange reviews with health professionals?
This was an inspection of the overall quality of the home, covering Safe, Effective, Caring, Responsive and Well-led, including both the premises and care provided. This explanation was written from the published report of 17 May 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.
Every inspection of Number 9 Anson
4 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- February 2024Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- March 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- March 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 10 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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