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CQC report explained · a residential care home

What the CQC found at Overton House - Care Home

Goodpublished 12 May 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection control arrangements, including testing, visiting, admissions and outbreak management. They were only somewhat assured about cleaning records and the number of PPE stations.
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?
Requires improvement
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, March 2022

Overton House was inspected but not rated; infection control was mostly reassuring, but cleaning records and PPE arrangements needed improvement.

This was an announced, targeted inspection on 3 February 2022. It focused on infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected the service.

Inspectors were assured about testing, admissions, visiting arrangements, social distancing, outbreak management and the infection control policy. The home was clean and well ventilated, and staff received infection control and PPE training.

Inspectors were only somewhat assured that cleaning records fully showed the work completed. They also said more PPE stations were needed to support safe use. The service was inspected but not rated, so this report does not give a full quality rating.

What inspectors praised
  • COVID-19 testing

    People living in the home and staff received regular COVID-19 testing, with processes in place if anyone developed symptoms.

    “All staff and people living at the service received regular COVID-19 testing.” from the report
  • Visiting arrangements

    Visits followed current guidance, with screening, testing and suitable PPE available for visitors.

    “Visits were facilitated in line with current guidance with screening and testing completed upon entry to the home.” from the report
  • Communication with families

    The home kept people and families informed about changes and expectations linked to government guidance and the pandemic.

    “The service was transparent in sharing information with people and their families keeping them updated with any changes and expectations regarding government guidance and the COVID-19 pandemic.” from the report
  • Infection control policy

    The provider had an up-to-date infection prevention and control policy, and changes were shared with staff.

    “The provider had an up to date infection prevention and control policy and any changes to this policy or government guidance was cascaded to the team.” from the report
What inspectors were concerned about
  • Cleaning records

    needs fixing

    Cleaning records existed but did not always show the cleaning tasks effectively. The compliance manager started to address this during the inspection.

    “Cleaning records were in place however these did not always record the cleaning tasks effectively.” from the report
  • PPE stations

    needs fixing

    Inspectors found that additional stations for putting on and removing PPE would help staff access PPE and use it correctly.

    “Additional donning and doffing stations would ensure staff have access to appropriate PPE and promote correct donning and doffing practices.” from the report
Questions to ask them, based on this report
  1. 01How are cleaning tasks now recorded and checked to make sure the records accurately reflect the work completed?
  2. 02How many PPE stations are now available, and how do you check that staff put on and remove PPE safely?
  3. 03How are visitors screened and tested, and what PPE are they given when visiting?
  4. 04What arrangements are in place if staff shortages linked to COVID-19 affect the care provided?

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 areas were not assessed. This explanation was written from the published report of 1 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, May 2018

Overton House was rated Good overall; inspectors found kind, safe care, but Well-led was Requires Improvement because records and quality checks were not reliable.

This was a comprehensive inspection on 12 and 22 March 2018. The first day was unannounced. Inspectors observed care, spoke with people, relatives, staff and healthcare professionals, and checked care records, recruitment files, training records and quality checks.

The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe medicines arrangements, suitable training, support with food and healthcare, kind interactions, personalised activities and a complaints process.

Well-led was rated Requires Improvement. Some care records did not contain enough or consistent information about risks, healthcare referrals and people's support needs. Quality checks had not reliably found or corrected these problems. The provider started taking action during the inspection.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people with kindness, respect and compassion. Staff offered calm reassurance and adapted their support when people were confused or distressed.

    “Throughout our inspection we observed people were treated with kindness, respect and compassion.” from the report
  • Safe medicines arrangements

    Medicines were stored, administered and recorded safely by trained staff whose competence had been checked. The manager acted on issues found through medicine audits.

    “Medicines were appropriately managed, stored, recorded and administered.” from the report
  • Activities and stimulation

    People could take part in activities such as music, baking, gardening, quizzes, exercise and trips out. The environment included features designed to support people living with dementia.

    “This included exercise classes, arts and crafts, quizzes, carpet bowls, music days, gardening and trips out in the service minibus.” from the report
  • Staff training and support

    Staff received a range of training and regular supervision, team meetings and appraisals. People and relatives said staff had the skills needed to provide effective care.

    “Staff received a range of training, such as health and safety, food hygiene, infection control, dementia, challenging behaviour and pressure area care.” from the report
What inspectors were concerned about
  • Inconsistent care records

    needs fixing

    Some care plans were brief or lacked important information, including continence care and positive support for challenging behaviour. This issue had also appeared at an earlier comprehensive inspection.

    “The amount of detail in these varied; some gave clear information about the person and how they should be supported, whilst others were brief and required more detail in some areas.” from the report
  • Quality checks did not find problems

    needs fixing

    Care plan audits were less frequent than the provider expected. The quality assurance system had not reliably identified and corrected the differences between care records.

    “The amount of care plan audits (known as care programme audits) completed in the three months prior to our inspection had not been in line with the provider's expectations.” from the report
  • Some people were unattended in the dining area

    needs fixing

    Inspectors saw occasions when staff could not hear or intervene in incidents between people in the dining area. Staffing was generally sufficient, and the provider was recruiting more night staff.

    “On the first day of our inspection we noted occasions where people were unattended in the dining area, which meant staff were not able to hear and intervene when there were incidents between people in this area.” from the report
Questions to ask them, based on this report
  1. 01How are you making sure every care plan contains complete and up-to-date information about risks and support needs?
  2. 02How do you record healthcare referrals, appointments and outcomes so that requests are not missed or duplicated?
  3. 03How often are care plan audits now completed, and who checks that identified actions have been completed?
  4. 04What arrangements are in place to make sure people are supervised in the dining area at all times when needed?
  5. 05How do you prevent medicines being missed when someone is asleep, and how are missed doses reviewed?

This was a comprehensive inspection of the whole service, covering Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 12 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.

The story over the years

Every inspection of Overton House - Care Home

3 rated inspections over 2 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 Overton House - Care Home →

  2. May 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read what inspectors found at Overton House - Care Home →

  3. December 2016Goodstayed Good
    Effective: Good

    Read this report on cqc.org.uk

  4. January 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 29 November 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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Most charge £1,030 to £1,420 a week. 14 can care for a couple. 7 years' experience on average.

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