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CQC report explained · a nursing home

What the CQC found at Ponsandane

Goodpublished 17 April 2024, 2 years ago

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

The latest report, explained

What inspectors found, October 2020

Inspected but not rated; inspectors found good infection control, safe visiting arrangements and clean premises.

This was an announced, targeted inspection on 13 October 2020. It looked at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home managed visitors, social distancing, shielding, personal protective equipment, testing and admissions safely. They also found effective cleaning routines and an up-to-date infection control policy.

The home supported people to keep in touch with family and friends and provided social activities, including minibus trips. The inspection found no concerns about the home's response to the pandemic or general standards of quality and safety.

The home was inspected but not rated. This means the visit did not provide a full overall rating or ratings for all five areas of care.

What inspectors praised
  • Safe visiting

    The home continued to allow visits while taking steps to reduce infection risks. Staff also helped people stay in contact with family and friends by phone and online.

    “The service continued to enable people to have visitors, and to facilitate this in a way which ensured this was done in a safe way.” from the report
  • Clean environment

    Inspectors found the home very clean, with cleaning routines intended to reduce risks and keep people safe.

    “The service was very clean, and had effective cleaning routines to ensure risks were minimised and people were kept safe.” from the report
  • Infection control training

    Staff had suitable training and guidance about infection control and how to respond to the pandemic.

    “Staff had received suitable training and guidance regarding infection control, and how to respond to the Covid 19 pandemic.” from the report
  • Safe admissions

    The home had a strong admissions process to help people move in and settle safely.

    “Where people came to live at the service, there was a robust admissions policy to ensure people moved in and settled safely.” from the report
  • Activities and contact

    The home provided social activities and arranged some trips. This helped people stay occupied and maintain contact with others.

    “The service was providing a range of social activities for people to help to keep them entertained and occupied.” 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 are visits arranged now, and what infection control steps are currently used?
  2. 02How do you manage testing, protective equipment and social distancing for people living here and staff?
  3. 03What arrangements are in place if there is an infection outbreak?
  4. 04How do you help residents keep in touch with family and friends when they cannot meet in person?
  5. 05What activities and outings are currently available to residents?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the other care areas. This explanation was written from the published report of 24 October 2020 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, February 2018

Ponsandane rated Good; inspectors found safe, kind and personalised care, with some records and environment improvements still needed.

This was an unannounced comprehensive inspection on 6 February 2018. Inspectors spoke with six people, two visitors and 18 staff. They also checked care plans, medicines records, staff files, rotas, training records and other service records.

Inspectors found a relaxed and friendly home. People said they felt safe and were happy with their care. Staff treated people respectfully, knew their needs and responded promptly to requests for help. Medicines were stored and given safely, and care plans were personalised and regularly reviewed.

The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. This means the inspectors found the service met the expected standard overall. The previous inspection was also Good, and this inspection found no serious risks or concerns.

What inspectors praised
  • Kind, respectful care

    Inspectors saw staff spending time with people, checking their comfort and supporting them patiently. People's privacy and personal choices were respected.

    “We saw many examples of positive interactions between staff and people during the day.” from the report
  • Safe staffing and medicines

    Inspectors found enough suitably skilled staff on duty. Medicines were stored, administered and recorded safely, with checks in place.

    “Medicine Administration Records (MARS) had been completed appropriately and these were neat and easy to decipher.” from the report
  • Personalised care planning

    Care plans described people's needs, wishes and communication methods. Staff reviewed them regularly and updated them when needs changed.

    “Care plans were well organised and contained personalised information about individual's needs and wishes.” from the report
  • Activities and social opportunities

    The home had two full-time activity coordinators offering group and individual activities, including entertainment, gentle exercise and trips.

    “Two full time activity coordinators were employed who arranged regular activities for people.” from the report
  • Quality oversight

    The management team used audits covering areas such as medicines, falls, care planning and nutrition. Actions were taken when audits identified problems.

    “There was a robust system in place to assess and monitor the quality of the service provided.” from the report
What inspectors were concerned about
  • Supervision records

    needs fixing

    Staff said they received regular supervision and appraisals, but the home did not have enough written evidence. Inspectors recommended improving how these sessions were organised and recorded.

    “There was a lack of documentation to evidence this had occurred.” from the report
  • Clutter and limited signage

    minor

    Some corridors contained furniture, equipment and clinical items. There was also limited signage for people who might need help finding their way around.

    “Some corridors were cluttered with pieces of furniture, equipment, clinical bins and bedding.” from the report
  • Limited transport for trips

    minor

    The activities programme included trips out, but not everyone who wanted to go could take part because transport was limited. Management was exploring ways to address this.

    “the numbers of people who could take part in trips out were limited due to a lack of transport.” from the report
Questions to ask them, based on this report
  1. 01How do you now record staff supervision and appraisals, and can I see evidence that these are taking place?
  2. 02What has been done to reduce corridor clutter while keeping equipment available for staff?
  3. 03Has more transport been arranged so that people who want to join trips out can do so?
  4. 04Has the manager's application to become registered been completed?
  5. 05What improvements have been made to signage for people who may need help finding their way around?

This was an unannounced comprehensive inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 17 February 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 Ponsandane

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

  1. October 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ponsandane →

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

    Read what inspectors found at Ponsandane →

  3. December 2015Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Requires improvementstayed Requires improvement
    Safe: Requires improvementResponsive: Requires improvement

    Read this report on cqc.org.uk

  5. March 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. December 2010

    Registered with the Care Quality Commission on 17 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.

Next steps

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