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CQC report explained · a residential care home

What the CQC found at Quantock House

Goodpublished 5 April 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 that infection risks were being managed, including visitors, PPE, testing, hygiene, admissions and possible outbreaks. They noted that there was not a designated pedal bin at the PPE station, and the registered manager said this would be addressed.
Effective?
Good
This area was not assessed in this targeted inspection. Inspectors noted that appropriate assessments had been completed when people lacked capacity to make specific decisions.
Caring?
Good
This area was not assessed in this targeted inspection. The report says people were supported to maintain social relationships and access the community.
Responsive?
Good
This area was not assessed in this targeted inspection. The report describes a visiting policy explaining how visits would take place safely.
Well-led?
Good
This area was not assessed in this targeted inspection. Staff understood the infection control procedures and the registered manager said the PPE disposal issue would be addressed.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors found good infection control arrangements, with one minor issue about PPE disposal.

This was an announced, targeted inspection on 28 January 2021. It focused on infection prevention and control during the coronavirus pandemic, rather than a full assessment of all areas of care.

Inspectors were assured that the home managed visitors, social distancing, shielding, admissions, PPE, testing, hygiene and infection outbreaks appropriately. Staff understood the procedures and had received infection control training.

People were supported to keep in touch with others and access the community. The home had regular testing for people and staff, and completed appropriate assessments when people could not make particular decisions.

The service was inspected but not rated. This means the report does not provide a full overall rating or ratings for all five areas of care.

What inspectors praised
  • Infection control

    Inspectors found systems to reduce the risk of infection spreading through visitors, admissions, PPE, testing, hygiene and outbreak management.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Staff training

    Staff had been trained in infection control and knew how to use PPE and follow the home’s procedures.

    “Staff had received training in infection control, including how to use PPE.” from the report
  • Social contact

    People were supported to keep relationships going and to access the community.

    “People were being supported to maintain social relationships and access the community.” from the report
  • Testing and decision-making

    Regular testing was carried out for people and staff. Appropriate assessments were completed when people lacked capacity for specific decisions.

    “Regular testing was carried out for people and staff. Where people lacked capacity to make specific decisions appropriate assessments had been conducted.” from the report
What inspectors were concerned about
  • PPE disposal

    minor

    Inspectors found that the PPE station did not have a designated pedal bin. The registered manager said this would be addressed.

    “We highlighted there was not a designated pedal bin at the PPE station to dispose of PPE.” from the report
Questions to ask them, based on this report
  1. 01Has the designated pedal bin at the PPE station now been provided?
  2. 02How are visits currently arranged and how are visitors kept safe from infection?
  3. 03How often are people living at the home and staff tested for infections?
  4. 04What infection control training have staff received recently, including training on PPE?
  5. 05How are people supported to maintain relationships and access the community safely?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 24 February 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, April 2018

Quantock House was rated Good; inspectors found safe, kind and personalised care, with some records and menus needing improvement.

The inspection was unannounced and took place over 8 and 9 March 2018. One inspector spoke with people living in the home, relatives, staff and managers. They also observed care, looked around the home and checked care, medicine, training and safety records.

The home supported six people with learning disabilities. Inspectors found safe staffing, safe medicines, suitable care plans and respectful relationships. People were supported to make choices, stay active and use local community services.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection in November 2015.

What inspectors praised
  • Safe staffing

    Inspectors found that staffing levels matched people's needs and helped them access activities and the community.

    “Staffing levels were appropriate to the needs of the people using the service to ensure they had access to the community and recreational activities.” from the report
  • Respectful care

    Staff supported people's choices, privacy and independence. Inspectors saw respectful interactions and staff asking permission before entering bedrooms.

    “We found caring and respectful interactions between staff and the people living at the home.” from the report
  • Personalised support

    Care plans included people's communication, health, activities, preferences and abilities. People and relatives were involved where possible.

    “People received care which was person centred and responsive to their needs.” from the report
What inspectors were concerned about
  • Risk assessment detail

    needs fixing

    Some risk assessment entries did not give staff enough detail about how to keep risks as low as possible.

    “However some of the entries in the risk assessments did not have sufficient detail to guide staff to keep risk to a minimum.” from the report
  • Nutritional value of menus

    needs fixing

    People had choices about meals, but inspectors questioned whether the menus were sufficiently nutritious. The manager agreed to ask a dietician to review them.

    “The registered manager agreed to get the menus reviewed by a dietician.” from the report
  • Quality audit summaries

    minor

    Audits were being completed, but inspectors suggested that they should include yearly summaries to show longer-term trends.

    “We suggested that the audits should be developed to include annual summaries of trends.” from the report
Questions to ask them, based on this report
  1. 01How have you added detail to the risk assessments since this inspection?
  2. 02Has a dietician reviewed the menus, and what changes were made?
  3. 03How do you check that staffing levels remain suitable when people go out into the community?
  4. 04How are people and relatives involved in reviewing care plans and choosing activities?
  5. 05Do your current quality audits include annual summaries of trends?

This was an unannounced inspection of the overall service covering all five CQC questions; the previous overall rating from November 2015 was Good. This explanation was written from the published report of 5 April 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 Quantock House

2 rated inspections over 2 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Quantock House →

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

    Read what inspectors found at Quantock House →

  3. January 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2011

    Registered with the Care Quality Commission on 14 November 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.

Next steps

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