Skip to content
The Care Home DirectoryEvery care home in England

CQC report explained · a nursing home

What the CQC found at Queens Court Care Home

Goodpublished 24 October 2020, 5 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from avoidable harm, with safe medicines systems, risk assessments, suitable staffing and infection control measures. Inspectors recommended reviewing instructions for medicines given when needed, and noted that some fluid charts were incomplete.
Effective?
Good
This area was not assessed during this focused inspection.
Caring?
Good
This area was not assessed during this focused inspection.
Responsive?
Good
This area was not assessed during this focused inspection.
Well-led?
Good
A registered manager was in place, supported by a deputy manager. Audits and other checks were being used, and inspectors found the management responsive to concerns.
The latest report, explained

What inspectors found, October 2020

Rated Good; inspectors found safe care and improved management, but some medicines guidance and records needed attention.

This was an unannounced, focused inspection prompted by wider concerns about medicines and nursing care. Inspectors reviewed only Safe and Well-led. They spoke with people, relatives and staff, observed care, and checked care, medicines, training and management records.

The home was rated Good for Safe and Well-led. Inspectors found trained staff administered medicines safely, enough staff were on duty, recruitment checks were completed, and infection control arrangements were suitable. Risks were assessed and the earlier problem with bed rail documentation had been addressed.

There were still some weaknesses. Instructions for medicines given when needed did not always give staff enough detail. Some fluid charts had not been totalled. The overall rating improved from Requires Improvement to Good, based on this inspection.

What inspectors praised
  • Safe medicines administration

    Medicines were administered by trained staff, with checks that staff remained competent. Audits had identified areas for improvement and actions had been taken.

    “Only staff who were fully trained administered medicines and checks were in place to ensure staff remained competent in this task.” from the report
  • Enough staff

    Inspectors observed enough staff on duty to keep people safe and meet their needs. Recruitment checks were also completed.

    “We made observations that there were enough staff on duty to keep people safe and meet their needs.” from the report
  • Risks were better documented

    The earlier problem with bed rail consent and safety records had been addressed. Care plans included assessments for falls, moving and repositioning, bed rails and malnutrition.

    “At this inspection this had been addressed.” from the report
  • Improved management

    A registered manager was now in place, supported by a deputy manager. Inspectors found quality checks were in use and that the manager acted quickly on minor concerns.

    “A registered manager was now in place and was supported by a deputy manager.” from the report
What inspectors were concerned about
  • Fluid records

    needs fixing

    Some fluid charts had not been totalled. This meant it was uncertain whether concerns would be identified quickly enough for action.

    “Some fluid charts had not been totalled so it was uncertain if any concerns would be identified quickly to enable appropriate action to be taken.” from the report
  • Previous changes in managers

    minor

    Some relatives described a long period of changing managers and mixed views about communication. They also said things had improved during the year before the inspection.

    “They have had a long string of managers. I don't know who it is, but in the last year there has been an improvement.” from the report
Questions to ask them, based on this report
  1. 01How have you changed the protocols for medicines given when needed, especially for people who cannot clearly describe pain?
  2. 02How do you now check that fluid charts are totalled and that concerns are acted on quickly?
  3. 03Who is currently responsible for managing the home, and how long have they been in post?
  4. 04What checks are used to make sure staff remain competent to administer medicines?
  5. 05What improvements have been made to nursing care since the concerns that led to this focused inspection?

This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not assessed in this report. 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 2020

Queens Court Nursing Home rated Requires Improvement; inspectors found kind, personalised care but safety records and leadership needed improvement.

This was an unannounced planned inspection on 11 December 2019. Inspectors spoke with people, relatives, staff and health professionals. They observed care and activities, and checked care records, medicines, staff files and management records.

The overall rating was Requires Improvement. Safe and well-led were rated Requires Improvement. Effective, caring and responsive were rated Good. The home had improved staffing, medicines management, cleanliness, activities and care planning, but some bedrail information was unclear.

Inspectors also found the home had not had a registered manager since November 2018, despite this being a condition of its registration. The new manager was not yet registered. The home was asked to review several areas, including bedrail processes, dementia meal choices and staff knowledge of the Mental Capacity Act.

The previous overall rating was Good at the inspection on 24 April 2017. CQC said it would continue to monitor the home and inspect again through its re-inspection programme.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff spending time with people and supporting them gently. People and relatives said staff were kind, friendly and respectful.

    “People were treated individually and respectfully, and their privacy and dignity protected.” from the report
  • Personalised support

    Care plans recorded people's routines, interests and preferences. Staff knew people's backgrounds and what mattered to them.

    “Care plans contained personalised and detailed information about the way people liked to be supported and what was important to them.” from the report
What inspectors were concerned about
  • Bedrail information

    serious

    Three people had bedrails in place even though their care plans said they did not need them. The plans were updated during and after the inspection, but the home needed stronger monitoring and clearer information for all staff.

    “This meant there was a risk staff could put these rails up if clear information was not provided in the care plan.” from the report
  • No registered manager

    needs fixing

    The home had not had a registered manager for over a year, despite a registration condition requiring one. The new manager was not yet registered when inspectors visited.

    “Satisfactory steps have not been taken to recruit and retain a suitable registered manager within a reasonable timescale.” from the report
  • Meal choices for people with dementia

    needs fixing

    People chose meals the day before, but inspectors said this might not work well for people living with dementia who may not remember their choice.

    “However, for people living with dementia, these timescales could prove difficult as they may not remember making this choice.” from the report
  • Mental Capacity Act records

    needs fixing

    Staff understood the Mental Capacity Act in general, but knowledge and records about bedrails and falls sensor mats were not always up to date.

    “However, staff knowledge and the recording of people's need for bed rails and falls sensor mats was not always up to date.” from the report
Questions to ask them, based on this report
  1. 01Is there now a registered manager, and how long have they been in post?
  2. 02How do you check that bedrails are only used when needed and that care plans are kept up to date?
  3. 03How are permanent and agency staff told about changes to bedrail and falls sensor mat instructions?
  4. 04How do people living with dementia choose their meals at the time they are served?
  5. 05What training have staff received on the Mental Capacity Act since this inspection?

This was an unannounced planned inspection covering all five CQC questions, the premises and the care provided. This explanation was written from the published report of 6 February 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.

The story over the years

Every inspection of Queens Court Care Home

6 rated inspections over 5 years: the service has improved, from Inadequate to Good.

  1. October 2020Goodcurrent ratingup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Queens Court Care Home →

  2. February 2020Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read what inspectors found at Queens Court Care Home →

  3. June 2017Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2016Requires improvementup from Inadequate
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. March 2016Inadequatestayed Inadequate
    Safe: InadequateEffective: InadequateWell-led: Inadequate

    Read this report on cqc.org.uk

  6. December 2015Inadequate
    Safe: InadequateEffective: InadequateCaring: InadequateResponsive: Requires improvementWell-led: Inadequate

    Read this report on cqc.org.uk

  7. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  13. January 2011

    Registered with the Care Quality Commission on 31 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.

Next steps

Weigh the report against the rest

Care at home

35 live-in carers within about an hour of Essex

These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,020 to £1,260 a week. 25 can care for a couple. 10 years' experience on average.

“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
Liz L., about Sithembiso N.
“She brought fun and stimulation into mums life.”
Robert G., about Nechelle F.
See live-in carers near EssexProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.