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CQC report explained · a nursing home

What the CQC found at RecoveryHub@SouthLeeds

Goodpublished 26 June 2019, 7 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 the home was following safe infection prevention and control procedures. This included safe PPE use, testing, visitor arrangements, social distancing, hygiene and outbreak management.
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?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, December 2020

RecoveryHub@SouthLeeds was inspected but not rated; inspectors were assured that infection control arrangements were safe.

This was a targeted inspection on 17 November 2020. It was announced and focused on infection prevention and control during a coronavirus outbreak.

Inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing visitors, and following shielding and social distancing rules. They were also assured that the home could prevent or manage infection outbreaks.

The home had staff checks on PPE and handwashing, a cohorting and zoning policy, and clinical support for infection control. Staff could also use wellbeing support such as mental health workshops and counselling signposting.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for most areas of care.

What inspectors praised
  • PPE and handwashing checks

    The home checked all staff were competent in using PPE and following handwashing procedures.

    “The home completed competency checks on all staff to ensure they were competent in PPE and handwashing procedures.” from the report
  • Infection control layout

    The home had arrangements to separate people and areas to help stop infections spreading.

    “The home had an effective cohorting and zoning policy in place to stop the spread of infection.” from the report
  • Clinical support

    A named clinical lead and on-site clinical support were available to help manage infection control.

    “The home had a named clinical lead and on-site clinical support to help manage infection control.” from the report
  • Staff wellbeing support

    Staff could access wellbeing services, including workshops, coffee mornings and signposting to counselling.

    “To support staff wellbeing there were a range of services such as mental health workshops, coffee mornings and signposting to counselling services.” 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 staff competency checks for PPE and handwashing kept up to date?
  2. 02How are cohorting and zoning used now to prevent infections spreading?
  3. 03How are people using the service and staff being tested for infections?
  4. 04What arrangements are currently in place for visitors, shielding and social distancing?
  5. 05Who provides the home's clinical support for infection control, and how can families contact them?

This was a targeted inspection of infection prevention and control under the Safe area during a coronavirus outbreak; the service was inspected but not rated and the other quality areas were not assessed in this report. This explanation was written from the published report of 9 December 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, June 2019

RecoveryHub@SouthLeeds was rated Good overall, with Outstanding leadership; inspectors found kind, effective care but some people waited a long time at evening handover.

This was the first inspection since the service registered in 2018. It was unannounced and took place on 7 May 2019. Inspectors spoke with people, relatives and staff, observed care, and checked care, medicines, staffing and management records.

The home provided short-term assessment, nursing, personal care and rehabilitation for up to 40 people. At the inspection, 35 people were using it. Inspectors found people were safe, treated with kindness and involved in decisions. Care was focused on helping people regain independence and return home.

All five areas were rated Good except well-led, which was rated Outstanding. The report describes strong management, regular checks on quality and a culture of learning. It also noted long waits for help around evening handovers and concerns about some agency staff at night.

What inspectors praised
  • Strong leadership

    Inspectors found exceptionally positive views about the management team and a strong system for checking quality and safety.

    “There was a well-established and fully embedded governance framework.” from the report
  • Kind and respectful care

    People and relatives consistently described staff as kind, patient and attentive. Inspectors observed staff supporting people with dignity and reassurance.

    “We observed all staff interaction with people was attentive, kindly, encouraging and appropriate.” from the report
  • Rehabilitation and independence

    The service worked with health and social care professionals to help people rebuild confidence, improve daily living skills and return home.

    “The staff team provided assessment and a package of care to meet people's needs.” from the report
  • Safe medicines and clean premises

    Medicines were ordered, stored, administered and checked through established systems. Inspectors found the home clean and well maintained.

    “Peoples' medicines were managed safely.” from the report
What inspectors were concerned about
  • Waiting at evening handover

    needs fixing

    Some people reported long waits for help when staff were changing shifts in the evening. This could be important if your relative needs timely assistance.

    “Some people told us of long waits for assistance at handover in the evening.” from the report
  • Use of agency staff at night

    needs fixing

    The home used agency staff to cover vacancies. One person felt that some agency staff at night were less proficient, and the manager said this would be followed up.

    “There seem to be a lot of agency staff at night. They are not as proficient, shall we say.” from the report
  • Accessible information

    minor

    The report said some signs, menus and activity information could be made more accessible for people living with dementia. The manager said this would be addressed.

    “We discussed this with the registered manager who told us it would be addressed.” from the report
Questions to ask them, based on this report
  1. 01How long do people usually wait for help during the evening staff handover?
  2. 02How many agency staff work at night, and how do you check their skills before they work here?
  3. 03What changes have been made to make menus and activity information easier for people with dementia to understand?
  4. 04How will you involve me and my relative in rehabilitation goals and decisions about returning home?
  5. 05How are medicines errors reviewed and used to prevent the same problem happening again?

This was an unannounced first inspection that assessed all five CQC areas, including both the care provided and the care home premises. This explanation was written from the published report of 26 June 2019 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 RecoveryHub@SouthLeeds

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at RecoveryHub@SouthLeeds →

  2. June 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding

    Read what inspectors found at RecoveryHub@SouthLeeds →

  3. May 2018

    Registered with the Care Quality Commission on 9 May 2018.

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

At least 100 live-in carers within about an hour of Leeds

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 £980 to £1,250 a week. 89 can care for a couple. 11 years' experience on average.

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