CQC report explained · a nursing home
What the CQC found at Red Rocks Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2022
Inspected but not rated; inspectors found strong infection prevention and control arrangements during a targeted COVID-19 inspection.
Inspectors visited the home on 17 January 2022. The visit was announced with two days' notice and focused on infection prevention, infection control, visiting arrangements and COVID-19-related staffing pressures.
Inspectors found the home was clean, tidy and free from bad smells. Managers checked cleaning and infection control regularly. Staff cleaned frequently touched areas every hour and recorded this.
Inspectors were assured that the home used personal protective equipment safely, supported testing, managed visits and admissions safely, and had an up-to-date infection control policy. The home was inspected but not rated, so this report does not give an overall quality rating.
Clean environment
The home was described as clean, tidy and free from bad smells. Domestic staff were allocated to particular areas and rooms.
“The home was clean, tidy and odour free.” from the report
Frequent cleaning
Frequently touched areas such as light switches and door handles were cleaned every hour, with records kept.
“Domestic staff cleaned all 'touch points' every hour and recorded this on a checklist.” from the report
Infection control checks
Managers regularly checked cleaning and infection control measures. They used electronic audits to record their checks.
“Cleaning checklists and infection prevention and control measures were checked regularly by managers to ensure staff adhered to guidance and standards.” from the report
Visiting arrangements
Inspectors were assured that visits were being facilitated in line with the guidance in force at the time.
“We were assured the provider was facilitating visits for people living in the home in accordance with the current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures being managed now, and have they affected people's care?
- 02Do staff still clean frequently touched areas every hour, and can families see the cleaning records?
- 03How are visits currently managed when there is an infection risk or outbreak?
- 04How do you check that staff and visiting professionals meet the current vaccination or exemption requirements?
- 05When was the infection prevention and control policy last reviewed?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not provide ratings for the other four questions or an overall quality rating. This explanation was written from the published report of 25 January 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.
What inspectors found, December 2017
Red Rocks Nursing Home was rated Good; inspectors found kind care and sustained improvements, but dementia signage and some medicines guidance needed attention.
This was an unannounced inspection on 20 November 2017. Inspectors spoke with people living in the home, relatives, staff and a visiting GP. They looked at care records, staff records, medicines records, policies, audits, the building and staff practice.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, good medicine records overall, suitable care plans and good support from health professionals.
The report says the home had improved since its previous inspection. Earlier concerns about risk assessments, staff training, mental capacity, medicines, fire safety and management systems had been addressed and were no longer breaches.
There were still some shortfalls. The building was not dementia friendly enough, plans for applying creams and ointments lacked clear instructions, and cleaning products were left unattended. The registered manager did not take part in the inspection, although other senior staff helped inspectors.
Sustained improvement
The home had addressed the concerns found at the previous inspection. Inspectors said these improvements had continued.
“At this inspection we found that improvements had been made in all areas of concern that we had previously identified and that these improvements had been sustained.” from the report
Kind and respectful staff
People and relatives spoke very positively about the staff. Inspectors saw warm care that respected privacy, dignity and choice.
“Staff were kind and caring and we saw many examples of how they respected the privacy and dignity of the people who lived in the home.” from the report
Activities and social support
The home offered group activities and individual time for people who did not want to join group activities. Inspectors saw activities including games, walks, quizzes, outings and visits from a therapy dog.
“Activities such as board games, morning walks, group quizzes, trip outs for tea and cake.” from the report
Creams and ointments
needs fixingMedicine records were generally accurate, but staff did not have body maps or clear instructions showing how, when and where to apply topical medicines.
“There were no body maps in place to show staff were to apply these creams and staff had no clear guidance on how, when and where to apply people's creams.” from the report
Dementia-friendly environment
needs fixingThere was limited signage to help people living with dementia find their way around independently. This issue had also been noted at the previous inspection and had not improved.
“Although the home was pleasantly decorated and well maintained, we found the environment was not dementia friendly in order to support people who lived at the home with dementia to remain as independent as possible.” from the report
Cleaning products left out
needs fixingCleaning products were left unattended during the inspection. Inspectors warned that confused people might be able to reach products that could harm them.
“We did note that cleaning products were left out unattended and we pointed out the risks in relation to this to staff” from the report
Manager did not take part
needs fixingThe registered manager declined to engage with the inspection. This made it difficult for inspectors to understand the manager's responsibilities and involvement in improvements.
“The registered manager declined to interact with inspectors during the inspection.” from the report
Some generic care plan wording
minorCare plans had improved and included more personal detail, but some statements were still generic or not applicable to the person. Inspectors said these needed review.
“Some of this wording was generic. For instance one person's communication care plan advised staff to encourage the person to persevere to word find during conversations yet the person's care file indicated the person had no communication or cognition difficulties.” from the report
- 01What has been done since the inspection to improve signs and other features for people living with dementia?
- 02How are creams and ointments recorded now, and do staff use body maps and written instructions?
- 03How are cleaning products kept away from people who may be confused?
- 04Who is responsible for managing the home day to day, and how is senior oversight provided?
- 05How do staff check that care plans contain accurate, personal information rather than generic wording?
This was an unannounced inspection covering the premises and care, with ratings given for all five key questions. This explanation was written from the published report of 20 December 2017 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.
Every inspection of Red Rocks Nursing Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- December 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2016Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- April 2015GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 27 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.
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