CQC report explained · a nursing home
What the CQC found at Redwalls Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control. This included visitors, admissions, protective equipment, testing, cleaning, social distancing and managing outbreaks.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Requires improvement
- This area was not assessed in this targeted inspection.
What inspectors found, February 2021
Inspected but not rated; inspectors found strong COVID-19 infection prevention measures at the home.
Inspectors visited the home on 04 February 2021. The visit was announced and targeted. It focused on infection prevention and control during the coronavirus pandemic.
The home was supporting 27 people at the time, although it could support up to 44. Inspectors were assured that the home managed visitors, protective equipment, testing, admissions, cleaning, social distancing and infection risks appropriately.
Visitors had health screening, temperature checks, face masks and access to protective equipment and handwashing facilities. Inspectors also found regular COVID-19 testing, individual risk assessments and staff training.
The service was inspected but not rated. This means the report does not give an overall quality rating or a full rating for all five areas of care.
Visitor safety
Visits were pre-booked and managed with health screening, temperature checks, masks and access to protective equipment and handwashing facilities.
“All visitors were asked to complete a health screening form, have their temperature checked and were provided with face masks to wear throughout their visit.” from the report
Clean environment
The home had increased its cleaning routines to reduce the risk of cross infection. Inspectors found the environment clean and hygienic.
“The service had increased the cleaning schedules and routines to reduce the risks of cross infection.” from the report
Protective equipment
Staff were observed using the correct protective equipment throughout the inspection.
“We observed staff to be wearing the correct personal protective equipment (PPE) throughout the inspection.” from the report
Testing and risk planning
People and staff took part in regular COVID-19 testing. Individual risk assessments reflected people's specific COVID-19 needs.
“People and staff were taking part in regular COVID19 testing.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened, and what protective equipment and handwashing facilities are available?
- 02How often are people and staff tested now, and how are positive results managed?
- 03How do you assess infection risks for each person, including people newly admitted to the home?
- 04How do you prevent and manage an infection outbreak, and when were your infection prevention policies last reviewed?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 26 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.
What inspectors found, October 2019
Rated Good overall; inspectors found safe, kind and responsive care, but leadership and involvement needed improvement.
This was an unannounced inspection over 29 July and 2 August 2019. Inspectors spoke with 15 people living in the home, seven relatives and friends, and 10 staff. They also reviewed care, medicines, recruitment and management records.
The home was rated Good for Safe, Effective, Caring and Responsive. People generally felt safe, received medicines on time, and had their care and health needs met. Staff knew people well and treated them with kindness and respect.
Well-led was rated Requires Improvement. There was no registered manager in post during the inspection, although a new manager had been recruited. Inspectors also recommended better ways to gather people's views and more weekend activities. The home had improved since the previous inspection and was no longer in breach of regulations.
Safe medicines
Medicines were stored and managed safely. People said they received their medicines when needed.
“People told us that they received their medicines when they needed them.” from the report
Kind and respectful care
Inspectors found positive relationships between staff and people. Staff supported privacy, dignity, choice and independence.
“People were treated with kindness, dignity and respect.” from the report
Personalised care planning
Care records described people's needs and wishes clearly. Staff could access the information needed to provide planned care.
“Care planning records were written and maintained in a manner that promoted person centred care and support for people.” from the report
Good health and nutrition support
People had choices about food and where to eat, and health professionals were involved when needed. Pressure sores were treated in line with specialist advice.
“People were protected from poor nutrition and dehydration.” from the report
Improved monitoring
Management checks had improved since the previous inspection. Daily and weekly checks helped identify issues and prompt action.
“Areas for improvement were quickly identified through these checks and action was taken to make any required improvements.” from the report
No registered manager in post
needs fixingThere was no registered manager at the time of the inspection. Temporary management arrangements were in place while a new manager was due to start.
“At the time of this inspection the service did not have a manager registered with the Care Quality Commission.” from the report
People's views not gathered effectively
needs fixingSeveral people and relatives did not think meetings were always effective. Inspectors recommended finding better ways to gather views and report actions.
“However, several people and their family members felt that meetings within the service for everyone to attend were not always effective.” from the report
Limited weekend activities
minorOne person and a relative reported a lack of stimulation and recreational activity at weekends. Inspectors recommended that the home review its arrangements.
“However, one person and a family member commented that there was a lack of stimulation and recreational activity at the weekend.” from the report
Some training still to complete
needs fixingNot all staff had received training and awareness in one specific area of care. The provider took immediate action to arrange this training.
“However, we identified one specific area of care that not all staff had received training and awareness in.” from the report
- 01Has the new manager now started, and who is responsible for the home's day-to-day oversight?
- 02What changes have been made to gather people's and relatives' views, and how are actions from meetings reported back?
- 03What activities are available at weekends, including for people who need more stimulation or support to take part?
- 04What was the specific area of staff training that was incomplete, and have all relevant staff now completed it?
- 05How are staffing levels and staff supervision monitored at weekends?
This was an unannounced planned inspection covering all five CQC questions, including the premises and care provided; the home had improved from the previous inspection but Well-led remained Requires Improvement. This explanation was written from the published report of 5 October 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.
Every inspection of Redwalls Nursing Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- October 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- January 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Requires improvement
- December 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- September 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- October 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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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84 live-in carers within about an hour of Cheshire West and Chester
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Most charge £980 to £1,260 a week. 76 can care for a couple. 10 years' experience on average.
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