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CQC report explained · a nursing home

What the CQC found at Robertson Nursing Home

Goodpublished 4 April 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 about cleaning, protective equipment, testing, visiting arrangements and the management of infection outbreaks. The provider also described measures to manage COVID-19-related staffing pressures.
Effective?
Good
This question was not rated or assessed in the report.
Caring?
Good
This question was not rated or assessed in the report.
Responsive?
Good
This question was not rated or assessed in the report.
Well-led?
Good
This question was not rated or assessed in the report.
The latest report, explained

What inspectors found, March 2022

Robertson Nursing Home: inspected but not rated; inspectors found strong COVID-19 infection controls.

This was a short-notice, announced inspection on 11 February 2022. Inspectors carried out a targeted check of infection prevention and control, including the effect of COVID-19 staffing pressures.

Inspectors found the home was clean. Cleaning of frequently touched areas was carried out throughout the day. Staff had access to protective equipment and were trained to use it. People were supported with testing, vaccination and safe visiting.

The home was rated "Inspected but not rated" overall. Safe was also inspected but not rated. The report does not give ratings for Effective, Caring, Responsive or Well-led.

What inspectors praised
  • Clean premises

    The home had extra cleaning schedules, regular infection-control audits and cleaning of frequently touched areas throughout the day.

    “High touch areas such as door handles and light switches were cleaned throughout the day by a dedicated team of cleaners.” from the report
  • Protective equipment

    Staff could readily access protective equipment and were trained and reminded how to use it.

    “Staff had ready access to the personal protective equipment (PPE), had attended training and were reminded of proper use at each handover.” from the report
  • Testing and vaccination support

    People were supported to have COVID-19 tests and vaccinations. Staff took a rapid test before each shift.

    “People who lived at the home were supported to access COVID-19 testing and to have their COVID-19 vaccinations.” from the report
  • Family visiting

    The home supported visits in line with government guidance, using a separate entrance and checks for visitors.

    “People were supported by staff to see their family members in a COVID-safe way.” 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 visits arranged now, and what checks are required for family visitors?
  2. 02How do you manage staffing pressures when staff are absent because of COVID-19?
  3. 03How often are frequently touched areas cleaned, and how is this checked?
  4. 04How are new residents tested and supported if they need to self-isolate?
  5. 05How do you keep families informed when infection-control guidance changes?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 24 March 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.

An earlier report, explained

What inspectors found, April 2019

Rated Good; inspectors found safe, caring and well-organised care, with only a minor concern about some corridors and doorways not always being wide.

This was an unannounced inspection on 21 February 2019. Two inspectors and a specialist nurse adviser spoke with people living in the home, relatives and staff. They reviewed care records, staff files, medicines information and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably checked staff, safe medicines processes, person-centred care plans, kind care and activities for people to join in.

People were supported to eat and drink well, see health professionals and receive sensitive end of life care. Complaints were recorded and responded to, and the manager used audits and feedback to make improvements.

The home was also rated Good at the previous inspection in July 2016. This report says the home continued to meet legal requirements.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough staff to respond promptly to people's needs. Medicines records were complete and audits found safe processes.

    “All medicine administration records (MARs) we saw had been filled out correctly and with no gaps.” from the report
  • Kind and respectful care

    People described staff as caring and friendly. Inspectors saw people included in activities and treated with dignity.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised support

    Care plans recorded detailed preferences, routines and personal information. Staff used this information when supporting people.

    “One person's care plan contained information about their preferred name, music, furniture position, physical interaction with staff preferences, religion, family history and other personal details.” from the report
  • Active management

    The manager used audits, meetings, surveys and an improvement plan to oversee the home and identify changes.

    “Regular audits were carried out to monitor and assure the quality of the care that people received.” from the report
What inspectors were concerned about
  • Some corridors and doorways were narrow

    minor

    Inspectors noted that some corridors and doorways were not always wide. They said the rooms and lounges still provided plenty of space for wheelchairs.

    “Although corridors and doorways were not always wide, the rooms and lounges provided plenty of space for wheelchairs.” from the report
Questions to ask them, based on this report
  1. 01How would you support my relative if they use a wheelchair, given the report's comment about some corridors and doorways?
  2. 02How would you assess and update care plans for my relative's routines, preferences and health needs?
  3. 03What activities would be suitable for my relative, and how would you support them to choose whether to join in?
  4. 04How would you manage my relative's medicines, including any medicines needed only when required?
  5. 05How would you involve our family in care reviews, complaints and decisions about end of life care?

This was a full, unannounced inspection covering the premises and care, with all five CQC questions rated; inspectors reviewed four people's care records and three staff files. This explanation was written from the published report of 4 April 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 Robertson Nursing Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Robertson Nursing Home →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Robertson Nursing Home →

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

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 24 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

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