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CQC report explained · a nursing home

What the CQC found at Rottingdean Nursing and Care Home

Goodpublished 3 February 2018, 8 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 infection prevention and control, including PPE, testing, visiting, social distancing, hygiene and outbreak management.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, March 2021

Inspected but not rated; inspectors were assured about infection control during a COVID-19 outbreak.

This was an unannounced, targeted inspection on 18 February 2021. It was carried out because the home had experienced a COVID-19 outbreak. Inspectors looked at infection prevention and control measures rather than the full range of care.

Inspectors were assured that the home was using protective equipment safely, arranging testing, following social distancing and shielding rules, and managing visitors and admissions safely. Staff had received infection control training, and managers carried out audits and spot checks.

The home had a separate visiting room with glass doors and an intercom. Visitors used appointments, and the room was cleaned between visits. The home was not accepting new admissions during the outbreak, but it had plans for safe admissions.

The service was marked 'Inspected but not rated'. This does not give a new overall quality rating or ratings for the other four questions.

What inspectors praised
  • PPE and infection control

    Staff had training in using PPE and infection control. Managers used audits and spot checks to check that procedures were followed.

    “All staff had received training in the use of PPE and good practices in IPC.” from the report
  • Safer visiting

    The home created a separate visiting room with glass doors and an intercom. Visits were arranged by appointment and the room was cleaned between visits.

    “There was a visiting policy in place and a visitor appointment system to support socially distanced visits and the room was cleaned effectively between visits.” from the report
  • Testing and outbreak management

    Staff and essential visitors were tested before entering. Managers recorded the results, and the home had arrangements for managing people who needed to isolate.

    “Staff and essential visitors into the home had been required to take COVID lateral flow device tests before entry.” from the report
  • Plans for new admissions

    Although admissions were paused during the outbreak, the home had plans to establish a person's COVID status and support them to isolate safely.

    “The provider had clear plans in place about welcoming new people to the home safely.” 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. 01What infection prevention and control arrangements are in place now?
  2. 02How are visitors tested, booked and supported during visits?
  3. 03How do you manage a new resident's COVID status and isolation after admission?
  4. 04How often are PPE use, cleaning and infection control checked, and what happens if a problem is found?
  5. 05What are the home's current arrangements if there is another infection outbreak?

This was an unannounced targeted inspection of infection prevention and control during a COVID-19 outbreak; it did not rate the other four questions or the service overall. This explanation was written from the published report of 27 March 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.

An earlier report, explained

What inspectors found, February 2018

Rated Good; inspectors found safe, kind and responsive care, with improvements still needed to information standards.

The inspection was unannounced and took place on 11 January 2018. One inspector and an expert by experience spoke with people, relatives and staff, observed care, and checked care plans, staff files, training records and quality checks.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably checked staff, safe medicines management, clean surroundings and appropriate risk assessments.

People were described as happy, relaxed and well cared for. Staff were kind, respected people's choices and dignity, supported nutrition and healthcare, and provided activities and end of life care that reflected people's wishes.

The home was asked to improve its arrangements for the Accessible Information Standard. Staff were meeting people's communication needs in practice, but had not received training and there was no related policy or procedure.

What inspectors praised
  • Safe staffing and medicines

    Inspectors found enough skilled staff and safe recruitment checks. Medicines were stored, administered, recorded and audited appropriately.

    “Medicines were managed safely and in accordance with current regulations and guidance.” from the report
  • Kind and respectful care

    People described caring relationships with staff. Inspectors saw staff respecting privacy, dignity, choices and independence.

    “People were supported by kind and caring staff.” from the report
  • Personalised support

    Care plans included people's likes, dislikes, routines and communication needs. Staff knew people well and adapted their approach.

    “Care plans accurately recorded people's likes, dislikes and preferences.” from the report
  • Activities and relationships

    The home offered varied activities and one-to-one time for people who stayed in their rooms. Families and visitors were encouraged to remain involved.

    “People were supported to take part in meaningful activities.” from the report
  • Open management

    People, relatives and staff spoke positively about the management. Staff described an approachable culture where concerns and suggestions could be discussed.

    “The provider promoted an inclusive and open culture and recognised the importance of effective communication.” from the report
What inspectors were concerned about
  • Accessible information arrangements

    needs fixing

    Staff met people's communication needs in practice, but they were not aware of the Accessible Information Standard. The home had not put related policies, procedures or training in place, and inspectors made a recommendation.

    “However, none of the staff at the service were aware of the AIS and no policy, procedures or training around this had been implemented.” from the report
Questions to ask them, based on this report
  1. 01What policies, procedures and staff training have you now put in place for the Accessible Information Standard?
  2. 02How would you support my relative if they have difficulty hearing, speaking, reading or understanding information?
  3. 03How do you check that staffing levels remain suitable if people's needs change or staff are absent?
  4. 04How will you involve my relative and our family in reviewing their care plan and end of life wishes?
  5. 05Which activities and one-to-one support would be available if my relative preferred to stay in their room?

This was an unannounced inspection of the overall service, including the premises and care, and all five quality areas were rated. This explanation was written from the published report of 3 February 2018 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 Rottingdean Nursing and Care Home

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

  1. March 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Rottingdean Nursing and Care Home →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Rottingdean Nursing and Care Home →

  3. November 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 14 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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