CQC report explained · a nursing home
What the CQC found at Royal Hampton Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including PPE, testing, admissions, hygiene and outbreak management. They gave guidance about recording visitor checks and tests and about monitoring COVID-19 record keeping.
- 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?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, March 2022
Inspected but not rated; inspectors found clean premises and safe infection control, but records and visiting arrangements needed improvement.
This was an unannounced, targeted inspection on 28 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and whether COVID-19-related staffing pressures affected care.
The home was clean and staff used protective equipment safely. Inspectors were assured about testing, admissions, social distancing, shielding, hygiene and managing infection outbreaks. People and relatives also spoke positively about the staff and support.
Some records needed strengthening. Inspectors gave guidance about recording visitor checks and tests, updating the infection control policy and monitoring COVID-19 records. Some relatives also said they had not been told about the essential care giver role and that visiting times were not always suitable.
The home was inspected but not rated. This was not a full inspection of all five areas of care, so the report does not give an overall rating or a rating for most questions.
Clean and hygienic home
Inspectors found the home clean and were assured that its layout and hygiene practices supported infection prevention.
“The home was clean. We observed staff using PPE safely.” from the report
Safe infection control
Inspectors were assured that the home was using PPE safely, arranging testing and taking steps to prevent and manage infection outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Positive staff support
People and relatives spoke positively about the staff. Staff also described working together to support people's wellbeing during the pandemic.
“Staff told us that they had worked together as a team to help promote the wellbeing of people throughout the COVID-19 pandemic.” from the report
Visitor records
minorThe home needed to improve how it recorded checks and tests for visitors. Inspectors signposted it to additional resources rather than reporting a breach.
“We have signposted the provider to additional resources in relation to recording the checks and tests which were carried for visitors to the service.” from the report
Communication about visiting
needs fixingSeveral relatives said they had missed information about becoming essential care givers. Some also said visiting times were not always suitable.
“Several relatives told us there had been missed opportunities about informing them of being an essential care giver.” from the report
Infection control records
minorInspectors said the infection control policy should refer to additional COVID-19 policies and that audits should monitor related record keeping.
“We have signposted the provider to additional resources to help ensure the provider's infection control policy referenced the additional COVID-19 policies and that the home's auditing system monitored record keeping in relation to COVID-19.” from the report
- 01How do you now record checks and tests for visitors?
- 02How are relatives told about the essential care giver role?
- 03How do you agree and record visiting arrangements that suit each person and their visitors?
- 04How has the infection control policy and audit process been updated to cover COVID-19 policies and record keeping?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 22 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.
What inspectors found, February 2020
Royal Hampton is rated Good; inspectors found kind, safe care, with some records and staff deployment needing attention.
This was an unannounced inspection over three visits in December 2019. Inspectors spoke with people, relatives, staff and health professionals. They observed care and reviewed care plans, medicines records, staff files and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were generally safe, treated with kindness and supported with their health, food, activities and personal choices.
There were some issues to improve. These included staff performance and deployment, missing details in some care records, medicines recording errors and some gaps in end of life records. The manager addressed several points during or shortly after the inspection.
Kind and respectful care
People told inspectors that staff were caring, patient and respectful. Inspectors saw that privacy, dignity and independence were promoted.
“Staff were kind, considerate and treated people with respect.” from the report
Safe medicines systems
The home had systems for ordering, storing, giving and recording medicines. People generally received their medicines on time, and recording issues found during the inspection were corrected.
“Overall, medicines were managed well.” from the report
Activities and inclusion
The home offered group activities, trips and individual support. A new activity coordinator had been appointed to improve activities for people living with dementia and people nursed in bed.
“A range of activities were in place and a new activity coordinator had been recently employed to further enhance this” from the report
Open management
The manager was approachable and acted on feedback during the inspection. The home used surveys, meetings and quality checks to monitor care.
“The registered manager was professional, open and approachable throughout the inspection.” from the report
Staff performance and deployment
needs fixingInspectors observed possible problems with how some staff performed their roles and how staff were deployed. The manager was aware and said this would be reviewed.
“We also observed some potential issues with staff performance and deployment.” from the report
Incomplete care records
needs fixingSome PEG care plans did not include all the required details. A small number of care plans and end of life records also needed updating or more detail.
“Some records about end of life care decisions could have been more detailed.” from the report
Medicine recording
needs fixingInspectors found a small number of medicine recording issues. These were addressed straight away and audits were being used to find and correct errors.
“We did find a small number of recording issues which were addressed straight away by the registered manager.” from the report
Visitors not always signing in
minorNot all visitors were signing in and out of the building. The manager said the signing-in book would be moved and staff would monitor this.
“We noted that not all visitors to the building were signing in/out.” from the report
- 01How do you monitor staff performance and deployment on each shift?
- 02How do you check that PEG care plans contain all the details staff need?
- 03What checks make sure medicines are recorded correctly every time?
- 04How will you provide suitable activities for people living with dementia and people nursed in bed?
- 05How are end of life wishes recorded, reviewed and shared with families?
This was an unannounced planned inspection covering all five key questions, with the previous Good ratings retained. This explanation was written from the published report of 14 February 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.
Every inspection of Royal Hampton Care Home
4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2018Goodstayed GoodSafe: GoodEffective: GoodWell-led: Good
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2017Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- January 2016
Registered with the Care Quality Commission on 22 January 2016.
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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