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CQC report explained · a nursing home

What the CQC found at Russettings Care Home

Goodpublished 17 September 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 that the home was using PPE safely, managing testing, supporting social distancing and keeping its infection control policy up to date.
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?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, April 2021

Inspected but not rated; inspectors found strong infection control and COVID-19 safety measures.

This was a targeted, announced inspection on 18 March 2021. It looked only at infection prevention and control during the COVID-19 pandemic. The home was caring for 24 people and could support up to 45.

Inspectors found that the home was clean and tidy. Communal areas allowed people to keep apart. Staff used suitable personal protective equipment, and there was plenty available.

Staff had infection control training and regular checks on handwashing and using protective equipment. People and staff took part in regular COVID-19 testing, with results monitored by the registered manager.

The home was inspected but not rated. This means the report does not give an overall quality rating or full ratings for the five areas of care.

What inspectors praised
  • Clean environment

    The home was clean and tidy, including regular cleaning of frequently touched areas such as handrails.

    “The home was clean and tidy. Staff worked through all parts of the home to maintain cleanliness and good infection control.” from the report
  • PPE and training

    Staff used appropriate protective equipment, which was available throughout the home. Staff had extra infection control training and regular competency checks.

    “Staff were seen to be wearing appropriate personal protective equipment (PPE), and there was a plentiful supply evident throughout the home.” from the report
  • Testing was monitored

    People and staff took part in the COVID-19 testing programme. Test results were kept clearly and checked regularly.

    “The test results were clearly displayed in a folder which was checked regularly by the registered manager to ensure the frequency of tests and results were monitored and correct.” from the report
  • Suitable layout

    Communal spaces had been arranged to support social distancing.

    “Communal areas were arranged to enable appropriate spacing between people.” 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 are the home's current arrangements for visitors and preventing infections?
  2. 02How often are staff trained and checked on handwashing and using PPE now?
  3. 03How are COVID-19 or other infection tests arranged and monitored now?
  4. 04What full CQC ratings or later inspection reports are available for care, staffing, medicines and management?
  5. 05How would the home safely admit a new resident during an infection outbreak?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; it did not assess the other areas of care or give a full service rating. This explanation was written from the published report of 7 April 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, September 2019

Russettings Care Home was rated Good overall; inspectors found safe, kind and well-organised care, with some improvements still planned.

This was an unannounced planned inspection on 2 September 2019. The inspection team spoke with people living in the home, relatives and staff. They reviewed care and staff records, quality checks, incident records and safety information. They also observed how staff supported people.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were assessed, medicines were managed safely, staffing levels were enough and staff were trained. People were treated with kindness, dignity and respect, and received care that reflected their needs and choices.

The home had improved in the Responsive area since the previous inspection. Inspectors had previously found that people were not always engaged in activities, but found enough improvement this time. They also noted that signage could be improved to make the home more suitable for people living with dementia.

What inspectors praised
  • Safe care

    Risks to people's health and safety were assessed and reviewed. Medicines, safeguarding and infection control were managed safely.

    “People were safe and protected from avoidable harm. Legal requirements were met.” from the report
  • Kind and respectful staff

    Staff built warm relationships with people and supported their privacy, dignity, choices and independence.

    “Staff were kind and compassionate to people. People were involved planning their care needs.” from the report
  • Personalised support

    Care plans included people's needs, preferences, backgrounds and cultural or religious requirements. Staff supported people in ways that reflected this information.

    “People received care and support tailored to their individual needs and preferences.” from the report
  • Activities and relationships

    People could take part in group and individual activities, and visitors were welcomed. This was an improvement on the previous inspection.

    “People took part in a range of individual and group activities they enjoyed.” from the report
  • Good management oversight

    Managers used audits, incident reviews, meetings and surveys to monitor care and identify improvements.

    “The quality of the home was regularly assessed and monitored.” from the report
What inspectors were concerned about
  • Use of agency staff

    minor

    People and staff mentioned that the home had used a high number of agency staff. Inspectors still found that there were enough staff to meet people's needs.

    “Although, there has been a spell where there were lots of agency staff but I haven't been aware of that so much lately.” from the report
  • Dementia-friendly signs

    minor

    Inspectors said the home would benefit from clearer signage to support people living with dementia. The owners were said to be working on a plan.

    “We noted however, that people would benefit if the home improved on signage around to make it a more 'dementia friendly home' to meet the needs of people in the home.” from the report
Questions to ask them, based on this report
  1. 01How much are agency staff currently used, and how do you make sure they know each person's care needs?
  2. 02What changes have been made to the signs and layout to make the home more dementia friendly?
  3. 03How do you check that activities are offered to people who prefer to stay in their rooms?
  4. 04How are families involved in reviewing care plans and making best-interests decisions?
  5. 05What improvements have been made in response to feedback from people and relatives?

This was an unannounced comprehensive inspection covering all five CQC questions, including the premises and the care provided; the previous overall rating was Good and the Responsive rating improved from Requires Improvement. This explanation was written from the published report of 17 September 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 Russettings Care Home

4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

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

    Read what inspectors found at Russettings Care Home →

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

    Read what inspectors found at Russettings Care Home →

  3. February 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. October 2015Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. April 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. March 2014

    Registered with the Care Quality Commission on 5 March 2014.

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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