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CQC report explained · a nursing home

What the CQC found at Saltwood Care Centre

Goodpublished 25 May 2022, 4 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors found that people were protected from abuse and avoidable harm. Risk assessments, medicines, infection control, recruitment and incident reporting were managed safely.
Effective?
Good
This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This area was not inspected during this visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found approachable leadership, clear responsibilities, regular audits and meetings, and a culture where people and staff could give feedback.
The latest report, explained

What inspectors found, May 2022

Saltwood Care Centre rated Good; inspectors found safe, caring support and effective leadership, with some occasional staffing waits.

This was an unannounced focused inspection on 11 April 2022. Inspectors reviewed safety and leadership because information suggested possible risks. They spoke with 11 people, 12 relatives and 12 staff, and checked care, medicine, recruitment, training and quality records.

The home was rated Good for Safe and Well-led. Inspectors found clear risk assessments, safe medicines systems, suitable infection control and enough staff most of the time. People and relatives generally said people felt safe and were happy.

A new manager was in post and had started the CQC registration process. Staff described the manager as approachable, and inspectors found regular audits, meetings and action plans. The overall Good rating remained unchanged, but the other three areas were not inspected during this visit.

What inspectors praised
  • Clear risk management

    Care plans and risk assessments were up to date and gave staff enough information to manage risks such as falls, skin damage and choking.

    “Care plans and risk assessments were clear, comprehensive and up to date.” from the report
  • Safe medicines

    Medicines were stored securely, records were accurate and staff giving medicines had been trained and assessed as competent.

    “Medicines were managed safely in line with national guidance.” from the report
  • Strong quality checks

    The home used regular audits and meetings to identify problems, share information and make improvements.

    “The provider had robust quality monitoring processes in place.” from the report
  • Open management

    The new manager encouraged people, relatives and staff to share views. Staff described the management team as supportive and approachable.

    “The manager promoted a positive culture within the service where people felt empowered and involved” from the report
What inspectors were concerned about
  • Occasional staffing waits

    needs fixing

    Most people received prompt support, but some people and relatives said call bells could take longer to be answered, particularly at weekends. One person also said there was occasionally a shortage of staff.

    “Some people and their relatives felt they had to wait a bit longer at weekends.” from the report
  • Feedback results not yet analysed

    minor

    A residents' survey had been sent out, but its results had not been analysed by the time of the inspection.

    “The results had not been analysed at the time of our inspection.” from the report
  • Manager registration in progress

    needs fixing

    There was no registered manager in post during the inspection. A new manager had started the CQC registration process.

    “At the time of our inspection there was not a registered manager in post.” from the report
Questions to ask them, based on this report
  1. 01How will you make sure there are enough staff at weekends, and how quickly are call bells answered at those times?
  2. 02What progress has been made with the new manager's CQC registration?
  3. 03What did the residents' survey show, and how have you acted on the results?
  4. 04How are changes in a person's needs shared with all staff, including agency staff?
  5. 05What were the ratings and findings for Effective, Caring and Responsive at the last comprehensive inspection?

This was a focused inspection of Safe and Well-led only; the other ratings carried over from the previous inspection published on 5 February 2018. This explanation was written from the published report of 25 May 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, March 2022

Inspected but not rated; inspectors found good COVID-19 infection control and visiting arrangements.

This was an unannounced, targeted inspection on 16 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether staffing pressures were affecting care.

The inspectors were assured that the home was managing infection risks. This included the use of protective equipment, testing, isolation plans, cleaning and outbreak arrangements. The building was clean and free from unpleasant smells.

Visitors were asked to arrange visits and complete a COVID-19 test before entering. They could spend unrestricted time with their relative in the person's room. The home also had separate visiting arrangements for outbreaks.

The home was inspected but not rated. This means the report does not give a quality rating for the service or a full set of ratings for all five areas.

What inspectors praised
  • Open visiting

    Visitors could arrange visits and spend time with their relative in the person's room without a time limit. The home also had separate arrangements for visits during an outbreak.

    “Visitors could spend time with their loved one in their rooms and there was no time restriction.” from the report
  • Infection control

    Inspectors were assured that the home had effective measures for protective equipment, testing, isolation, cleaning and managing outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Clean environment

    Inspectors found the building clean and without unpleasant smells.

    “The building was clean and odour-free.” from the report
  • Maintaining relationships

    Staff supported people to keep in touch with people important to them while following COVID-19 guidance.

    “Staff supported people to maintain relationships following guidance.” 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 staffing pressures affecting people living in the home now?
  2. 02What happens to visits if there is a COVID-19 outbreak, and can relatives still visit in person?
  3. 03How often are residents and staff tested, and how quickly are the results acted on?
  4. 04How do you isolate someone who may have COVID-19 while supporting their wellbeing?
  5. 05Have the visiting, testing and vaccination arrangements changed since the inspection on 16 February 2022?

This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated and the other care areas were not assessed. This explanation was written from the published report of 1 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.

The story over the years

Every inspection of Saltwood Care Centre

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. May 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Saltwood Care Centre →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Saltwood Care Centre →

  3. February 2018Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. October 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. October 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. 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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