CQC report explained · a residential care home
What the CQC found at Sandholme Fold
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that infection prevention and control arrangements were safe.
This was a targeted, announced inspection on 1 December 2020. It looked at infection prevention and control during a coronavirus outbreak.
The inspectors found the home was clean and well ventilated. Staff used hand hygiene and personal protective equipment properly. The home used testing to help identify an outbreak quickly.
People isolating in their rooms received regular contact. Staff also supported people to keep in touch with family and friends. The inspectors were assured about visitor controls, social distancing, admissions, testing, hygiene and the infection control policy.
The home was inspected but not rated. This report does not give an overall quality rating or ratings for most of the five questions.
Testing and outbreak identification
The home was using the government testing scheme, which helped it identify an outbreak quickly.
“The service was accessing the government testing scheme which had assisted them to identify an outbreak quickly.” from the report
Clean environment
Inspectors found the home clean and well ventilated.
“Clear signage was available on entry and throughout the home reinforcing infection control procedures.” from the report
Good hygiene and PPE
Staff followed hand hygiene procedures and used protective equipment appropriately.
“Staff followed good hand hygiene procedures and wore PPE appropriately.” from the report
Contact with families
People isolating in their rooms received regular contact, and staff supported contact with family and friends.
“Staff made regular contact with people who were isolating in their rooms and supported people to maintain contact with family and friends.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you continuing to use testing to identify and manage outbreaks?
- 02How do you support people who need to isolate in their rooms?
- 03How do people keep in touch with family and friends when visiting is restricted?
- 04How do you check that staff continue to use hand hygiene and PPE properly?
- 05How do you apply your current infection prevention and control policy to visitors and new admissions?
This was a targeted inspection of infection prevention and control during a coronavirus outbreak; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 19 December 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.
What inspectors found, May 2018
Sandholme Fold was rated Good; inspectors found kind, safe care, but noted cold meals and some records needing improvement.
Inspectors visited on 23 and 24 April 2018. The first day was unannounced. They spoke with people living in the home, a relative, staff and a healthcare professional. They also observed care and checked care records, medicine records, recruitment files and quality checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, suitable training and regular access to healthcare. People were treated with kindness, respect and compassion, and were involved in their care.
There were some areas to improve. Five people said their meal had been cold. Two risk assessments were missing at first, and one potential safeguarding concern had not been properly investigated. The home dealt with these issues during the inspection. Inspectors also recommended pictures in menus and wider checks of care records.
Kind and respectful care
Inspectors saw positive and patient interactions. People's privacy, dignity, independence, beliefs and choices were respected.
“We observed people were treated with kindness and respect.” from the report
Safe medicines
The home had systems for ordering, storing, recording, giving and disposing of medicines. Staff training and checks were in place.
“Medicines were managed safely within the home.” from the report
Enough staff and training
Inspectors found enough staff to meet people's needs. Recruitment checks, induction, ongoing training and supervision were in place.
“The registered manager used a dependency tool as a guide to ensure there were enough staff to meet people's needs.” from the report
Person-centred support
People helped shape their care plans and could choose activities. Support reflected individual preferences, including end of life wishes and social interests.
“There was a person-centred approach to care.” from the report
Cold meals
needs fixingFive people told inspectors that their meals had been cold. The home was taking action after people raised concerns about food.
“For example, five people told us their meal was cold.” from the report
Missing risk assessments
needs fixingRisk assessments for bedrails and making hot drinks were not in place when inspectors checked. They were added during the inspection.
“We found two risk assessments were not in place.” from the report
Safeguarding investigation
seriousOne potential safeguarding concern involving two skin tears had not been sufficiently investigated at first. It was investigated during the inspection and shared with the local authority.
“However, we noted one isolated incident where a potential safeguarding concern regarding a person sustaining two skin tears had not been sufficiently investigated.” from the report
Care record checks
minorThe home checked only a small sample of care records each month. Inspectors recommended checking a larger sample so issues could be found and dealt with sooner.
“We recommend that a larger sample is looked at each month to ensure every care record is audited on a more regular basis.” from the report
Menus were not accessible to everyone
minorMenus were typed rather than using pictures. Inspectors said pictures could make choices easier for people with memory problems to understand.
“We recommend the provider improves the menus to include pictures.” from the report
- 01What changes have you made to stop meals being served cold?
- 02How do you now make sure risk assessments for bedrails and hot drinks are completed and kept up to date?
- 03What process is now used to investigate and report possible safeguarding concerns?
- 04How often are all care records checked, rather than only a small sample?
- 05Have pictures been added to menus to help people understand their choices?
This was a comprehensive inspection covering all five questions, and all five ratings remained Good from the previous inspection. This explanation was written from the published report of 31 May 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.
Every inspection of Sandholme Fold
2 rated inspections over 2 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 November 2010.
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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At least 100 live-in carers within about an hour of Calderdale
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 87 can care for a couple. 12 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.