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What the CQC found at Scalford Court Care Home

Requires improvementpublished 24 May 2024, 2 years ago

Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.

The latest report, explained

What inspectors found, March 2022

Scalford Court Care Home was inspected but not rated; inspectors found generally good infection control with some cleaning records needing improvement.

The inspection was unannounced and took place on 07 February 2022. It was a targeted inspection during a COVID-19 outbreak, focused on infection prevention and control and staffing pressures.

Inspectors were assured that people were admitted safely, staff used protective equipment properly, testing was available and visitors were managed safely. The home was also meeting the COVID-19 vaccination requirements for non-exempt staff and visiting professionals.

People were supported to keep in touch with family through window visits, telephone calls and video calls. There was also a staffed isolation area for people who found it difficult to isolate in their bedrooms.

The service was inspected but not rated. Inspectors found that some cleaning records did not show that all required cleaning had taken place, so new cleaning schedules were introduced during the inspection.

What inspectors praised
  • Contact with relatives

    Staff helped people keep in touch with friends and family during the outbreak through several types of visit and communication.

    “During the COVID-19 outbreak, staff had supported people to maintain contact with friends and family via window visits, telephone calls and video calls.” from the report
  • Visitor infection checks

    Visitors had to provide a negative lateral flow test and were given instructions about protective equipment. A handwashing basin was also installed at the entrance.

    “All visitors were required to show a negative Lateral Flow Device (LFD) test result before they entered the service.” from the report
  • Vaccination checks

    The home used an electronic system to check the COVID-19 vaccination status of visiting professionals and met the relevant vaccination requirement.

    “The service was meeting the requirement to ensure non-exempt staff and visiting professionals were vaccinated against COVID-19.” from the report
What inspectors were concerned about
  • Cleaning records

    needs fixing

    Records did not always show that all required cleaning had been completed. The registered manager introduced new cleaning schedules during the inspection.

    “However, records did not always evidence all required cleaning had been undertaken.” from the report
  • Isolation room door

    minor

    Inspectors saw that the bedroom door of a person isolating was open. The manager addressed this promptly and it was later observed to be closed.

    “We observed the bedroom door of a person isolating to be open.” from the report
Questions to ask them, based on this report
  1. 01How are the new cleaning schedules checked, and can you show us recent completed records?
  2. 02How do you support residents who find it difficult to isolate in their bedrooms?
  3. 03What arrangements are currently in place for visits and contact with relatives?
  4. 04How do you check COVID-19 vaccination or exemption status for visiting professionals?
  5. 05How do you manage staffing pressures during outbreaks?

This was a targeted inspection of infection prevention and control and staffing pressures during a COVID-19 outbreak; the service was inspected but not rated. 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.

An earlier report, explained

What inspectors found, August 2021

Overall Good; inspectors found people were protected and the home was well managed, but staffing levels and some risk records needed closer attention.

This was an unannounced focused inspection on 16 June 2021. Inspectors looked only at Safe and Well-led, after concerns about incidents involving possible harm and staff recruitment. They spoke with people, relatives and staff, observed care, and checked care records, medicines, recruitment files and quality checks.

The home was rated Good for Safe and Good for Well-led. Inspectors found no evidence that people had been harmed. Staff knew people well, safeguarding systems were in place, medicines were managed safely, and infection control measures were followed, including measures relating to COVID-19.

There were some shortfalls. The home did not use a systematic method to decide how many staff were needed, and some risk assessments lacked important details about equipment. Some furniture was also difficult to clean because it was stained or damaged. The overall rating remained Good because the other areas were not inspected and their previous ratings were carried forward.

What inspectors praised
  • Protection from abuse

    Safeguarding systems were in place. Incidents were reported, investigated and followed up to reduce the risk of harm.

    “People continued to be protected from the risk of abuse.” from the report
  • Safe medicines support

    Medicines were stored securely, records were robust, and staff had training and competency checks.

    “Medicines were stored securely and supported by robust records.” from the report
  • Infection control

    The premises were clean and well maintained overall. Staff followed safe practices for protective equipment, isolation, testing and vaccinations.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Open management

    Regular audits were used to monitor the service. People, relatives and staff could give feedback, and managers acted on concerns.

    “Audits to monitor and improve the service were completed regularly.” from the report
What inspectors were concerned about
  • Staffing cover

    needs fixing

    The home had enough staff at the time of the inspection, but it did not have a systematic way to decide staffing levels or regularly adjust them as people's needs changed. People sometimes had to wait for help, particularly when the home was short staffed.

    “The provider did not have a systematic approach to determine the numbers of staff required to keep people safe at all times.” from the report
  • Risk assessment detail

    needs fixing

    Some risk assessments did not state the specific equipment staff should use, such as the type of hoist or sling. The manager said these records were being updated.

    “Some risk assessments required further detail to provide relevant information for staff to keep people safe.” from the report
  • Damaged furniture

    minor

    Some fabric chairs were heavily stained and another was ripped. This made effective cleaning and sanitising harder.

    “Some fabric armchairs were heavily stained and a moulded armchair was ripped.” from the report
Questions to ask them, based on this report
  1. 01How do you now calculate the number of staff needed, including cover for sickness or other unplanned absences?
  2. 02Have all moving and handling risk assessments been updated with the exact hoist and sling equipment required?
  3. 03What action was taken about the stained and ripped furniture, and has it been replaced or made easier to clean?
  4. 04What were the ratings for Effective, Caring and Responsive at the previous comprehensive inspection?
  5. 05How will you make sure people do not have to wait too long for help when the home is short staffed?

This was a focused inspection of Safe and Well-led only; the other ratings were carried forward from the previous comprehensive inspection. This explanation was written from the published report of 5 August 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.

The story over the years

Every inspection of Scalford Court Care Home

4 rated inspections over 5 years: the service has held its Good rating throughout.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Scalford Court Care Home →

  2. August 2021Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Scalford Court Care Home →

  3. March 2020Goodup from Requires improvement
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2019Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. June 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. March 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 7 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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