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CQC report explained · a residential care home

What the CQC found at Sherwood House

Goodpublished 6 July 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Requires improvement
Inspectors were assured that the home was following safe infection prevention and control procedures. They found arrangements for visitors, protective equipment, testing, cleaning and managing outbreaks.
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, December 2020

Inspected but not rated; inspectors were assured that infection control measures were keeping people safe.

This was an announced, targeted inspection on 9 December 2020. It looked at infection prevention and control because of the coronavirus pandemic.

The home restricted entry, stopped new admissions and limited visitors. Visitors had their temperature checked, answered health questions and were recorded. The home had enough protective equipment, regular testing and increased staffing.

Inspectors were assured that the home was preventing infections, using protective equipment safely, following distancing and shielding rules, and keeping its infection control policy up to date. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Controlled access

    Entry was restricted and visitors were screened before being allowed inside. The home also kept a record of visitors.

    “Before entering the home all visitors had their temperature checked and were asked a series of questions about their current health.” from the report
  • Family contact

    Staff helped people stay in touch with family and friends through technology and regular telephone calls while visits were restricted.

    “Staff supported people to maintain contact with family and friends in other ways.” from the report
  • Protective equipment and testing

    The home had enough protective equipment, checked its stock and carried out regular testing of staff and people living there.

    “There were adequate supplies of PPE and stock levels were regularly checked.” from the report
  • Extra staffing

    Staff numbers had been increased on all shifts, particularly to support people living with dementia during the restrictions.

    “Staff numbers had been increased on all shifts.” 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 visits arranged now, and do visitors still use the conservatory rather than other parts of the home?
  2. 02What testing is currently carried out for staff and people living at the home?
  3. 03How do staff identify whether someone has COVID-19 or is waiting for a test result?
  4. 04Are staffing levels still higher on all shifts, including for people living with dementia?
  5. 05What were the home's latest ratings for caring, effective, responsive and well-led care, since this inspection did not assess those areas?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated, and the other four question areas were not assessed. This explanation was written from the published report of 18 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.

An earlier report, explained

What inspectors found, July 2019

Sherwood House is rated Good overall, but Safe requires improvement because staffing levels were not always enough to support people safely.

This was an unannounced, scheduled inspection on 16 May 2019. One inspector visited, spoke with people, a relative, staff and managers, and reviewed care plans, staff files, audits and risk assessments. This was the first full comprehensive inspection since the provider registered in April 2018.

Inspectors found that staffing was not always sufficient. Three people needed two staff for personal care and transfers, but only two care staff were on duty while a senior was giving medicines. Some call bells rang for more than ten minutes before being answered. Inspectors said this increased the risk of harm and rated Safe as Requires Improvement.

Other areas were rated Good. People were treated kindly and with dignity, medicines were administered safely, care was personalised, and the home was clean and suitable. People received support with food, health care, activities and complaints.

The overall rating was Good. This means inspectors found the service was performing well overall, but the Safe rating shows an important shortfall that needed improvement.

What inspectors praised
  • Kind and respectful care

    Inspectors saw people being treated with kindness, dignity and respect. People and relatives were involved in decisions about care.

    “We observed that people were treated with kindness,dignity and respect. We received feedback from people and relatives which supported this.” from the report
  • Medicines handled safely

    Staff who gave medicines were trained and assessed as competent. Records had no missing signatures and medicines were given as prescribed.

    “Medicine administration records were all signed for when medicine had been given and there were no missing signatures.” from the report
  • Personalised support

    Staff knew people well and understood their preferences. Care plans included people's communication needs and personal choices.

    “People were supported by staff who knew them well and understood their preferences.” from the report
  • Good quality monitoring

    The management had recorded checks covering areas such as the environment, staff support, health and safety, and incidents.

    “The management showed clear evidence of a robust quality monitoring process for the home which was recorded.” from the report
What inspectors were concerned about
  • Not enough staff at times

    serious

    There were not enough staff to support three people who needed two staff for personal care and transfers. The senior staff member was administering medicines and could not help with care at that time.

    “There were 14 people using the service at the time of our visit and three of them required the support of two staff when they moved and for their personal care.” from the report
  • Long waits for call bells

    serious

    Some call bells rang for more than ten minutes before staff answered them. This happened several times, especially in the morning.

    “During our visit some call bells were ringing for more than ten minutes before being answered.” from the report
  • Care records not always easy to follow

    needs fixing

    Some care information was held electronically and some on paper. Inspectors said this made it difficult to identify the most recent review.

    “This made it difficult to always see what was the most recent review.” from the report
Questions to ask them, based on this report
  1. 01What staffing changes have been made since the inspection for people who need two staff for personal care and transfers?
  2. 02How do you now make sure call bells are answered promptly, including during busy morning routines?
  3. 03How would you respond if an emergency happened while a senior staff member was administering medicines?
  4. 04How do you make sure staff can identify the latest care plan review when information is held electronically and on paper?
  5. 05What evidence can you show that the staffing and call bell concerns have been addressed?

This was a scheduled, unannounced full comprehensive inspection covering all five CQC questions and was the first full comprehensive inspection since the provider registered in April 2018. This explanation was written from the published report of 6 July 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 Sherwood House

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Sherwood House →

  2. July 2019Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Sherwood House →

  3. April 2018

    Registered with the Care Quality Commission on 3 April 2018.

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.

Next steps

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