CQC report explained · a nursing home
What the CQC found at Shirley View Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, January 2022
Inspected but not rated; inspectors found strong COVID-19 infection control and visiting arrangements.
This was an announced, targeted inspection on 18 January 2022. Inspectors looked at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.
The home had screening, testing and vaccination checks for visitors, staff and new residents. Staff used personal protective equipment, positive residents were isolated, and the home had arrangements for virtual and in-person visits.
Inspectors said they were assured about the home's infection control measures. The service was marked inspected but not rated, so this report does not give an overall quality rating or a standard rating for Safe.
Infection control
The home followed guidance on screening, protective equipment, social distancing, testing and isolation. Inspectors observed staff following protective equipment and distancing guidance.
“Our observations during the inspection confirmed staff were adhering to PPE and social distancing guidance.” from the report
Visiting arrangements
The home supported visits in person and by video. Families were kept informed through newsletters and information about visiting procedures.
“The provider kept in touch with family members and people's friends through regular email newsletters.” from the report
Safe admissions
New residents were tested on arrival and were normally isolated for 10 days, with an exception described for people who had received two vaccine doses and a negative PCR test after admission.
“The provider informed us that as soon as the service users arrive, they perform a lateral flow test and a PCR test was undertaken on the day of admission into the service.” from the report
Staff infection control support
The home reported that staff had infection control and protective equipment training. It also had an infection prevention and control champion who shared learning with care staff.
“The provider informed us that all staff had received the infection prevention and control and personal protective equipment training.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection prevention and control arrangements are in place now, and how have they changed since the inspection?
- 02How do you currently manage visits, including screening, testing and any vaccination or exemption requirements?
- 03What happens if a resident tests positive for an infection, including isolation and staffing arrangements?
- 04How are COVID-19-related staffing pressures managed now, and could they affect the care my relative receives?
- 05How often are staff trained in infection prevention and the safe use of protective equipment?
This was an announced, targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 21 January 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.
What inspectors found, May 2018
Rated Good; inspectors found safe, kind and personalised care, with major improvements since the previous inspection.
This was an unannounced comprehensive inspection on 4 April 2018. The inspector and an Expert by Experience spoke with nine residents, two relatives, four staff and managers. They reviewed care records, staff files, meeting notes and quality checks.
All five areas were rated Good. Inspectors found that medicines and risks were managed safely. Staff were trained and supported, people received help with food and healthcare, and their privacy, dignity and personal choices were respected.
People had personalised care plans, named staff to support them and access to activities. The registered manager had improved checks on the quality of care and acted when problems were found.
The home had previously been rated Requires Improvement in January 2017 because of problems with medicines, risk assessments and quality checks. A focused inspection in May 2017 found improvements but the rating did not change then. This inspection found the home had come out of regulatory breach.
Medicines and risk management
Inspectors found that medicines were stored securely, administration records were complete and people's risks were assessed and reviewed.
“People's medicines were stored appropriately and administered safely.” from the report
Personalised care
Care records reflected people's histories, preferences and changing needs. Relatives and people were involved in reviewing their care plans.
“People and their relatives participated in reviews of their care plans.” from the report
Dignity and choice
Staff respected privacy and dignity, offered choices throughout the day and supported people's relationships and faith.
“Staff respected people's privacy and treated them with dignity.” from the report
Activities and relationships
The home offered group and individual activities, including painting, music, games, gentle exercise and pampering sessions. Visitors were welcomed.
“A range of activities were available for people to participate in.” from the report
Improved management checks
The registered manager and operations manager carried out more frequent checks and acted on problems identified by audits.
“The registered manager audited the quality of the service and made timely improvements.” from the report
Recent history of shortfalls
needs fixingThe home had been rated Requires Improvement at the previous comprehensive inspection because medicines, risk assessments and quality checks were not always good enough. The current inspection found these issues had been addressed, but families may want to check that the improvements have lasted.
“At our last comprehensive inspection in January 2017 we gave the service an overall rating of 'Requires Improvement'.” from the report
- 01How have you kept medicines storage, administration and recording safe since the April 2018 inspection?
- 02How often are people's risk assessments reviewed, and what happens when a new risk is identified?
- 03How do people and relatives take part in reviewing and changing care plans?
- 04What activities are available for someone with my relative's interests, mobility and communication needs?
- 05How would you support my relative if they needed end of life care, given that no one needed this support at the inspection?
This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 9 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 Shirley View Nursing Home
5 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- January 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2017Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- March 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- July 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- March 2016Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2014
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- December 2013
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- 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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