CQC report explained · a nursing home
What the CQC found at Sibbertoft Manor Nursing Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, October 2019
Rated Good; inspectors found kind, safe and personalised care, with some records needing improvement.
This was an unannounced planned inspection on 10 September 2019. The inspectors spoke with 10 people, three relatives and 10 staff. They also reviewed care records, medicines records, recruitment files and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People were described as receiving kind and compassionate care, with staff who knew their preferences and supported their choices.
The inspectors found safe medicines practice, suitable staffing levels, appropriate training and good links with health professionals. They also found that people were supported with activities, relationships, complaints and end of life wishes.
There were two recording issues. One staff member had not had a DBS check update for nine years, and fortified food and drinks had not been documented. The provider agreed to introduce a recording system for fortified food and drinks.
Kind relationships
People and relatives described positive relationships with staff. Inspectors observed respectful and compassionate interactions.
“People received care from staff who were kind, caring and compassionate.” from the report
Safe medicines
Inspectors found that medicines were managed consistently and safely. Staff had suitable training and knew what to do if an error occurred.
“We looked at people's medication records and this evidenced that staff managed medicines consistently and safely.” from the report
Personalised support
Care plans recorded people's likes, dislikes, routines and communication needs. Staff supported individual hobbies and interests.
“People had individualised care plans, which detailed the care and support people needed.” from the report
Good leadership
The manager was visible and staff felt supported. The home used audits, meetings and feedback to monitor care.
“The registered manager had a visible presence within the service.” from the report
Old DBS update
needs fixingOne staff member had not had a DBS update for nine years. The report does not say this led to harm, but families may want to ask how staff checks are kept up to date.
“however, one staff member had not had an DBS update for nine years.” from the report
Food and drink records
needs fixingFortified food and drinks given to people at risk of malnutrition or dehydration had not been recorded. The provider agreed to introduce a recording system.
“However, fortified food and drinks had not been documented.” from the report
- 01How have you checked and updated the DBS arrangements for every staff member?
- 02What recording system is now used for fortified food and drinks?
- 03How do you monitor whether people at risk of malnutrition or dehydration are getting enough food and fluids?
- 04How are my relative's hobbies, routines, communication needs and care preferences recorded and reviewed?
- 05How can relatives raise concerns, and how will we be told what action has been taken?
This was an unannounced planned inspection covering all five CQC key questions, and the previous Good ratings in all five areas remained the same. This explanation was written from the published report of 9 October 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.
What inspectors found, March 2017
Sibbertoft Manor Nursing Home was rated Good; inspectors found safe, kind and well-organised care, with no major problems reported.
This was an unannounced comprehensive inspection on 26 January 2017. Inspectors reviewed previous information, spoke with people living in the home, a relative, staff and the provider, and looked at care, staff and management records.
The inspectors found that people were protected from harm and received care from enough suitably trained staff. Medicines were managed safely, risks were reviewed, and people received medical attention when needed.
People were treated with dignity and kindness. Staff supported people's choices, nutrition, activities and care needs. The home had systems to monitor quality, and staff described an open and supportive culture.
The overall rating was Good. Safe, Effective, Caring, Responsive and Well-led were all rated Good. The home had also been rated Good at the previous inspection in August 2014.
Safe staffing and medicines
Inspectors found enough suitably recruited and competent staff. Medicines were stored, administered and returned safely when no longer needed.
“People's medicines were safely managed and they received their medicines and treatment as prescribed by their doctor or other healthcare professional.” from the report
Kind and respectful care
Staff protected people's dignity and privacy and took time to explain care. They responded promptly to requests for help or reassurance.
“People's dignity and right to privacy was protected by staff.” from the report
Personalised support
Staff knew people's choices and preferences. Care plans included people's interests, beliefs and past history, and activities reflected individual likes and dislikes.
“The staff were able to tell us about each person's individual choices and preferences.” from the report
Good management
The home used quality monitoring systems and kept care, staff and maintenance records up to date. Staff said managers were approachable and supportive.
“The staff we spoke with all confirmed that the provider, registered manager and other senior staff were approachable and sought to promote a culture of openness within the staff team.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you meet my relative's particular nursing, health or dementia care needs?
- 02How many staff are usually on duty for the number and needs of residents?
- 03How would you involve my relative and our family in creating and reviewing their care plan?
- 04What activities would be available that match my relative's interests and preferences?
- 05Have the planned electronic record-keeping systems been introduced, and how are care records checked now?
This was an unannounced comprehensive inspection covering all five questions, with three care records reviewed and three people receiving care, one relative and staff spoken with. This explanation was written from the published report of 11 March 2017 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 Sibbertoft Manor Nursing Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- October 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Sibbertoft Manor Nursing Home →
- March 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Sibbertoft Manor Nursing Home →
- January 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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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What to check when you visit
At least 100 live-in carers within about an hour of West Northamptonshire
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 £1,280 a week. 87 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“If you bump into her in the night on her way to the bathroom she will still inquire how you are and if everything is alright.”
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.