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CQC report explained · a residential care home

What the CQC found at Simonsfield Care Home

Goodpublished 13 June 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control. They found safe visiting and admission procedures, effective use of protective equipment, regular testing and suitable arrangements for preventing or managing outbreaks.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Good
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Good
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, December 2020

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

This was an announced, targeted inspection on 28 October 2020. It looked only at infection prevention and control during the coronavirus pandemic, after CQC received information of concern.

Inspectors found safe arrangements for visitors, new admissions, shielding, social distancing and the use of protective equipment. They also found regular COVID-19 testing, suitable supplies of protective equipment and an up-to-date infection control policy.

The home was inspected but not rated. This means the report does not give an overall rating or a full rating for the five areas of care. It reports only on infection prevention and control.

What inspectors praised
  • Safe visiting

    The home had procedures to reduce the risk of infection during visits and was planning dedicated family visiting areas for winter.

    “The service followed safe visiting procedures to minimise the spread of infection.” from the report
  • Protective equipment

    There was enough protective equipment of the right standard, and staff used and disposed of it correctly.

    “There was a good stock of the right standard of PPE and staff used and disposed of it correctly.” from the report
  • Testing and outbreak planning

    People and staff could access regular COVID-19 testing. Inspectors were assured that the home could prevent or manage infection outbreaks.

    “We were assured this service were following safe infection prevention and control measures to keep people safe.” from the report
  • Support to stay in touch

    Staff supported people during the pandemic and helped them keep regular contact with family and friends using technology.

    “Staff reassured people throughout the pandemic and provided them with the support they needed to maintain regular contact with family and friends through the use of technology.” 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. 01What visiting arrangements are currently in place, and are there still specific areas for family visits?
  2. 02How are people newly admitted supported to maintain their health and wellbeing?
  3. 03How often are residents and staff tested for COVID-19 now?
  4. 04How does the home help residents keep in contact with family and friends when in-person visits are limited?
  5. 05How are infection control guidance and updates shared with staff?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the wider quality of care was not assessed. This explanation was written from the published report of 3 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, June 2019

Simonsfield Care Home was rated Good; inspectors found kind, safe and well-organised care, with minor environmental issues fixed during the visit.

This was an unannounced inspection on 8 and 13 May 2019. Inspectors spoke with 12 people living at the home, five relatives and 10 staff. They reviewed care records, medicines, training, recruitment and management records, and gathered information from other organisations.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse, medicines were managed safely, staffing was sufficient and care plans were detailed. People received suitable food and drinks, had access to health professionals and were treated with kindness, dignity and respect.

Activities were varied and included trips into the community. The home was described as well managed, with strong feedback from people, relatives and staff. Inspectors noted some cleaning and garden maintenance issues at the start, but the registered manager acted promptly to address them.

The overall Good rating means the service met legal requirements and inspectors found consistently good outcomes for people. The previous inspection, published on 16 December 2016, also rated the home Good.

What inspectors praised
  • Kind and respectful staff

    People and relatives spoke very positively about staff. Inspectors observed staff protecting privacy and dignity and building positive relationships.

    “Staff routinely knocked on people's doors and waited to be invited in.” from the report
  • Good dementia support

    The environment was adapted to help people living with dementia find their way around and take part in activities. Staff had dementia training and understood people's communication needs.

    “Decoration and signage had been set out to make it easy and comfortable for people living with dementia to navigate the building and find their rooms.” from the report
  • Personalised care and activities

    Care plans included people's histories, preferences and needs. The home offered regular activities and two trips into the local community each week.

    “The service had two-part time activities coordinators who planned a weekly activity schedule in-house plus two trips out each week in the local community.” from the report
  • Strong management and oversight

    The registered manager was visible and approachable. Audits identified areas for improvement and actions were taken.

    “The registered manager had developed a comprehensive and robust system to monitor and maintain high levels of care and support provided to people” from the report
What inspectors were concerned about
  • Cleaning detail needed attention

    minor

    Inspectors saw discolouration around posters fixed with cello tape on the first day. The posters were removed by the second day to improve cleaning in that area.

    “During day one of the inspection we noted a number of posters displayed with the use of cello tape with a build-up of discolouration around the tape and posters.” from the report
  • Garden maintenance

    minor

    The outside areas needed weeding and maintenance when inspectors first visited. Action was taken during the inspection to improve the garden.

    “During day one of the inspection we noted the outside areas needed maintenance and weeding.” from the report
  • End of life care was not observed

    minor

    No one was receiving end of life care during the inspection. Staff said they had specific training and would work with community health professionals if this support became necessary.

    “At the time of this inspection there were no persons in receipt of end of life care.” from the report
Questions to ask them, based on this report
  1. 01How would you support my relative's end of life care, and which community health professionals would be involved?
  2. 02How do you keep the dementia-friendly environment and garden maintained?
  3. 03How will you assess staffing levels if my relative's needs increase?
  4. 04How would you involve me and my relative in reviewing the care plan?
  5. 05What activities and trips would be suitable for my relative's interests and abilities?

This was an unannounced planned inspection covering all five CQC questions, including the care provided and the premises; no one was receiving end of life care at the time. This explanation was written from the published report of 13 June 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 Simonsfield Care Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Simonsfield Care Home →

  2. June 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Simonsfield Care Home →

  3. December 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 27 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.

Next steps

Weigh the report against the rest

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