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CQC report explained · a residential care home

What the CQC found at Simonsfield Residential Care Home

Goodpublished 19 October 2019, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed through visitor controls, safe admissions, testing, hygiene, outbreak planning and an up-to-date policy.
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, June 2021

Simonsfield Residential Care Home was inspected but not rated; inspectors found good infection-control practice and identified resources for further development.

This was an announced inspection on 9 November 2020. It was part of a national review of infection prevention and control in care homes during the coronavirus pandemic.

Inspectors found good practice. Cleaning had increased, staff received daily updates, visitors had their temperatures checked and personal protective equipment was available at bedroom doors.

The inspectors were assured about visitor safety, admissions, testing, hygiene, outbreak management and the infection-control policy. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Cleaning and hygiene

    Cleaning schedules had been increased, with extra attention to surfaces considered high risk.

    “Cleaning schedules had been increased and particular attention was paid to high risk surfaces.” from the report
  • Staff information

    Staff were briefed each day about coronavirus measures and received updates.

    “Staff were briefed daily about COVID-19 measures and provided with updates.” from the report
  • Visitor safety

    Visitors had their temperatures checked using accurate in-ear thermometers.

    “Visitors had their temperatures taken using high-accuracy, in-ear thermometers.” from the report
  • Protective equipment

    Personal protective equipment was available at each bedroom door.

    “Supplies of personal protective equipment (PPE) were available on each bedroom door.” from the report
  • Infection controls

    Inspectors were assured that the home was managing several important infection risks, including testing and outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
What inspectors were concerned about
  • Further development

    minor

    Inspectors signposted the provider to resources to develop its infection prevention and control approach. The report does not explain what specific improvement was needed.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made since inspectors signposted resources to develop your infection prevention and control approach?
  2. 02How do you currently prevent visitors from catching or spreading infections?
  3. 03How are people using the service and staff accessing testing now?
  4. 04How are cleaning schedules, high-risk surfaces and PPE supplies checked?
  5. 05What is the current process for preventing or managing an infection outbreak?

This was an announced thematic inspection focused on infection prevention and control; it was inspected but not rated and did not provide a full assessment of the other quality areas. This explanation was written from the published report of 2 June 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.

An earlier report, explained

What inspectors found, October 2019

Simonsfield Residential Care Home was rated Good; inspectors found safe, kind and person-centred care, with minor concerns about private notes and smokers' wishes.

This was an unannounced, planned inspection on 21 August 2019. One inspector reviewed care records, medicines and training records, accidents, recruitment information and quality checks. They spoke with five people living in the home, six staff members, two relatives and three community nurses.

The home provided personal care for 36 older people. Inspectors found enough staff, safe medicines systems, clean surroundings and thorough care plans. People were supported to make choices, follow their interests and stay active in the home and community.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This means inspectors found consistently good care and management at the time of the inspection. The report also noted two minor issues: daily notes containing personal information were left in the lounge, and some smokers felt their wishes were not considered.

What inspectors praised
  • Safe care

    Medicines were managed safely, staff understood safeguarding and there were enough staff to meet people's needs.

    “There were enough staff to provide safe, consistent care that met the needs of the people living in the home.” from the report
  • Kind and personal support

    Staff knew people's histories, likes and preferences and used this knowledge to provide individual support.

    “There was an exceptionally strong person centred culture.” from the report
  • Choice and activities

    People chose their routines and took part in activities inside and outside the home, including community activities.

    “People led their own activities programme and decided whether to participate or not.” from the report
  • Clean environment

    The home was exceptionally clean and well maintained, with dedicated support for cleaning and laundry.

    “The environment was exceptionally clean and well maintained.” from the report
  • Good healthcare records

    Records were up to date and helped staff notice changes early and involve healthcare professionals.

    “Healthcare records were kept to high standards and staff knowledge of individuals was extremely good.” from the report
What inspectors were concerned about
  • Private information

    needs fixing

    Inspectors found that personal information in daily notes was not securely stored and had been left in the lounge. The manager addressed this with staff immediately.

    “We did discover that personal information contained in the daily notes was not securely stored and were left in the lounge.” from the report
  • Smokers' wishes

    minor

    People who smoked did not feel their wishes had been considered because smoking was not allowed inside the home.

    “However, people who smoked did not feel their wishes were considered as there was no smoking in the home.” from the report
  • Mixed views about food

    minor

    Food was fresh, plentiful and varied, but some people said it was not always to their taste. Other options were available.

    “Others said that the food was not always to their taste.” from the report
Questions to ask them, based on this report
  1. 01How are daily notes and other personal information kept private now?
  2. 02How do you support people who smoke, and how are their wishes considered?
  3. 03What food choices and alternatives are available if a resident does not like the main meal?
  4. 04How do you make sure care plans and risk assessments stay up to date when people's needs change?
  5. 05How are people supported to continue activities, clubs and friendships outside the home?

This was an unannounced planned inspection covering all five CQC questions and the overall quality and safety of the home. This explanation was written from the published report of 19 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.

The story over the years

Every inspection of Simonsfield Residential Care Home

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

  1. June 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Simonsfield Residential Care Home →

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

    Read what inspectors found at Simonsfield Residential Care Home →

  3. October 2018

    Registered with the Care Quality Commission on 2 October 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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