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CQC report explained · a nursing home

What the CQC found at Singleton Nursing & Residential Home Limited

Goodpublished 28 August 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 that the home was preventing and managing infection, including through PPE, testing, social distancing, cleaning and outbreak planning.
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, January 2021

Singleton Nursing & Residential Home Limited was inspected but not rated; inspectors were assured about infection prevention and COVID-19 safety measures.

The inspection took place on 19 January 2021 and was announced. It was a targeted inspection during the coronavirus pandemic, focused on infection prevention and control.

Inspectors found good arrangements for visits, including a separate meeting room and a visitor coordinator. Visitors and residents were provided with personal protective equipment, and people and staff were supported with regular COVID-19 testing.

Inspectors were assured about preventing infections, social distancing, admissions, protective equipment, testing, cleaning, outbreak planning 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
  • Safer family visits

    The home created a separate meeting room for visits and appointed a visitor coordinator to help organise visits and communicate with families.

    “An enclosed meeting room was created for people to meet with family and friends.” from the report
  • Protective equipment

    Visitors and residents were provided with personal protective equipment.

    “The registered manager provided personal protective equipment to visitors and residents.” from the report
  • Regular testing

    People living in the home and staff were supported with regular COVID-19 testing.

    “People and staff were supported with regular testing for COVID-19.” from the report
  • Outbreak planning

    The home had planned how to manage a COVID-19 outbreak, including isolation and dividing areas into zones.

    “The registered manager had planned how to manage an outbreak of COVID-19 in the home, including isolating in rooms and zoning areas.” 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 family visits arranged now, and is the separate meeting room still used?
  2. 02How often are residents and staff tested for COVID-19 or other infections?
  3. 03What protective equipment is available to visitors and staff today?
  4. 04What would happen if there were an infection outbreak, including how rooms and areas would be managed?
  5. 05How are people admitted safely and assessed if they are in a high-risk group?

This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed in this report. This explanation was written from the published report of 28 January 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, August 2019

Singleton Nursing & Residential Home Limited was rated Good; inspectors found safe, kind and personalised care, with occasional medicine storage temperature problems.

This was a planned inspection on 1 and 2 August 2019. The first day was unannounced and the second was announced. One inspector spoke with people, relatives, staff and a visiting professional, and reviewed care, medicine, staffing and management records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, detailed care plans, regular health checks and kind care that respected people's choices, privacy and independence.

Medicines were generally managed safely, but storage temperatures were sometimes too high. Staff identified this and used a portable cooler while arranging a longer-term solution. The home was undergoing major building work, and staffing would need review when new rooms opened.

What inspectors praised
  • Kind and respectful care

    Staff knew people well and supported their dignity, privacy, choices and independence. Feedback from people and relatives about the care was strongly positive.

    “Staff were caring and knew people, their preferences, likes and dislikes well.” from the report
  • Personalised support

    Care plans included people's backgrounds, interests, communication needs and preferences. People and relatives were involved in developing and reviewing care plans.

    “Care plans were individual. They contained personal information about people, such as important people in their lives, where they had lived and worked, as well as their interests and hobbies.” from the report
  • Active management and improvement

    The management team used audits, feedback and incidents to make improvements. Staff said managers were supportive and approachable.

    “There continued to be effective systems in place to monitor the quality of the service.” from the report
What inspectors were concerned about
  • Medicine storage temperatures

    needs fixing

    Medicine storage temperatures were sometimes higher than they should have been. Staff had identified the issue and used a portable cooler while a permanent solution was being arranged.

    “Medicines were managed safely, but occasionally the storage temperatures were higher than they should be.” from the report
  • Future staffing levels

    needs fixing

    Staff said staffing would need to be reviewed when the building work was complete and the new rooms were occupied. The manager said this was intended.

    “Staffing would need to be reviewed when building work was complete and the new rooms began to be occupied.” from the report
  • Accessible complaints information

    minor

    The complaints policy was available in print, but the manager agreed to produce it in large print and consider an audio version.

    “The complaints policy in place was available in printed format.” from the report
Questions to ask them, based on this report
  1. 01How are medicine storage temperatures monitored now, and was the planned air-conditioning installed?
  2. 02How many staff are on duty now that the building work and additional bedrooms have been completed?
  3. 03How can a person with poor sight, hearing or another communication need make a complaint?
  4. 04Which activities and trips are currently available for people who prefer one-to-one support or cannot join group activities?
  5. 05How are care plans reviewed with the person and their family when needs or preferences change?

This was a planned inspection covering all five rating areas, including the premises and care provided; inspectors reviewed three people's care and medicine records and some other risk assessments. This explanation was written from the published report of 28 August 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 Singleton Nursing & Residential Home Limited

2 rated inspections over 3 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Singleton Nursing & Residential Home Limited →

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

    Read what inspectors found at Singleton Nursing & Residential Home Limited →

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

    Read this report on cqc.org.uk

  4. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. November 2010

    Registered with the Care Quality Commission on 26 November 2010.

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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