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CQC report explained · a residential care home

What the CQC found at Somerville House

Goodpublished 24 April 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 infection risks were being managed, including visitor controls, PPE, testing, admissions and outbreak planning.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Inspected but not rated; inspectors were assured that infection risks were being managed well.

This was an announced, targeted inspection on 28 January 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the home’s overall quality.

Inspectors found measures to reduce infection risks for visitors, residents and staff. These included health checks, temperature checks, optional lateral flow tests, a separate visiting pod, regular testing, PPE, quarantine for new admissions and outbreak plans.

The home was marked “Inspected but not rated” for safety. This means the inspection did not give a standard rating for the service or a new overall quality rating.

What inspectors praised
  • Visitor infection controls

    Visitors completed health checks and had their temperature taken. They were also offered lateral flow tests on arrival.

    “Visitors were also offered lateral flow tests (LFT) for the Covid-19 virus on arrival.” from the report
  • Safer family visits

    The separate visiting pod could be reached directly from the garden, reducing the need for visitors to move through the building. Visits were booked and the area was cleaned between appointments.

    “The visiting pod was accessed directly from the garden, to avoid visitors moving through the building.” from the report
  • PPE and testing

    Inspectors saw staff using PPE properly. The home had regular COVID testing and enough masks, gloves, aprons and hand sanitiser.

    “Staff were seen to be wearing PPE appropriately.” from the report
  • Plans for outbreaks

    The home had a detailed plan for a positive COVID test and contingency plans for an outbreak or other emergency.

    “There was a clear and detailed action plan in place in the event of a positive Covid-19 test.” 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 visitors currently checked before entering the home, and are tests still offered?
  2. 02How are visits arranged and how is the visiting area cleaned between appointments?
  3. 03What happens if a new resident arrives from hospital or tests positive for COVID-19?
  4. 04How often are residents and staff tested, and what PPE is available now?
  5. 05How will the home keep our family informed if there is an infection outbreak?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not assess the other key questions or give a standard overall rating. This explanation was written from the published report of 17 February 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, April 2019

Somerville House was rated Good; inspectors found safe, kind and personalised care, with only minor improvements suggested.

This was an unannounced inspection on 27 March 2019. Inspectors spoke with people living in the home, relatives, staff and health professionals. They reviewed care plans, medicine records, staff files and the home's quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People told inspectors they felt safe and were treated with dignity. Staff understood people's needs, supported their health and offered activities based on their interests.

Staffing had improved since the previous inspection, when care was not always provided promptly in the afternoon. Inspectors found enough staff on duty during this visit. They also found that medicines, risks, complaints and incidents were managed appropriately.

The rating remained Good, the same as at the previous inspection published on 4 October 2016. Inspectors suggested some further improvements, including using pedal bins, making bath and shower choices clearer, and considering the effect of music on people who found it intrusive.

What inspectors praised
  • Caring staff

    People were supported by staff who were kind, compassionate and respectful. Staff also built relationships by understanding people's life histories and communication needs.

    “People were supported by staff that were caring, compassionate and treated them with dignity and respect.” from the report
  • Improved staffing

    Staffing arrangements had improved since the previous inspection. Inspectors found enough staff to provide timely support and keep people safe.

    “At this inspection, there were enough staff on duty to keep people safe and meet their needs.” from the report
  • Personalised care

    Care plans were detailed and up to date. They recorded people's needs, preferences and communication methods, including ways to support people who could not communicate easily.

    “People's care plans were detailed and up to date about people's individual needs and preferences.” from the report
  • Activities and community links

    People were encouraged to follow their interests, socialise and take part in outings and activities. The home had links with local groups and organisations.

    “People were part of their local community. They visited the local library, went for walks and attended local amateur dramatic events.” from the report
  • Strong management checks

    The management team used audits, surveys, observations and environmental checks to identify improvements. People and relatives were involved through meetings and feedback.

    “The service had a range of effective quality monitoring arrangements in place.” from the report
What inspectors were concerned about
  • Waste bins

    minor

    Inspectors recommended using foot-operated pedal bins to further improve infection control. This was a minor recommendation, not a breach.

    “We recommend foot operated pedal bins are used for disposal of waste to further improve infection control measures.” from the report
  • Bathing choices

    minor

    Some people thought they had to bathe or shower on a set day. The manager said people could choose a different day or bathe more often, but inspectors said people needed to be made more aware.

    “People needed to be made more aware of this.” from the report
  • Music in communal areas

    minor

    A large screen played music throughout the morning. Some people enjoyed it, but others found it intrusive, so inspectors asked the manager to discuss its use with staff.

    “A new large screen monitor had recently been installed in the lounge, and was playing music all morning, which some people enjoyed, but others found intrusive.” from the report
  • Cluttered corridors

    minor

    Some corridors had a lot of equipment stored in them, which made them look cluttered. The provider was aware and planned more storage as part of building work.

    “There was a lot of equipment stored in some corridor areas which gave them a cluttered appearance.” from the report
Questions to ask them, based on this report
  1. 01How do you now make sure there are enough care staff at busy times and when staff are absent?
  2. 02Have you installed foot-operated pedal bins, and what other infection control improvements have been made?
  3. 03How do you explain to each person that they can choose when and how often to have a bath or shower?
  4. 04How do you decide whether music in shared areas is helpful or intrusive for different people?
  5. 05What progress has been made with the planned lift access, bathing facilities and dementia-friendly courtyard?

This was an unannounced inspection that considered the overall quality of the care home and rated all five areas; the previous inspection had also rated the service Good. This explanation was written from the published report of 24 April 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 Somerville House

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

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

    Read what inspectors found at Somerville House →

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

    Read what inspectors found at Somerville House →

  3. October 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. April 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 9 December 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.

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