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CQC report explained · a residential care home

What the CQC found at Southleigh

Goodpublished 8 January 2020, 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 about infection prevention and control, including PPE, testing, visiting arrangements, cleaning and outbreak management. They also found that staffing pressures were being managed.
Effective?
Good
This area was not covered by this targeted inspection.
Caring?
Good
This area was not covered by this targeted inspection.
Responsive?
Good
This area was not covered by this targeted inspection.
Well-led?
Good
This area was not covered by this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Southleigh: Inspected but not rated; inspectors found good infection control and staffing arrangements during the COVID-19 pandemic.

This was an unannounced, targeted inspection on 31 January 2022. Inspectors looked at infection prevention and control, and asked about staffing pressures linked to COVID-19.

Inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing visitors and admissions, and keeping its infection control policy up to date.

Staff worked flexibly to cover shifts and support other duties. The home used isolation, zoning and extra cleaning to help reduce infection risks.

The home was inspected but not rated. This report is therefore not a full rating of the quality of care, and does not give ratings for most of the five areas.

What inspectors praised
  • Staffing flexibility

    Staff worked extra shifts and helped with other duties, including cleaning, to support the home during staffing pressures.

    “Staff had worked flexibly, working extra shifts and supporting other staff in different roles” from the report
  • Infection control layout

    The home used a separate staff entrance, isolation, cohorting and zoning to help manage infection risks.

    “Isolation, cohorting and zoning was used to manage the spread of infection.” from the report
  • PPE availability

    Inspectors found that suitable protective equipment and hand sanitiser were readily available around the home.

    “There was plenty of personal protective equipment (PPE) including masks, gloves, aprons and hand sanitiser available.” from the report
  • Testing and policies

    Regular COVID-19 testing was in place for staff and residents, and the related policies and risk assessments were up to date.

    “A regular programme of testing for COVID-19 was in place for staff and people who lived in the service.” 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 staffing levels and staff absence being managed now?
  2. 02What testing arrangements are currently in place for staff and residents?
  3. 03How are visits from family and friends arranged now?
  4. 04Where are PPE stations located, and how do staff make sure PPE is used correctly?
  5. 05How does the home manage isolation and infection outbreaks if they occur?

This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other four key questions. This explanation was written from the published report of 22 February 2022 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, March 2021

Southleigh: Inspected but not rated; infection controls were largely assured, but parts of the building were hard to clean.

This was a targeted inspection on 17 February 2021 during the COVID-19 pandemic. Inspectors looked at infection prevention and control, and the visit was announced ten minutes before they entered.

Inspectors were assured about visitors, social distancing, admissions, protective equipment, testing, outbreak management and infection control policies. Staff had infection control and protective equipment training, and the home used isolation, zoning and regular cleaning.

Inspectors were only somewhat assured about the layout and hygiene of the building. Some paint was peeling, some flooring was split or badly fitted, and one personal chair was torn. Refurbishment had started but was paused because of the pandemic.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for the five main questions.

What inspectors praised
  • Protective equipment

    There was enough protective equipment around the home, including masks, gloves, aprons and hand sanitiser. Stations were placed around the home and outside people's rooms.

    “There was plenty of personal protective equipment (PPE) including masks, gloves, aprons and hand sanitiser available.” from the report
  • Testing and outbreak planning

    Regular COVID-19 testing was in place for people living in the home and staff. The home also used isolation, cohorting and zoning to manage infection risks.

    “A regular programme of testing for COVID-19 was in place for staff and people who lived in the service.” from the report
  • Staff training

    Staff had completed infection control training and had recently been trained in using protective equipment correctly.

    “All staff had completed training in relation to infection control, and recently received training about the correct use of PPE including donning and doffing.” from the report
  • Visitor arrangements

    Professional visitors had temperature checks, used hand sanitiser and wore masks. Staff used a separate entrance and changed clothes before starting work.

    “Safe arrangements were in place for professional visitors to the service.” from the report
What inspectors were concerned about
  • Building condition

    needs fixing

    Parts of the building were old and tired and needed improvement so they could be cleaned properly. Refurbishment had begun but was paused during the pandemic.

    “The environment was old and tired and needed to be improved to ensure all areas could be cleaned effectively.” from the report
  • Damaged surfaces and chair

    needs fixing

    Some toilet walls had peeling paint, some flooring was split or did not meet bathroom fixtures properly, and one person's chair was torn. These defects made cleaning more difficult.

    “One person had a personal chair that was torn in several places making it difficult to clean effectively.” from the report
Questions to ask them, based on this report
  1. 01Has the planned work to the toilet and bathroom areas been completed?
  2. 02Have the split or poorly fitted flooring and peeling paint been repaired?
  3. 03Has the torn personal chair been repaired or replaced, and how was this agreed with the person?
  4. 04What infection control arrangements are currently in place for testing, protective equipment, isolation and visitor safety?
  5. 05Can we see the latest full inspection report and current ratings for care, staffing and management?

This was a targeted inspection of infection prevention and control during the COVID-19 pandemic; the report did not inspect or rate Effective, Caring, Responsive or Well-led. This explanation was written from the published report of 10 March 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.

The story over the years

Every inspection of Southleigh

3 rated inspections over 4 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Southleigh →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Southleigh →

  3. January 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. July 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. June 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. 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

Weigh the report against the rest

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