CQC report explained · a residential care home
What the CQC found at Southover Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found suitable staffing, safe recruitment, safe medicines systems, infection prevention measures and reviews of incidents and accidents.
- Effective?
- Good
- This key question was not rated in this report.
- Caring?
- Good
- This key question was not rated in this report. People and relatives did tell inspectors that staff were kind and knew people well.
- Responsive?
- Good
- This key question was not rated in this report. Inspectors said people's support needs were reviewed and kept up to date.
- Well-led?
- Good
- Inspectors found a positive and open culture, clear management oversight and quality checks that helped reduce the risk of avoidable harm.
What inspectors found, December 2023
Southover Care Home was rated Good; inspectors found safe, kind care and effective management.
The unannounced inspection took place on 9 November 2023. One inspector spoke with six people, two relatives and six staff. They observed care and checked care records, risk assessments, medicines records, recruitment files and management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found that people were protected from abuse and avoidable harm, received medicines safely, and were supported by staff who knew them well.
Inspectors found an open management culture and systems that monitored quality and risks. The home had previously been rated Good in 2018, and the Safe and Well-led ratings remained Good.
Kind, knowledgeable staff
People and relatives said staff were kind and knew people's preferences and needs well.
“People and their relatives told us they were supported by kind staff who knew them well.” from the report
Safe medicines
Medicines records included important safety information and instructions for medicines given when needed. Staff were trained and their competence was checked.
“People were supported to receive their medicines safely.” from the report
Good safety oversight
Risks, accidents and incidents were monitored. The management team investigated events and acted to reduce the chance of them happening again.
“Incidents and accidents were investigated and reviewed by the registered manager and senior management team.” from the report
Open management
Inspectors found a positive culture, available managers and effective checks on quality and risk.
“The provider had a clear management structure that monitored the quality of care to drive improvements in service delivery.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's care needs after they move in?
- 02How do you make sure medicines given 'as needed' are given at the right time and recorded correctly?
- 03How many staff will usually be on duty for the number of people living here?
- 04How are relatives involved in care decisions and kept informed about changes in health or wellbeing?
- 05What did the latest care-plan audits identify, and what improvements were made as a result?
This was an unannounced inspection focused on Safe and Well-led; the report did not give ratings for Effective, Caring or Responsive. This explanation was written from the published report of 5 December 2023 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.
What inspectors found, August 2020
Southover Care Home was inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection during the coronavirus pandemic. Inspectors looked at infection prevention and control measures, rather than carrying out a full inspection of the home.
Inspectors were assured that the home was managing visitors, shielding, social distancing, admissions, personal protective equipment and testing safely. They were also assured about cleaning, hygiene, infection outbreaks and the infection control policy.
The home had plenty of personal protective equipment, staff used it appropriately, and cleaning was treated as a high priority. Personalised activities took place in bedrooms to reduce isolation, and a safe visiting system was in place.
The service was inspected but not rated. The Safe question was also inspected but not rated, so this report does not provide an overall quality rating.
Protective equipment
The home had a plentiful supply of personal protective equipment, and staff were seen using it properly.
“The provider had ensured there was a plentiful supply of personal protective equipment and we saw staff used this appropriately.” from the report
Cleaning
Cleaning and disinfection were treated as a high priority. An ozone steriliser was also being used to reduce risks.
“Cleaning and disinfection was seen as a high priority and an ozone steriliser was used to further reduce risks.” from the report
Activities and isolation
Activities were personalised and took place in people's bedrooms to reduce the risk of isolation. Inspectors said they had been well received.
“Activities within the service had been personalised and took place in bedrooms which reduced people's risk of isolation.” from the report
Visiting arrangements
Although most visitors had initially been discouraged, the home had introduced a system for visits to take place safely.
“Most visitors had initially been discouraged there is now a system in place to enable visiting to be completed in a safe way.” from the report
Inspectors raised no specific concerns in this report.
- 01How does the current visiting system work, and what happens if infection risks change?
- 02How do you make sure there is enough personal protective equipment for staff and people living here?
- 03How often are people and staff tested, and how are the results managed?
- 04What personalised bedroom activities are available now for people who may feel isolated?
- 05How do you support staff who may be at higher risk?
This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for the overall service or the other four questions. This explanation was written from the published report of 22 August 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.
Every inspection of Southover Care Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2020Inspected but not ratedSafe: Inspected but not rated
- September 2018Goodup from Requires improvementSafe: GoodWell-led: Good
- September 2017Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- August 2011
Registered with the Care Quality Commission on 11 August 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.
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Most charge £1,020 to £1,260 a week. 62 can care for a couple. 12 years' experience on average.
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