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CQC report explained · a nursing home

What the CQC found at Staplehurst Manor Care Home

Goodpublished 21 April 2017, 9 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 visiting, admissions, protective equipment, testing, cleaning and the management of possible outbreaks.
Effective?
Good
This question was not covered by this targeted inspection.
Caring?
Good
This question was not covered by this targeted inspection.
Responsive?
Good
This question was not covered by this targeted inspection.
Well-led?
Good
This question was not covered by this targeted inspection.
The latest report, explained

What inspectors found, April 2021

Staplehurst Manor Care Home was inspected but not rated; inspectors were assured about infection prevention and control measures.

The CQC made a planned, announced visit on 25 March 2021. This was a targeted inspection during the COVID-19 pandemic, looking at infection prevention and control in the home.

Inspectors found measures for safer visiting, admissions, testing, shielding and social distancing. They also found enough protective equipment, correct use of it, staff infection-control training, and cleaning records that were up to date.

The home was inspected but not rated overall. The Safe question was also marked “Inspected but not rated”, so this report does not give a new quality rating for the home.

What inspectors praised
  • Protective equipment

    There was enough protective equipment for current and future demand. Staff were using it in line with government guidance.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Clean environment

    Inspectors found the home clean, with cleaning schedules completed and up to date. Changes to the dining room and staff room supported social distancing.

    “The home looked clean and there were various cleaning schedules in place which had been completed and were up to date.” from the report
  • Safer visiting

    Visits were arranged by appointment, with testing for face-to-face visits and window visits available when preferred or needed.

    “Face to face visits by one person was allowed following a negative rapid test for COVID-19.” from the report
  • Safer admissions

    New residents were required to have a negative COVID-19 test and complete a 14-day isolation period.

    “A requirement for a negative test for Covid-19 and a 14-day isolation period were in place.” 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. 01Are visits still arranged by appointment, and what testing or other requirements currently apply?
  2. 02How do you check that staff continue to use protective equipment correctly?
  3. 03How often are staff trained in infection control and hand hygiene?
  4. 04What arrangements are currently used when someone new moves into the home?
  5. 05How are cleaning schedules checked and kept up to date?

This was a targeted inspection of infection prevention and control under the Safe question; it did not rate the home overall or assess Effective, Caring, Responsive or Well-led. This explanation was written from the published report of 20 April 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 2017

Staplehurst Manor Care Home is rated Good; inspectors found safe, kind and personalised care with effective management.

This was an unannounced comprehensive inspection on 24 March 2017. Inspectors spoke with people living at the home, relatives, staff and health professionals. They also checked care records, medicines, staff files, activities and quality records.

The home provided nursing and personal care for up to 30 older people. There were 28 people living there during the inspection. Inspectors found enough staff, safe medicines systems, suitable risk assessments and staff who understood safeguarding procedures.

People were treated with kindness and respect. Care was adapted to people's preferences, including food, routines, activities and communication. All five areas inspected were rated Good, and the home remained Good since the previous inspection.

What inspectors praised
  • Staffing and safety

    There were enough staff to meet people's needs safely, and the home adjusted staffing around people's preferences. Inspectors also saw that call bells were answered quickly.

    “There were sufficient numbers of staff being deployed on shift to meet people's needs in a safe way.” from the report
  • Kind and respectful care

    Staff developed positive relationships with people and respected their privacy, dignity, choices and independence.

    “We observed staff addressing people respectfully and with kindness throughout our inspection.” from the report
  • Personalised support

    Care plans recorded people's likes, dislikes, routines and communication needs. Staff understood these plans and used them in daily care.

    “Care plans were comprehensive, person-centred and detailed.” from the report
  • Activities and involvement

    The home offered varied activities and outings, including activities suitable for people living with dementia. People and relatives could suggest changes, and the home acted on their feedback.

    “People were occupied with a comprehensive programme of daily activities that was suitable for older people and those living with dementia.” from the report
  • Quality monitoring

    The management team used regular audits and feedback to check standards. Action plans were monitored until improvements were completed.

    “The service ensured that quality of care was maintained through an effective monitoring system.” from the report
What inspectors were concerned about
  • Earlier minor shortfalls

    minor

    The report records that earlier monitoring had identified some minor issues, including bathroom storage and documentation that needed updating. It says these recommendations and actions had been completed or followed up.

    “Minor recommendations had been followed, such as a review of storage arrangements in the bathrooms.” from the report
Questions to ask them, based on this report
  1. 01How would you adjust staffing if my relative's needs or preferred routine changed?
  2. 02How do you make sure medicines records stay accurate for each resident?
  3. 03How would you personalise activities and communication for my relative?
  4. 04How are relatives involved in care plan reviews and decisions about care?
  5. 05What improvements have been made since the minor issues identified through earlier audits?

This was an unannounced comprehensive inspection covering all five questions, and the home was rated Good in each area. This explanation was written from the published report of 21 April 2017 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 Staplehurst Manor Care Home

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

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

    Read what inspectors found at Staplehurst Manor Care Home →

  2. April 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Staplehurst Manor Care Home →

  3. January 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2010

    Registered with the Care Quality Commission on 15 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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