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CQC report explained · a residential care home

What the CQC found at Stoke Knoll Rest Home

Goodpublished 9 February 2018, 8 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, visitor arrangements, social distancing, cleaning and managing outbreaks. They asked the provider to update its COVID-19 policy about staff sharing between services.
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 found good COVID-19 infection control arrangements, with one policy needing an update.

This was an announced, targeted inspection on 21 January 2021. It looked only at infection prevention and control during the coronavirus pandemic.

Inspectors were assured that the home was preventing infections through visitor controls, shielding, social distancing, safe admissions, PPE, testing, cleaning and hygiene. They also found that the infection control policy was up to date.

The home was inspected but not rated. This means the visit did not give an overall quality rating or a standard rating for the five areas of care.

What inspectors praised
  • Personal infection risk assessments

    Each person had a COVID-19 risk assessment. There was also an assessment to support visits for people receiving end of life care.

    “Everyone who used the service had their own personal COVID-19 risk assessment in place, to mitigate the risk of COVID-19 infection.” from the report
  • Regular PPE training

    Staff had detailed training in putting on and removing PPE, with refresher training every three months.

    “Staff had received thorough donning and doffing of PPE training and refreshed this training every three months.” from the report
  • Support for staff testing

    All staff had a private supervision meeting about the importance of regular COVID-19 testing and could ask questions.

    “All staff had had a supervision meeting with the registered manager to explain the importance of regular testing for COVID-19 and to enable them to ask questions without other staff being present.” from the report
What inspectors were concerned about
  • Policy did not match staff-sharing arrangements

    minor

    The provider's COVID-19 policy needed updating so it reflected the actual practice of sharing staff between services. A revised policy was sent to CQC after the inspection.

    “We advised the provider to update their COVID-19 policy regarding the sharing of staff between services to reflect actual practice.” from the report
Questions to ask them, based on this report
  1. 01How does the home now manage staff who work across more than one service?
  2. 02How often is PPE training refreshed now, and how is staff competence checked?
  3. 03How often are residents' COVID-19 risk assessments reviewed?
  4. 04What testing arrangements are currently in place for residents and staff?
  5. 05How can visits be arranged for someone receiving end of life care?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 5 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, February 2018

Stoke Knoll Rest Home was rated Good; inspectors found safe, kind and personalised care with effective management.

This was an unannounced inspection on 8 and 10 November 2017. Two inspectors and an expert by experience spoke with 18 people or relatives, staff and other professionals. They reviewed six care plans, staff records, complaints, incidents, medicines and quality checks, and observed care.

Inspectors found that people were safe and treated with dignity and respect. There were enough staff, risks were assessed, medicines were managed safely and staff were trained. People received support with food, drink and healthcare when needed.

Care was personalised. Staff knew people's routines, preferences and communication needs. People could choose activities, maintain relationships and make decisions about their care, including end of life care.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The home was also rated Good overall. The previous inspection in June 2015 had rated the home Good overall but required improvement in Well-led, which had improved to Good by this inspection.

What inspectors praised
  • Personalised care

    Care plans recorded people's routines, preferences and communication needs. Staff used this information in day-to-day care.

    “Each person had a detailed account of their preferred routines throughout the day including eating and drinking, sleeping habits, personal care preferences and activities they enjoyed.” from the report
  • Kind and respectful staff

    People were treated with dignity and compassion. Staff gave people time, respected privacy and supported their choices.

    “People were treated with kindness and compassion in their day-to-day care.” from the report
  • Safe staffing and recruitment

    Inspectors found enough staff with appropriate skills. Recruitment checks helped assess whether staff were suitable for their roles.

    “There were sufficient staff employed, who possessed the right skills and knowledge to meet people's needs.” from the report
  • Good food and healthcare support

    People were offered meal choices and were monitored if they were at risk of poor nutrition. Staff arranged referrals and followed up health concerns.

    “People were given a choice about their meals.” from the report
  • Feedback led to improvements

    The manager asked people, relatives and staff for views and recorded actions taken in response. Complaints were investigated and answered promptly.

    “Feedback was collated into actions plans detailing changes which were to be implemented from suggestions.” 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 do you currently check that medicines are correctly recorded, including when people take medicines out of the home?
  2. 02How do you make sure there are enough suitably trained staff when there is sickness or annual leave?
  3. 03How are each person's routines, communication needs and preferences kept up to date in their care plan?
  4. 04What activities are currently available, and how do residents influence the activities provided?
  5. 05How are health changes, falls or concerns about eating and drinking identified and followed up?

This was an unannounced inspection covering all five CQC questions and the overall rating; the previous inspection in June 2015 had found Well-led required improvement. This explanation was written from the published report of 9 February 2018 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 Stoke Knoll Rest Home

2 rated inspections over 2 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 Stoke Knoll Rest Home →

  2. February 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Stoke Knoll Rest Home →

  3. September 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 14 January 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.

Next steps

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Care at home

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

Most charge £1,020 to £1,260 a week. 23 can care for a couple. 14 years' experience on average.

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See live-in carers near HampshireProfiles, rates and reviews are free to look at.

Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.