CQC report explained · a nursing home
What the CQC found at Stone House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found medicines were safely managed, stored, administered and recorded. They did not review the whole Safe question, so the previous Good rating was not changed.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Outstanding
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, June 2022
Inspected but not rated; inspectors found medicines were managed safely after concerns were raised.
This was an unannounced, targeted inspection on 17 May 2022. It looked only at the safety of medicines because concerns had been received about medicines management.
The inspectors spoke with the manager and senior nurses. They checked medicines storage, disposal and administration, and reviewed five people's medicine records, staff training records and medicines audits.
They found medicines were stored, given and recorded safely. Staff were trained and assessed as competent. Medicines incidents were investigated, and audits had led to improvements.
The home was inspected but not rated. Its last full inspection rating was Good in 2019, but this targeted visit did not review the whole service or change that rating.
Safe medicines systems
The home had established systems for ordering, giving and monitoring medicines. Medicines were securely stored and records were kept appropriately.
“Medicines were safely managed. There were known systems for ordering, administering and monitoring medicines.” from the report
Trained staff
Staff were trained and assessed as competent before giving medicines.
“Staff were trained and deemed competent before they administered medicines.” from the report
Checks and improvements
The provider regularly audited medicines and made improvements when needed. Medicines-related incidents were investigated with action plans.
“The provider maintained a system to monitor and audit people's medicines on a regular basis, and we found improvements had been made as a result of this.” from the report
Accurate records
The medicine administration records reviewed showed no abnormalities, including for Controlled Drugs and antimicrobials.
“We found no abnormalities in the recording of medicines administered on the medicines administration records we reviewed.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are medicines audits carried out now, and what improvements have followed from the latest audits?
- 02What medicines-related incidents have occurred recently, and how have staff learned from them?
- 03How do you check that every staff member is trained and competent before administering medicines?
- 04How are medicine storage areas and fridges checked, including their temperatures?
- 05When will the next full inspection assess all aspects of the home?
This was a targeted inspection of medicines safety only; the whole Safe question and the other key questions were not reviewed, so the previous ratings carried over. This explanation was written from the published report of 7 June 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.
What inspectors found, March 2022
Inspected but not rated; inspectors found well-managed COVID-19 infection prevention and visiting arrangements.
This was an announced, targeted inspection on 16 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected the home.
The home had safe arrangements for visiting professionals, including testing, vaccination checks, hand sanitising and personal protective equipment. Inspectors found the home clean, with regular cleaning, infection control audits and extra cleaning of frequently touched surfaces.
The home had safe admission arrangements, including a negative COVID-19 test before admission and plans for isolation if needed. Staff were trained in infection control and the home had enough protective equipment, regular testing and an outbreak plan.
The inspection did not give an overall quality rating. The Safe question was inspected but not rated, and the other four questions were not assessed during this visit.
Clean surroundings
The home was clean and fresh. Regular cleaning and extra cleaning of frequently touched surfaces were in place.
“The service was clean and fresh, staff carried out a regular cleaning schedule.” from the report
Infection control training
Staff had training and regular checks on infection control and the safe use of protective equipment.
“Staff had received training on infection prevention and control guidance.” from the report
Outbreak planning
The home had a detailed plan for managing an outbreak, supported by risk assessments and quality audits.
“There was a comprehensive contingency plan of what to do in case of an outbreak.” from the report
Contact with relatives
Relatives could keep in touch through technology and face-to-face visits in suitable settings, following the guidance at the time.
“People's relatives were able to stay in touch with people.” from the report
Inspectors raised no specific concerns in this report.
- 01How are COVID-19-related staffing pressures being managed now, and have they affected people's care?
- 02When was the most recent infection control audit, and were any actions identified or still being followed up?
- 03What testing and isolation arrangements are used for new admissions now?
- 04How can relatives visit currently, and what happens if there is an infection outbreak?
- 05How do you check that staff continue to use protective equipment safely?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not assess the other four key questions or provide an overall rating. This explanation was written from the published report of 1 March 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.
Every inspection of Stone House Nursing Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- June 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2022Inspected but not ratedSafe: Inspected but not rated
- April 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- July 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 28 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.
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