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CQC report explained · a nursing home

What the CQC found at Stowlangtoft Hall Nursing Home

Outstandingpublished 5 January 2019, 7 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control, including cleaning, PPE, testing, visiting and the management of outbreaks. The provider also described measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Outstanding
This area was not assessed in this targeted inspection.
Responsive?
Outstanding
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, March 2022

Stowlangtoft Hall Nursing Home was inspected but not rated; inspectors found good infection control and visiting arrangements.

This was an unannounced targeted inspection on 15 February 2022. The inspection focused on infection prevention and control, visiting arrangements, and whether COVID-19-related staffing pressures affected the service.

Inspectors found increased cleaning of frequently touched surfaces. Staff had infection control and COVID-19 training, used personal protective equipment, and followed testing and visiting guidance. Essential Care Givers were supported.

The service was inspected but not rated. This means the inspection looked at specific areas and did not give an overall quality rating or a full rating for all five questions.

What inspectors praised
  • Clean environment

    Housekeeping hours had been increased so frequently touched surfaces were cleaned continuously. Inspectors said this kept the home clean and hygienic.

    “This meant the care home was clean and hygienic.” from the report
  • Staff infection control training

    Staff had up-to-date infection prevention and control and COVID-19 training.

    “Staff received up to date infection prevention and control and COVID-19 training to equip them with the skills needed.” from the report
  • Protection from infection

    Inspectors were assured that the home used PPE safely, arranged testing, followed social distancing rules and had an up-to-date infection control policy.

    “Robust and effective measures were in place to prevent and minimise the risk of catching or spreading COVID-19” from the report
  • Family visits

    Visits were facilitated in line with government guidance, and several people had an identified Essential Care Giver.

    “People were supported to have visitors in line with Government guidance.” from the report
  • Staff wellbeing

    The provider had introduced initiatives to support staff wellbeing and retention. The report says these had been successful.

    “The provider had taken a proactive approach to supporting staff with their well-being” 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. 01What measures are currently in place to manage staffing pressures, and have they affected the care provided to residents?
  2. 02How will my relative’s visits be arranged, including the option of an Essential Care Giver?
  3. 03How often are frequently touched surfaces cleaned, and how is this checked?
  4. 04How are residents and staff tested for COVID-19, and what happens if there is an outbreak?
  5. 05How do you check that staff and visiting professionals meet the current COVID-19 vaccination requirements or have an exemption?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not assess the other four questions and gave no overall rating. This explanation was written from the published report of 3 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.

An earlier report, explained

What inspectors found, January 2019

Stowlangtoft Hall Nursing Home was rated Outstanding; inspectors found exceptionally caring and responsive support, with some records needing improvement.

This was an unannounced comprehensive inspection on 8 and 9 October 2018. Inspectors reviewed five people's care records, medicines and other records. They spoke with people, relatives, staff, managers and healthcare professionals.

The home was rated Outstanding overall. Caring and Responsive were Outstanding. Safe, Effective and Well-led were Good. Inspectors found personalised care, kind staff, meaningful activities and strong support for people's relationships, choices and end-of-life wishes.

There were some weaknesses in record keeping. Staff did not always sign records for topical medicines or drinks, and fluid monitoring records did not always show people's target amounts. Call bells could sometimes take over five minutes to be answered, especially when staff were busy.

What inspectors praised
  • Kind and respectful care

    Staff showed exceptional compassion and paid attention to people's dignity, privacy, independence and personal preferences.

    “Staff treated people with exceptional compassion, kindness, dignity and respect.” from the report
  • Personalised support

    Care plans included detailed information about people's histories, routines, interests and wishes. Staff used this information to shape daily care.

    “People had detailed and personalised care plans which clearly described the care they needed.” from the report
  • Meaningful activities

    Activities were based on individual interests and included group sessions, one-to-one support and links with local groups.

    “People had plentiful opportunities to participate in meaningful activities based around their individual needs, hobbies and interests.” from the report
  • Support for relationships

    Staff helped people stay connected with relatives and friends, including using video calls and arranging activities linked to family interests.

    “Staff encouraged and actively supported people to maintain relationships they had prior to moving to the home and to keep in touch with their families and friends.” from the report
  • Good health support

    Staff recognised changes in people's health and sought advice or treatment from healthcare professionals promptly.

    “People were supported to maintain their health and prompt action was taken by staff to refer people to healthcare professionals when they became unwell or their health needs changed.” from the report
What inspectors were concerned about
  • Topical medicines records

    needs fixing

    Staff did not always sign charts to confirm that creams and lotions had been applied. Some entries also did not explain why a product had not been applied.

    “We found that there were shortfalls in the recording of creams that care staff applied to people's skins, known as topical medicines.” from the report
  • Fluid monitoring records

    needs fixing

    Fluid charts did not always show people's target amounts or clearly demonstrate that they had taken enough to support their wellbeing. The manager said changes were made after the inspection.

    “We found that this record did not contain an ideal target amount for people to drink, or show that people had accepted a healthy amount of fluids for their wellbeing.” from the report
  • Call bell response times

    needs fixing

    One call bell rang for nearly five minutes before staff responded. The home's records showed that responses could sometimes take over five minutes, although inspectors generally saw quicker responses.

    “During the afternoon of our first inspection visit, we noted that one person's call bell rang for close on five minutes before staff responded and cancelled the alarm.” from the report
  • Washbasin hot water

    minor

    One washbasin in the women's front toilet had no hot water. Inspectors noted that another washbasin immediately next to it could be used.

    “However, there was an alternative washbasin immediately next to this so that staff, visitors, or people living in the home could wash their hands properly.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that topical creams and lotions have been applied and recorded correctly?
  2. 02How are people's daily fluid targets calculated, recorded and reviewed?
  3. 03What are the usual call bell response times during mealtimes and other busy periods?
  4. 04How do you make sure there are enough permanent staff and suitably trained staff on each shift?
  5. 05How are families involved in planning activities and reviewing whether care still matches a person's wishes?

This was an unannounced comprehensive inspection covering all five key questions and the overall quality of the home. This explanation was written from the published report of 5 January 2019 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 Stowlangtoft Hall Nursing Home

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at Stowlangtoft Hall Nursing Home →

  2. January 2019Outstanding
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read what inspectors found at Stowlangtoft Hall Nursing Home →

  3. September 2017

    Registered with the Care Quality Commission on 28 September 2017.

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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