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CQC report explained · a nursing home

What the CQC found at Summer Lane Nursing Home

Goodpublished 26 April 2019, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed, including the use of protective equipment, testing, cleaning and safe visiting arrangements.
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?
Good
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.
The latest report, explained

What inspectors found, February 2022

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

This was a targeted inspection on 7 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether staffing pressures were affecting care. The visit was announced one day beforehand.

Inspectors found the home was clean and free from bad smells. Staff were using protective equipment correctly. The home had checks, audits, testing and training to help prevent the spread of COVID-19.

People were supported to receive visitors. The home used an electronic booking system, and tablets were available when relatives could not visit in person.

The home was inspected but not rated. This means the report does not give an overall quality rating or ratings for the other areas of care.

What inspectors praised
  • Infection control

    The home was visibly clean, and staff were observed using protective equipment correctly. Cleaning included frequently touched surfaces and busy areas.

    “The home was visibly clean and free from malodours.” from the report
  • Visiting arrangements

    Relatives were supported to visit in person, with outdoor visits available when needed. Relatives could book visiting times electronically, and tablets supported contact when visits were not possible.

    “The registered manager operated an electronic booking system so relatives could review available visiting times and book slots.” from the report
  • Staff training and checks

    The home had infection control audits and checks. Staff had received infection prevention and control training, including training on putting on and removing protective equipment.

    “Staff we spoke with, and the training matrix confirmed, that staff had received IPC training and donning and doffing training.” 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 was the home's latest full CQC rating, as this inspection was not rated?
  2. 02How are visitors currently booked and what happens if visiting arrangements need to change?
  3. 03How often are infection control checks and cleaning audits carried out, and what happens when they identify a problem?
  4. 04How are staff kept up to date with infection control and protective equipment training?
  5. 05Were there any staffing pressures at the time of the inspection, and what effect did they have on care?

This was a targeted inspection of infection prevention and control, visiting arrangements and the possible effect of staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 22 February 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, April 2019

Rated Good; inspectors found kind, safe and well-organised care, with some concerns about busy mealtimes and end-of-life records.

The inspection took place on 26 and 28 March 2019. Inspectors reviewed care and medicines records, staff files, policies, audits and safety documents. They spoke with people living at the home, relatives, staff and health and social care professionals.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff to meet people's identified needs, safe medicines systems, kind and respectful staff, personalised care and effective management systems.

There were some points for the home to improve. People and staff said staff could be very busy at mealtimes. End-of-life care plans were not always detailed, and one health professional said care instructions were not always acted on promptly.

What inspectors praised
  • Kind and respectful staff

    Inspectors observed kind and caring support. People and relatives were positive about staff's politeness, kindness and approachability.

    “People were supported by staff who were kind and respectful.” from the report
  • Safe medicines

    Medicines were administered as prescribed by staff who had been trained and assessed as competent. Records and checks were in place.

    “Medicines systems were organised and people received their medicines when they should.” from the report
  • Personalised care

    Care plans described people's needs, preferences and communication needs. They were regularly updated and supported people's independence and choices.

    “People had care plans which were personalised and gave staff information about individual's needs and how they preferred to be supported.” from the report
  • Activities and choice

    People could take part in activities such as singing, exercises, crafts, music and trips. Their choice not to join in was respected.

    “People enjoyed a wide range of activities that reflected their interests and preferences.” from the report
  • Quality monitoring

    The management team used audits and an action plan to monitor care, medicines, health and safety, and improvements.

    “The audits and action plan enabled the provider to monitor and improve the service.” from the report
What inspectors were concerned about
  • Busy mealtimes

    needs fixing

    Several people and staff said staff were very busy at mealtimes. Some people suggested that extra staff to support meals would be helpful.

    “Several added that they felt staff were particularly busy at mealtimes.” from the report
  • End-of-life records

    needs fixing

    End-of-life care plans did not always contain enough detail. The management team said it would review them so staff could better follow people's wishes.

    “End of life care plans were not always detailed in care records.” from the report
  • Following professional advice

    needs fixing

    One health professional said staff sometimes had to be reminded of care instructions because information was not always acted on.

    “One health professional told us that they had to regularly repeat their instructions for care because information was not always acted upon.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure there are enough staff to support people properly during mealtimes?
  2. 02What changes have you made to ensure every person's end-of-life care plan records their wishes and needs in enough detail?
  3. 03How are instructions from GPs, nurses and other health professionals recorded, shared with staff and checked as completed?
  4. 04How do you monitor whether staff are giving people their full attention and not using mobile phones during work time?
  5. 05How are relatives involved in care plan reviews and best-interest decisions?

This was a planned inspection that assessed all five CQC questions and looked at both the care provided and the home's premises; the previous overall rating was Good. This explanation was written from the published report of 26 April 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 Summer Lane Nursing Home

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

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

    Read what inspectors found at Summer Lane Nursing Home →

  2. April 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Summer Lane Nursing Home →

  3. March 2017Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2016

    Registered with the Care Quality Commission on 27 January 2016.

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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