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CQC report explained · a nursing home

What the CQC found at Talbot Court

Goodpublished 15 May 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 through cleaning, PPE, testing, visiting arrangements and safe admissions. The provider also said it had measures to manage COVID-19-related staffing pressures.
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, April 2022

Inspected but not rated; inspectors found good infection control arrangements and no concerns recorded about the targeted checks.

Inspectors visited the home on 25 March 2022. The visit was announced one day beforehand and looked at infection prevention, visiting arrangements and any staffing pressures linked to COVID-19.

The home was visibly clean and free of clutter. Staff used personal protective equipment in line with guidance. The provider had cleaning schedules, and the manager carried out checks on staff use of protective equipment.

Inspectors were assured about infection control, safe admissions, testing, visiting arrangements and the use of protective equipment. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Clean environment

    The home had regular cleaning schedules and was visibly clean and free of clutter.

    “The home was visibly clean and free of clutter.” from the report
  • Use of PPE

    Staff were observed using protective equipment in line with Government guidance.

    “Staff were observed wearing Personal Protective Equipment (PPE) in line with current Government guidance.” from the report
  • Checks on staff practice

    The manager checked staff competence in using PPE correctly.

    “The registered manager completed spot checks and observations of staff competencies regarding the correct use of PPE.” from the report
  • Infection control arrangements

    Inspectors were assured about a range of infection control measures, including testing, visiting and managing outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” 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 COVID-19-related staffing pressures?
  2. 02How are staff checked for correct use of personal protective equipment?
  3. 03How do visiting arrangements work now, and what happens if there is an infection outbreak?
  4. 04How are new people admitted safely to the home?
  5. 05How often are the infection prevention and control policy and cleaning schedules reviewed?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service and Safe question were inspected but not rated. This explanation was written from the published report of 23 April 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, May 2019

Rated Good; inspectors found kind, personalised care, but one person's risk assessments had not been updated when their needs changed.

This was an unannounced inspection on 1 and 4 April 2019. One inspector reviewed care records, staff files, medicines and safety records, and spoke with people, relatives, staff and health and social care professionals. The inspection followed concerns about alleged neglect of one person.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found caring staff, personalised support, safe medicines practice, suitable training and positive leadership. People were treated with dignity and encouraged to make choices and remain independent.

One person's risk assessments did not initially reflect changes in their needs. The management team updated them during the inspection, and staff understood how to keep the person safe. People and relatives wanted more activities outside the home, but no enforcement action was required.

What inspectors praised
  • Kind and respectful care

    Staff built positive relationships with people and treated them with compassion, dignity and respect.

    “People were supported and treated with dignity and respect; and involved as partners in their care.” from the report
  • Personalised support

    Care plans reflected individual preferences, communication methods and routines. Staff understood what mattered to each person.

    “The care people received was person centred care and based on their individual needs and preferences.” from the report
  • Skilled and consistent staff

    The home provided consistent staffing, training, supervision and support so staff could meet people's needs.

    “People received effective care and treatment from competent, knowledgeable and skilled staff who had the relevant qualifications to meet their needs.” from the report
  • Open management

    Staff felt able to raise concerns, and the management team used audits and meetings to monitor quality and make improvements.

    “The management team carried out audits to monitor the quality of the service.” from the report
What inspectors were concerned about
  • Risk assessments needed updating

    serious

    One person's risk assessments did not reflect changes in their care, eating needs and preferences about support. The management team updated them during the inspection, and staff knew how to keep the person safe.

    “We found one person's risk assessments were not up to date based on the person's changing needs.” from the report
  • More activities outside the home

    minor

    People had access to interests such as shopping, cinema and bowling, but people and relatives wanted more activities arranged outside the home.

    “People and their relatives wanted more activities to be arranged outside of the home.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure risk assessments are updated promptly when a person's needs, eating requirements or preferred support change?
  2. 02What activities outside the home are currently available, and how do you respond when people ask for more?
  3. 03How do you make sure staff understand each person's communication methods, preferences and safety needs?
  4. 04How are medicines checked, including medicines prescribed to be used when needed?
  5. 05How can relatives raise concerns, and how will the home show what action has been taken?

This was an unannounced inspection prompted by concerns about alleged neglect, and it assessed the premises and care under all five CQC questions. This explanation was written from the published report of 15 May 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 Talbot Court

3 rated inspections over 4 years: the service has held its Good rating throughout.

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

    Read what inspectors found at Talbot Court →

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

    Read what inspectors found at Talbot Court →

  3. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

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

    Read this report on cqc.org.uk

  5. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 20 December 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

Weigh the report against the rest

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