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CQC report explained · a nursing home

What the CQC found at Tenchley Manor Nursing Home

Goodpublished 27 October 2022, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that risks were assessed and managed, medicines were given safely, recruitment checks were completed and infection control arrangements were robust. Some people said call bells were answered more slowly in the evening and at night, although staffing rotas showed safe levels.
Effective?
Good
People had detailed assessments and received support from trained staff. The home supported nutrition, healthcare appointments, communication needs and decisions made under the Mental Capacity Act.
Caring?
Good
People and relatives described staff as kind, respectful and caring. Inspectors observed compassionate support and found that people were involved in decisions, treated as individuals and encouraged to remain independent.
Responsive?
Good
Care plans were personalised and regularly reviewed. People were supported with activities, relationships, communication, complaints and end-of-life wishes.
Well-led?
Good
Inspectors found robust governance, regular audits and clear accountability. People, relatives and staff said management was approachable, listened to feedback and acted to improve care.
The latest report, explained

What inspectors found, October 2022

Rated Good; inspectors found safe, kind and personalised care, with some people reporting slower call-bell responses at night.

Inspectors visited unannounced on 26 September 2022. They spoke with 11 people, eight staff members and 11 relatives. They reviewed care, medicine and recruitment records, staffing information, policies and safety checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated with kindness. Inspectors found enough staff, safe medicines management, good infection control and personalised care plans.

The home supported people's health needs, choices, communication and relationships. Staff were trained and worked with healthcare professionals. Inspectors found strong quality checks and an approachable management team. Some people said call bells could be answered more slowly in the evening and at night, although rotas showed safe staffing levels and inspectors saw call bells answered promptly.

What inspectors praised
  • Safe care and medicines

    Risks were assessed and managed, medicines were stored and given safely, and infection control arrangements were in place.

    “People received their medicines safely. Robust infection control processes protected people from the risk of infection.” from the report
  • Personalised support

    Care plans reflected people's needs and preferences. People were involved in planning their care and were supported to keep as much independence as possible.

    “People received person centred care. Care and support was planned and centred on people's individual and specific needs.” from the report
  • Kind and respectful staff

    People and relatives spoke positively about staff. Inspectors saw compassionate interactions and found that people's dignity, privacy and choices were respected.

    “People told us staff treated them with kindness and were caring.” from the report
  • Strong management checks

    The home had clear responsibilities, regular audits and systems for learning from incidents, complaints and feedback.

    “Governance processes were robust and effective. There was a strong governance framework in place, with clear lines of accountability and processes to drive quality.” from the report
What inspectors were concerned about
  • Call-bell response at night

    minor

    Some people said call bells could take longer to be answered in the evening and at night. Inspectors found safe staffing levels and saw call bells answered promptly during the visit.

    “Call bells appear to be answered slower in the evening and night” from the report
Questions to ask them, based on this report
  1. 01How quickly are call bells usually answered during evenings and nights?
  2. 02How would you meet my relative's particular nursing, dementia, Parkinson's disease or mobility needs?
  3. 03How are care plans reviewed when a person's needs or preferences change?
  4. 04How would you support my relative's medicines, including any time-specific or as-needed medicines?
  5. 05How would you involve our family in healthcare appointments, complaints and end-of-life planning?

This was an unannounced inspection that assessed all five key questions and included a review of infection prevention and control; it was the first inspection of this newly registered service. This explanation was written from the published report of 27 October 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.

The story over the years

Every inspection of Tenchley Manor Nursing Home

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. October 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Tenchley Manor Nursing Home →

  2. April 2021Inspected but not rated
    Safe: Inspected but not rated
  3. May 2019Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  4. November 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. September 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
  6. July 2021

    Registered with the Care Quality Commission on 14 July 2021.

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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