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CQC report explained · a nursing home

What the CQC found at The Bernard Sunley Nursing and Dementia Care Home

Goodpublished 16 April 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about most infection control arrangements, including PPE, testing, visitors, cleaning and admissions. They were only somewhat assured that outbreaks could be prevented or managed because workforce movement arrangements still needed further assessment.
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 2021

Inspected but not rated; inspectors found strong infection control measures, but workforce movement arrangements needed further assessment.

This was an announced, targeted inspection on 26 March 2021. It looked at how well the home was prepared to prevent and control infection during the coronavirus pandemic.

Inspectors were assured about visitors, distancing, admissions, protective equipment, testing, cleaning and the home's infection control policy. They saw good arrangements for visits, including testing, screening, safety screens and garden visits.

The home had plans for managing COVID-19 outbreaks. These plans had helped stop infection spreading further. However, some arrangements about staff movement still needed more assessment under updated government guidance.

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

What inspectors praised
  • Safe visiting

    The home created testing and screening arrangements, non-contact visiting facilities and garden visits to help people see visitors safely.

    “The provider took a range of positive steps to enable people to have visitors in line with the national guidance.” from the report
  • Infection control

    The home increased hand-cleaning facilities, had enough protective equipment and used specialist equipment to disinfect indoor areas.

    “The provider purchased specialist equipment to disinfect the indoor spaces and we saw an allocated member of staff did this regularly.” from the report
  • Outbreak response

    The home's outbreak plans, zoning and staff arrangements helped prevent COVID-19 from spreading further.

    “These plans proved to be effective in preventing the spread of the infection.” from the report
What inspectors were concerned about
  • Workforce movement arrangements

    needs fixing

    The home needed to assess some arrangements again after updated government guidance about staff movement. Inspectors signposted the provider to resources to develop its approach.

    “However, some arrangements needed further assessment following the recently updated government guidance on workforce movement.” from the report
Questions to ask them, based on this report
  1. 01What changes were made after the inspection to assess workforce movement arrangements?
  2. 02How do you now prevent infection spreading when staff work across different areas or services?
  3. 03Are the visitor testing, screening, safety screen and garden visit arrangements described in the report still available?
  4. 04How often are indoor areas disinfected, and who is responsible for this?
  5. 05How are people using the home and staff currently tested for COVID-19 or other infections?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not rate the overall service or the other four key questions. This explanation was written from the published report of 17 April 2021 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 2020

Rated Good; inspectors found safe, kind and personalised care with effective management and no reported breaches.

This was an unannounced inspection on 20 February 2020. Inspectors spoke with people living at the home, relatives, staff and a healthcare professional. They reviewed care plans, medicines records, incident records, policies and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that risks were managed, medicines were recorded safely, staffing levels met people's needs and staff were properly recruited and trained.

People were treated with kindness and respect. They were involved in decisions about their care, offered activities and supported to maintain their independence. The home also responded to complaints and used audits and feedback to improve care.

What inspectors praised
  • Managing risks

    Care plans included information about people's specific risks, and staff reviewed these regularly. The home acted after repeated falls and the person had no further falls.

    “Risks to people were appropriately managed and recorded.” from the report
  • Kind and respectful care

    People were treated warmly and with respect. Inspectors saw staff communicating gently and supporting people's dignity and independence.

    “We observed kind interactions between people and staff.” from the report
  • Personalised activities

    People were offered different activities based on their interests. Staff also helped people achieve personal wishes and goals.

    “There were a variety of activities and entertainment sessions available for people to take part in.” from the report
  • Staff training and support

    Staff were up to date with essential training and received regular supervision and appraisals. Handover information helped agency and new staff understand people's needs.

    “Staff were up to date with essential mandatory training.” from the report
  • Quality checks

    The home carried out regular checks on areas such as medicines and infection control. Inspectors found that identified issues were dealt with promptly.

    “Robust quality assurance audits were completed to ensure care was delivered at a high level and safe.” 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. 01How would you assess and review my relative's individual risks, including risks linked to dementia, Parkinson's Disease or falls?
  2. 02How do you make sure agency staff know my relative's care needs and preferences?
  3. 03What activities would be available for my relative, based on their interests and abilities?
  4. 04How would you involve me and my relative in care reviews and decisions?
  5. 05How would you respond if my relative or our family raised a complaint or concern?

This was an unannounced inspection that looked at the premises and care provided, and covered all five CQC questions. This explanation was written from the published report of 16 April 2020 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 The Bernard Sunley Nursing and Dementia Care Home

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

  1. April 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at The Bernard Sunley Nursing and Dementia Care Home →

  2. April 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Bernard Sunley Nursing and Dementia Care Home →

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

    Read this report on cqc.org.uk

  4. May 2016Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. August 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. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2011

    Registered with the Care Quality Commission on 7 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.

Next steps

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