CQC report explained · a nursing home
What the CQC found at The Knoll Nursing Home (Yeovil) Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was preventing and managing infection risks. They found appropriate arrangements for protective equipment, testing, cleaning, social distancing, visitors and possible outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Outstanding
- 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.
What inspectors found, February 2021
Inspected but not rated; inspectors were assured that infection risks were being managed during the COVID-19 pandemic.
This was an announced, targeted inspection on 28 January 2021. Inspectors looked at infection prevention and control measures, rather than the home’s full range of care.
The home had experienced a small Coronavirus outbreak in December 2020. At the inspection, nobody was testing positive. Inspectors were assured that the home was using protective equipment, testing, cleaning, social distancing and visitor controls appropriately.
Staff had infection control training and were observed using and changing protective equipment correctly. Visitors needed a negative Coronavirus test, a temperature check, handwashing and full protective equipment before entering.
The service was marked “Inspected but not rated”. This means the report gives findings about infection control but does not give an overall quality rating or a full rating for all five areas of care.
Protective equipment
Staff had infection control training and inspectors saw them wearing suitable protective equipment and changing it between rooms.
“We saw staff wearing appropriate PPE and changing their PPE when moving from room to room.” from the report
Visitor controls
Visitors were tested before entering and had to follow temperature checks, handwashing and protective equipment requirements.
“Visitors took a Coronavirus test before coming into the building which had to be negative before they could come in.” from the report
Regular testing
The home arranged weekly testing for staff and monthly testing for people living there.
“The registered manager ensured regular testing was carried out, weekly for staff and monthly for people living in the home.” from the report
Clean environment
Inspectors found the environment clean and well kept, with extra cleaning of frequently touched areas.
“Staff we spoke with were confident and knowledgeable about how to protect people from the risk of infection and the environment was clean and well kept.” from the report
Inspectors raised no specific concerns in this report.
- 01What infection control arrangements are in place now, including staff and resident testing?
- 02How are visitors currently tested and supported to visit safely?
- 03What happens if someone living at the home or a member of staff tests positive?
- 04Are admissions still affected by the building works, and is a negative test still required before admission?
- 05How do you check that staff are using protective equipment correctly?
This was a targeted inspection of infection prevention and control during the Coronavirus pandemic; it was not a full inspection and the service was not rated. This explanation was written from the published report of 10 February 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.
What inspectors found, November 2017
The Knoll Care Home Limited was rated Good overall, with Outstanding caring; inspectors found a warm service but some records needed improvement.
This was an unannounced comprehensive inspection on 30 and 31 August 2017. Inspectors spoke with 16 people living at the home, staff, visitors and relatives. They examined care records, medicines records, staffing information, complaints, training and safety checks.
The home was rated Good overall. Safe, Effective, Responsive and Well-led were rated Good. Caring was rated Outstanding, improving from Good at the previous inspection. Inspectors found enough suitable staff, safe medicines support, personalised care and good links with health professionals.
People and relatives described kind and respectful care. Staff supported people's choices, dignity, interests and end of life wishes. Inspectors found some gaps in employment histories, medicines guidance records and capacity assessment records. The management acted on these points during or shortly after the inspection.
Kind and personal care
Staff were consistently described as kind, patient and willing to do more than expected. Inspectors saw people being treated as individuals and supported with warmth.
“People were supported by a management team and staff who consistently went over and above their job role to ensure people's happiness and well being.” from the report
People's choices
People were involved in decisions about their care and could choose how they spent their time. Staff found creative ways to support communication and personal preferences.
“People made choices and these were respected by staff.” from the report
Personalised activities
Activities reflected people's hobbies and interests, including trips, animals, food, travel themes and special celebrations. People were also supported to take part in the wider community.
“There were a range of activities organised for people to participate in. These were based around people's preferences.” from the report
Staffing and safety
Inspectors found enough suitable staff to meet people's needs. Risks, medicines, fire safety and health and safety matters were monitored.
“People were supported by enough staff to meet their needs and wishes.” from the report
Open management
The management encouraged people, relatives and staff to give feedback. It responded to concerns and used meetings, audits and suggestions to make changes.
“The provider and registered manager welcomed feedback from others.” from the report
Employment records
minorSome staff files did not include a full employment history. The provider and manager began collecting the missing information when this was raised.
“However, there were occasions where an employment history had not been collected for some staff.” from the report
Medicine guidance records
needs fixingSome medicines records did not contain all the details needed to guide staff. A senior staff member began reviewing care plans against current guidance.
“There were occasions when records lacked all the details required to provide guidance to staff.” from the report
Capacity assessment records
needs fixingSome best-interest decisions did not have a separate capacity assessment recorded. The manager said the recording process would be reviewed.
“On occasions each decision did not have a separate capacity assessment to go with the best interest decision.” from the report
- 01Have all staff employment histories now been collected and checked?
- 02How do you make sure medicines records contain all the guidance staff need?
- 03How are separate capacity assessments recorded for each relevant decision?
- 04How do you check that people's personalised care plans remain up to date?
- 05How are people and relatives involved in checking whether activities and care continue to reflect their wishes?
This was an unannounced comprehensive inspection covering all five areas: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 14 November 2017 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.
Every inspection of The Knoll Nursing Home (Yeovil) Limited
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at The Knoll Nursing Home (Yeovil) Limited →
- November 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
Read what inspectors found at The Knoll Nursing Home (Yeovil) Limited →
- July 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- June 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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.
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