CQC report explained · a residential care home
What the CQC found at The Lady Nuffield Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including protective equipment, testing, cleaning, social distancing and outbreak planning.
- Effective?
- Good
- This area was not covered by this inspection.
- Caring?
- Good
- This area was not covered by this inspection.
- Responsive?
- Good
- This area was not covered by this inspection.
- Well-led?
- Good
- This area was not covered by this inspection.
What inspectors found, April 2021
Inspected but not rated; inspectors found strong infection control arrangements during the COVID-19 pandemic.
This was an announced thematic inspection on 8 April 2021. It looked at infection prevention and control in response to the coronavirus pandemic. The home was caring for 23 people and could accommodate up to 30.
Inspectors found the home was very clean, with detailed cleaning schedules and extra cleaning of frequently touched surfaces. Staff had infection control training, used personal protective equipment safely, and followed social distancing arrangements.
There was regular COVID-19 testing for people and staff, enough personal protective equipment, and a plan for managing an outbreak. Relatives could keep in touch through technology and safe face-to-face visits. The service was inspected but not rated, so this report does not give a Good, Requires improvement or Inadequate rating.
Clean environment
The home had a rigorous cleaning programme, including extra cleaning of frequently touched surfaces. Audits led to changes such as revised cleaning schedules and more hand sanitiser stations.
“The home was spotlessly clean and a rigorous cleaning schedule was in place and followed by a dedicated domestic team.” from the report
Protective equipment
Staff had infection control training and followed procedures for putting on and removing protective equipment. The provider also kept enough protective equipment in stock.
“Staff had infection control training and understood the correct donning and doffing procedure.” from the report
Testing and outbreak planning
People living at the home and staff were tested regularly. The provider had a detailed plan for managing a possible outbreak.
“Regular testing for Covid-19 was conducted for both people living at the service and the staff.” from the report
Keeping families connected
Relatives could stay in touch through technology and face-to-face visits in an adapted shielded room.
“The provider ensured people's relatives were able to stay in touch with people.” from the report
Inspectors raised no specific concerns in this report.
- 01What cleaning schedules and checks are currently used, especially for frequently touched surfaces?
- 02How often are people living here and staff tested for COVID-19 now?
- 03What protective equipment is kept in stock, and how are staff trained to use it?
- 04What is the current plan if there is an infection outbreak?
- 05How can relatives visit or keep in touch, and have these arrangements changed since the inspection?
This was a thematic inspection focused on infection prevention and control during the coronavirus pandemic; it did not provide ratings for the other four key questions or an overall rating. This explanation was written from the published report of 28 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.
What inspectors found, January 2018
The Lady Nuffield Home was rated Good; inspectors found safe, kind and personalised care with effective management.
The inspection was unannounced and took place on 28 December 2017. The inspector and an Expert by Experience spoke with people living there, relatives and staff. They reviewed care plans, staff files, medicine records and management records, and observed care.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine practices, suitable training, good links with health professionals and care that respected people's choices and dignity.
The home had remained Good since the previous inspection. Inspectors also found that the manager used audits, meetings and feedback to make improvements.
Enough staff
Inspectors found that staffing levels met people's needs and staff were not rushed. People received help promptly, and staff had time to sit and talk with them.
“There were sufficient staff to meet people's needs and staff had time to spend with people.” from the report
Personalised support
Care records included people's histories, interests, likes, dislikes and preferences. Staff knew people well and adapted support when their needs changed.
“Care records contained details of people's personal histories, likes, dislikes and preferences” from the report
Good oversight
The manager monitored the service through audits, action plans, meetings and surveys. Inspectors found that identified improvements had been completed.
“The registered manager monitored the quality of service.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's care plan if their health or abilities changed?
- 02How will you make sure my relative's medicines are administered safely and according to their instructions?
- 03How many staff are usually on duty, and how would you respond if someone needed extra support?
- 04Which activities would match my relative's interests, communication needs and level of independence?
- 05How would you involve my relative and our family in care reviews and decisions?
This was an unannounced inspection covering all five CQC questions, and the ratings for all five areas were Good. This explanation was written from the published report of 25 January 2018 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 Lady Nuffield Home
3 rated inspections over 3 years: the service has held its Good rating throughout.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- May 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 13 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.
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38 live-in carers within about an hour of Oxfordshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,300 a week. 32 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She was v competent and confident and we felt our mum was safe in her care. She supported us through a difficult time.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.