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CQC report explained · a nursing home

What the CQC found at The Mews

Outstandingpublished 15 May 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors looked only at staffing pressures and infection prevention and control. They were assured that PPE, testing, hygiene, admissions and outbreak arrangements were in place.
Effective?
Good
This question was not covered by this targeted inspection.
Caring?
Outstanding
This question was not covered by this targeted inspection.
Responsive?
Outstanding
This question was not covered by this targeted inspection.
Well-led?
Good
This question was not covered by this targeted inspection.
The latest report, explained

What inspectors found, February 2022

The Mews: inspected but not rated; inspectors found good infection control and visiting arrangements during the COVID-19 pandemic.

This was a targeted inspection on 18 January 2022. It was announced 24 hours beforehand and focused on infection prevention, visiting arrangements and staffing pressures linked to COVID-19.

Inspectors were assured that the home used personal protective equipment safely, supported testing, kept its infection control policy up to date and had arrangements to prevent and manage outbreaks. They were also assured that people were admitted safely and that visits followed current guidance.

The home had a ventilated visiting area that was cleaned between visits. People were supported to keep in touch with relatives, take part in community activities and access healthcare safely.

The service was inspected but not rated. The inspection only looked at infection control and the staffing part of the Safe question, so it does not provide a new overall rating.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had measures to reduce the spread of infection, including safe PPE use, testing and an up-to-date policy.

    “We were assured that the provider was using PPE effectively and safely.” from the report
  • Visiting arrangements

    The home had a dedicated visiting area which was ventilated and cleaned between visitors. It also had arrangements for people cared for in their own rooms.

    “The room was well-ventilated and cleaned between visitors.” from the report
  • Support during restrictions

    People were supported to keep in contact with relatives, manage isolation and continue community activities where this could be done safely.

    “For those people who struggled with isolation additional support was provided.” 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 staffing pressures are there now, and how are they affecting the service?
  2. 02How do you currently check that staff and visiting professionals meet the COVID-19 vaccination requirements or have an exemption?
  3. 03How are visits arranged for people who are cared for in their own rooms?
  4. 04How do you support people who find isolation difficult?
  5. 05What arrangements are used when someone leaves the home to stay with relatives and then returns?

This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures linked to COVID-19; it did not rate the service or assess the other key questions. This explanation was written from the published report of 4 February 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 2018

The Mews was rated Outstanding overall; inspectors found exceptionally caring and responsive support, with safe and effective care.

This was an unannounced, comprehensive inspection on 6 and 7 March 2018. Inspectors spoke with people living in the home, visitors, staff and health professionals. They observed care and checked care records, medicine records, staff files, training and the home's management records.

Inspectors found people were safe and that there were enough staff. Risks were assessed with people, medicines were managed correctly, and safeguarding concerns were investigated. Staff had received improved training and support since the previous inspection.

The strongest findings were about kindness, respect and personalised support. People were involved in decisions, enjoyed activities and were supported to live as independently as possible. The home was also praised for its leadership, communication and work with health professionals.

The overall rating of Outstanding means inspectors judged the home to be performing exceptionally well overall. Safe, Effective and Well-led were rated Good. Caring and Responsive were rated Outstanding. The two breaches found under the previous ownership had been addressed.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff listening carefully, respecting personal space and adapting their approach to each person. People and visitors consistently praised the staff's kindness.

    “All the staff are good and kind. I get on with them all.” from the report
  • Personalised support

    Care plans described people's history, wishes, routines and support needs in detail. People were involved in planning their care and encouraged to remain independent.

    “People's support plans had been planned, developed and agreed proactively in partnership with them.” from the report
  • Activities and quality of life

    The home had three activity coordinators and supported people to continue hobbies, make friends and pursue ambitious activities.

    “Nothing was considered 'off limits'; physical disability was not seen as a barrier to participation” from the report
  • Safe, well-managed care

    Inspectors found robust risk assessments, safe recruitment, suitable staffing levels and accurate medicine records. Previous problems with equipment, premises and staff training had been improved.

    “At this inspection we found improvements had been made and the service is no longer in breach of the regulations.” from the report
  • Good health support

    Staff worked closely with health professionals and monitored complex health needs. A monthly clinic was held at the home to support people's medical and physical health needs.

    “The service had developed excellent links with health and social care agencies” 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 meet my relative's specific health needs and work with their existing health professionals?
  2. 02How would you support my relative to make choices while managing risks safely?
  3. 03What activities and community opportunities would be available that match my relative's interests?
  4. 04How would you keep my relative's care plan up to date and involve them or their representative in reviews?
  5. 05What improvements have been made since this March 2018 inspection?

This was the first comprehensive rated inspection since the ownership changed in 2017, and inspectors assessed all five key areas. This explanation was written from the published report of 15 May 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. The report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of The Mews

Each visit the CQC has published, newest first, back to the day the home was registered.

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

    Read what inspectors found at The Mews →

  2. May 2018Outstanding
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good

    Read what inspectors found at The Mews →

  3. February 2017

    Registered with the Care Quality Commission on 1 February 2017.

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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At least 100 live-in carers within about an hour of Rochdale

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Most charge £980 to £1,260 a week. 92 can care for a couple. 11 years' experience on average.

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