CQC report explained · a nursing home
What the CQC found at The Old Parsonage
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, March 2022
The Old Parsonage is rated Good; inspectors found safe care and stronger management, but this visit did not assess all areas of care.
This was an unannounced, targeted inspection on 10 March 2022. Inspectors checked whether the home had improved how it reported significant incidents after a previous inspection found a breach. They also looked at infection control and COVID-19 vaccination requirements.
Inspectors found enough staff, safe recruitment, reviewed risk assessments and safe medicines systems. They found that incidents and accidents were reported and reviewed. Infection control arrangements, including the use of PPE, were also satisfactory.
The home had improved its quality checks and was no longer in breach of Regulation 18. The overall rating changed from Requires Improvement to Good. However, this was a focused inspection of Safe and Well-led, so the other areas were not assessed during this visit.
Enough staff
Inspectors found enough staff to meet people's needs. Staff did not appear rushed and were available when people needed them.
“There was enough staff on duty to meet people's needs. Staff did not appear rushed and were available when people needed them.” from the report
Safe care systems
Risks were assessed and reviewed, with care plans giving staff detailed guidance. Medicines were stored, administered and checked safely.
“Risks to people's safety were identified and assessed, with measures in place to reduce the risk of harm occurring.” from the report
Improved management
The home had strengthened its quality checks and systems for sending required incident notifications. Inspectors found it was no longer in breach.
“There were robust quality assurance processes in place. These included audits of incidents and accidents.” from the report
Positive culture
Staff and relatives described a welcoming, supportive service. Inspectors found that people's needs and wishes were prioritised.
“There was a positive and person-centred culture amongst the staff team, where people's needs and wishes were prioritised and the team worked well together.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you making sure all significant incidents are identified and notifications are sent to CQC on time?
- 02What checks are now made to confirm that incident and accident audits are complete and followed up?
- 03What activities and social contact are currently available to reduce people's isolation and support their mental health?
- 04How do you make sure staffing levels remain sufficient when people's needs change or staff are absent?
- 05How are personalised instructions for medicines given when needed, including the steps staff take before using them?
This was a focused, targeted inspection of Safe and Well-led, with infection control also reviewed; Effective, Caring and Responsive were not inspected and their ratings carried over from the last comprehensive inspection. This explanation was written from the published report of 22 March 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.
What inspectors found, May 2021
Rated Requires Improvement; inspectors found people were safe, but important incidents had not been reported to CQC.
This was an unannounced focused inspection on 26 and 30 March 2021. Inspectors looked only at Safe and Well-led, after concerns about staffing, early morning support and infection control. They spoke with staff and the manager, observed care, checked records and gathered views from relatives and professionals.
The home was rated Good for Safe. Inspectors found enough staff, safe medicines support, suitable risk plans and good infection control. Relatives said they were confident people were safe.
The home was rated Requires Improvement for Well-led. Four significant incidents had not been reported to CQC when they should have been. The home's checks had not identified this failure. The overall rating changed from Good to Requires Improvement.
Staffing
Inspectors found enough staff to meet people's needs safely. Relatives also said staff were available when support was needed.
“There were enough staff to safely meet people's needs.” from the report
Managing risks
Care records described people's risks and the support and equipment they needed. Staff were observed following the plans consistently.
“Care records contained assessments of people's mobility and plans to manage the risks of falls.” from the report
Medicines
Medicine records were complete and included clear instructions for medicines taken only when needed.
“Medicines administration records had been fully completed.” from the report
Infection control
Inspectors were assured that the home had effective arrangements for preventing and managing infection, including use of protective equipment and testing.
“We were assured that the provider was using PPE effectively and safely.” from the report
Working with families
The manager kept regular contact with relatives and worked with them to meet people's needs.
“Relatives said they had regular contact with the registered manager, which enabled them to work together to meet people's needs.” from the report
Incidents not reported
seriousFour significant incidents were not notified to CQC as required. They included injuries and physical altercations between people. The report says this was a breach of the regulations.
“The provider had not notified CQC of significant events when they were legally required to.” from the report
Checks did not find the problem
needs fixingThe home's quality assurance systems reviewed several types of records but did not identify that required notifications had been missed.
“However, the audits had failed to identify the failure to submit notifications when needed.” from the report
- 01What changes have you made to make sure all significant incidents are reported to CQC on time?
- 02How do your quality checks now test that legally required notifications have been sent?
- 03What action was taken after the four incidents described in the report?
- 04What were the results of the action plan and the later re-inspection?
- 05How are relatives told about incidents and the action taken afterwards?
This was a focused inspection of Safe and Well-led only; the other ratings were carried over from the previous comprehensive inspection. This explanation was written from the published report of 25 May 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.
Every inspection of The Old Parsonage
6 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- March 2022Goodcurrent ratingup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2021Requires improvementdown from GoodSafe: GoodWell-led: Requires improvement
- June 2019Goodup from Requires improvementSafe: Requires improvementWell-led: Good
- May 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- February 2015
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- October 2013
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- February 2012
Report published without a new overall rating.
- August 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 14 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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