CQC report explained · a nursing home
What the CQC found at The Old Rectory Grappenhall Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home used protective equipment safely, accessed testing, managed visiting and admissions safely, and kept the premises hygienic.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Good
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection-control practice during the COVID-19 pandemic.
The inspection was unannounced and took place on 21 January 2021. It was a targeted inspection of infection prevention and control, carried out because of coronavirus outbreaks in care homes.
Inspectors found that staff used protective equipment correctly and had suitable training. The home was clean, had enough protective equipment, and followed testing, visiting, shielding and social-distancing procedures.
People were supported to keep in touch with family and friends using technology. Staff also offered activities and gave extra support to people who had recently moved into the home.
The home was inspected but not rated. This means the visit checked infection-control arrangements only and did not give an overall quality rating.
Protective equipment
Staff had suitable infection-control training and used protective equipment correctly. Supplies and safe disposal points were available.
“Staff had received appropriate training and guidance in infection prevention and control (IPC) and followed correct procedures in the use of personal protective equipment (PPE).” from the report
Testing
The home used available coronavirus testing for residents, permanent staff and agency staff. It had also started testing staff each day they worked.
“The service made effective use of available COVID-19 testing for both people living at the home and staff; this included agency staff.” from the report
Clean environment
Inspectors found the home clean and hygienic, with regular cleaning taking place.
“The home was kept clean and hygienic with regular cleaning schedules being adhered to.” from the report
Family contact
The home followed visiting procedures and supported people to stay in contact with family and friends through technology.
“Staff reassured people throughout the pandemic and provided them with the support they needed to maintain regular contact with family and friends through the use of technology.” from the report
Safe admissions
There were procedures for admitting new people safely, including extra support for their health and wellbeing.
“Safe procedures were in place for admitting people into the service.” from the report
Inspectors raised no specific concerns in this report.
- 01Is all staff testing still carried out on every day that staff work at the home?
- 02How are visits currently managed, and what cleaning facilities are available for visitors?
- 03What infection-control training and protective-equipment checks do agency staff receive?
- 04How are new residents supported during their admission and initial period at the home?
- 05When was the home last assessed for care quality areas not covered by this targeted inspection?
This was an unannounced targeted inspection of infection prevention and control, so the service was inspected but not rated and the other quality areas were not assessed. This explanation was written from the published report of 6 March 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, March 2020
The Old Rectory Grappenhall Limited was rated Good in all areas, with inspectors finding safe, caring and well-organised care.
This was an unannounced planned inspection on 31 December 2019 and 6 January 2020. One inspector spoke with people, family members and staff, observed care, and reviewed care, medicines, recruitment and management records.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse and avoidable harm, received suitable care and medicines support, and had access to health professionals when needed.
People and families described kind, person-centred care. Inspectors also found activities, support for end-of-life care, regular involvement in care planning, and systems for handling complaints and checking quality.
The previous inspection was also rated Good, in a report published on 1 June 2017. The report says the home would continue to be monitored and could be inspected sooner if concerning information was received.
People felt safe
People and families told inspectors they felt safe and reassured about the care provided.
“People told us they felt safe living at The Old Rectory and family members were reassured their relatives were safe and well looked after.” from the report
Enough trained staff
Inspectors found enough suitably qualified staff to meet people's needs. Staff said teamwork helped during busy times and gave them time to spend with people.
“Enough suitably qualified and skilled staff were deployed to meet people's needs; staff were seen to respond quickly to people when requesting support.” from the report
Person-centred care
Staff knew people's histories, preferences and needs. Care plans helped staff provide individual support.
“People received care that was person centred and based on their individual needs.” from the report
Activities and relationships
People could take part in activities inside and outside the home, including individual activities linked to their own choices.
“Each day one person was allocated special one-to-one time where they completed an activity of their choosing; people had completed a 'bucket list' of activities” from the report
Open management
People, families and staff felt able to raise concerns and share their views. The home used audits and action plans to monitor quality and safety.
“Effective systems were in place to check the quality and safety of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and record my relative's individual risks and update their care plan if their needs change?
- 02How will you make sure my relative's medicines, including any 'as required' medicines, are given safely and recorded correctly?
- 03What activities would match my relative's interests, history and communication needs?
- 04How will you involve me and my relative in care plan reviews and decisions about care?
- 05How do you investigate complaints and use them to make improvements?
This was an unannounced planned inspection that looked at both the premises and care provided and assessed all five CQC questions; all five ratings remained Good from the previous inspection. This explanation was written from the published report of 10 March 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.
Every inspection of The Old Rectory Grappenhall Limited
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at The Old Rectory Grappenhall Limited →
- March 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The Old Rectory Grappenhall Limited →
- June 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2013
Report published without a new overall rating.
- September 2012
Registered with the Care Quality Commission on 17 September 2012.
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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