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CQC report explained · a residential care home

What the CQC found at The Turrets Residential Care Home

Goodpublished 20 March 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors looked mainly at infection prevention and control and staffing pressures. They were assured that the home was using PPE safely, managing visitors, testing people and staff, and following cleaning and social distancing measures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection, although inspectors observed staff attending to people's needs.
Responsive?
Good
This area was not assessed in this targeted inspection. The report says people were supported to maintain contact with relatives during the outbreak.
Well-led?
Good
This area was not assessed in this targeted inspection. Inspectors asked about staffing pressures and were told staffing was manageable.
The latest report, explained

What inspectors found, March 2022

The Turrets Residential Care Home: targeted inspection found good COVID-19 infection controls, but the service was inspected and not rated.

Inspectors visited on 18 February 2022. This was an announced, targeted inspection about infection prevention and control, and staffing pressures linked to COVID-19.

Inspectors found good cleanliness, ventilation and use of personal protective equipment. Visitors had to follow safety checks, including hand washing, temperature checks, symptom questions, masks and a negative lateral flow test.

The home was closed to visitors because of a COVID-19 outbreak. Five people were isolating in their rooms. People could keep in touch with relatives by telephone, video calls, mobile phones, tablets and social media messaging.

The service was inspected but not rated. This means the report does not give a full rating for the home or a rated judgement across all five areas of care.

What inspectors praised
  • Infection control

    Inspectors found safe use and disposal of PPE, good cleanliness, enhanced cleaning and good ventilation.

    “Staff followed safe infection prevention and control procedures, including the safe wearing and disposal of personal protective equipment (PPE).” from the report
  • Keeping in touch

    Although the home was closed to visitors during the outbreak, people were supported to contact relatives in several ways.

    “People were supported to maintain contact with relatives by the telephone and video call.” from the report
  • Staffing arrangements

    The provider said staffing was manageable. Shifts were covered flexibly, and extra hours were monitored to avoid staff being overworked.

    “The registered manager told us they were not experiencing any workforce pressures and that staffing was manageable.” from the report
  • Calm environment

    Inspectors described the home as clean, hygienic and calm, and saw staff attending to people's needs.

    “The atmosphere of the home was cheerful and calm.” 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 is your current policy for visits during a COVID-19 outbreak, and can relatives become essential care givers?
  2. 02How do you currently test people living here, staff and visitors for COVID-19?
  3. 03How do you make sure PPE, cleaning and ventilation arrangements remain effective?
  4. 04How many staff are currently working on each shift, and how do you monitor overtime?
  5. 05How would you help my relative keep in contact with family if visits were restricted?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 9 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.

An earlier report, explained

What inspectors found, March 2020

The Turrets Residential Care Home was rated Good; inspectors found safe, kind and personalised care across all five areas.

This was an unannounced inspection on 3 March 2020. One inspector spoke with five people living at the home, one visitor and four staff. They reviewed care and medicines records, staff recruitment and supervision files, and records about how the home was managed.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable checks on new staff, safe medicines support, clean surroundings and systems to reduce risks.

People were described as treated with kindness, dignity and respect. Staff knew people's needs, supported their choices and communication, and helped people build independence, relationships and activities that mattered to them.

The home was last rated Good in August 2017, and this rating remained unchanged. The report says the home will continue to be monitored and may be inspected sooner if concerning information is received.

What inspectors praised
  • People felt safe

    Inspectors found that risks were assessed and updated, staff understood people's needs, and staffing levels were sufficient to support people safely.

    “Risks to people's safety were assessed, recorded and updated when their needs changed.” from the report
  • Kind and respectful care

    People had good relationships with staff and were treated with dignity. Staff understood people's individual differences and personal needs.

    “People were treated well by staff who were kind, caring and knew them well.” from the report
  • Choice and independence

    People were supported to make decisions, communicate in ways they understood and take part in household tasks and activities.

    “Staff demonstrated commitment to helping people develop their skills and independence.” from the report
  • Personalised activities

    Staff supported people to follow their interests, keep active and maintain important relationships, including through local activities and planned outings.

    “People were supported to do the things they enjoyed.” from the report
  • Open management

    Inspectors found positive teamwork and systems for checking quality, listening to feedback and acting on identified issues.

    “Systems continued to be effectively operated and had maintained the quality and safety of the home.” 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 will you assess and update the risk plan if my relative's needs change?
  2. 02How will you check that my relative receives medicines correctly, and what happens if a medicines record is incomplete?
  3. 03How will you support my relative's communication needs, choices and independence in day-to-day life?
  4. 04What activities and community opportunities could be offered based on my relative's interests?
  5. 05How are relatives involved if there is a complaint or a change in care needs?

This was an unannounced inspection covering all five CQC questions; inspectors spoke with people, a visitor and staff and reviewed a sample of care, medicines, recruitment and management records. This explanation was written from the published report of 20 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.

The story over the years

Every inspection of The Turrets Residential Care Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

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

    Read what inspectors found at The Turrets Residential Care Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at The Turrets Residential Care Home →

  3. August 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. April 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. April 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. August 2011

    Registered with the Care Quality Commission on 1 August 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.

Next steps

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