CQC report explained · a nursing home
What the CQC found at The White House Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, December 2022
The White House Nursing Home is rated Good; inspectors found kind, safe care and improvements since the previous Requires Improvement rating.
Inspectors visited unannounced on 16 August and 5 September 2022. They spoke with one person, nine relatives and five staff. They reviewed care, medicines, recruitment and other records, and checked the premises and infection control.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, personalised care plans and kind interactions between staff and people.
The previous inspection, published in August 2020, rated the home Requires Improvement and found breaches of regulations. This inspection found that improvements had been made and there were no longer any breaches.
Kind and respectful care
Inspectors observed kind interactions. Relatives were positive about the staff team and said people were treated with dignity and respect.
“During the inspection we observed staff interacting with people in a kind and caring way.” from the report
Personalised records
Care plans reflected people's current needs and included their choices and input from relatives and other healthcare professionals.
“Care records were accurately completed and reflected the current needs of the person.” from the report
Safe medicines
Medicine records were accurate, checks were carried out and staff had regular competency assessments.
“People were receiving their medicines as prescribed and in line with best practice guidance.” from the report
Improved leadership
The home had strengthened its quality checks and used feedback and lessons from incidents to improve care.
“The quality and assurance systems in place had been reviewed and embedded throughout the service” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure each person's risk assessments and care plans stay up to date?
- 02How often are staff checked as competent to give medicines, and what happens if a check identifies a problem?
- 03How will my relative and our family be involved in care planning and reviews?
- 04How do you use complaints, incidents and feedback to make changes to care?
- 05How will my relative's end of life wishes be recorded and reviewed if their needs change?
This was an unannounced inspection covering all five rating areas, the premises, care provided and infection prevention and control measures. This explanation was written from the published report of 30 December 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, March 2021
Rated Good; inspectors found safe, kind and personalised support, with some service documents needing improvement.
This was the first inspection since the service registered. The inspection was announced and took place on 26 April 2022. One inspector visited the office and one supported living setting, spoke with people, relatives, staff and managers, and checked care plans, medicines records and other documents.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, treated with dignity and supported to make choices. People were helped to be independent, keep relationships, use local services and enjoy activities they liked.
Care plans were detailed and personal. Staff were trained, medicines records were accurate, and managers checked the quality of care. Inspectors noted that some policies were not yet specific to this supported living service, and tenancy agreements had not originally made people's choice of support provider clear. The home showed updated documents after the inspection.
Personalised support
Care plans included people's routines, interests, relationships, strengths and preferences. Staff used this information to support people's wellbeing and choices.
“Care plans placed the person at the centre of their care and contained detailed information of their hobbies, interests, people that were important to them” from the report
Kind and respectful staff
People and relatives described staff as kind, caring and helpful. Inspectors saw staff communicating calmly and respectfully.
“People and relatives told us the staff were kind and caring.” from the report
Support for independence
People lived in their own homes or shared accommodation with individual flats. Staff supported daily living skills, community activities and relationships.
“People using the service were safe. They were supported to be as independent as possible.” from the report
Safe medicines practice
Inspectors found medicines records accurate and up to date. Staff were trained and medicines were checked through daily audits.
“We looked at medicine records and saw they were accurate and up to date.” from the report
Good communication
People and relatives were involved in care decisions and received regular information. Easy-read information was also available.
“Relatives were given secure and confidential access to see only their family member's care records, as it was an online system.” from the report
Policies needed updating
needs fixingInspectors found that the provider's policies and procedures were not specific to the supported living service. The manager said work was underway to create personalised policies.
“the provider's policies and procedures were not specific to the supported living service.” from the report
Tenancy information was not initially clear
needs fixingOriginal tenancy agreements did not clearly say that a person's tenancy was separate from their support and that they could choose another support provider. Updated agreements were shown after the inspection.
“their original tenancy agreements did not make clear that their tenancy was not dependent on their support provider” from the report
- 01Can you show us the updated tenancy agreement explaining that housing is separate from support and that a person can choose another support provider?
- 02Which policies have been made specific to this supported living service since the inspection?
- 03How will you keep my relative's care plan and risk assessments updated when their needs or preferences change?
- 04How are medicines checked each day, and how would you tell us about any error or missed dose?
- 05How will my relative be supported to keep relationships, use local services and take part in activities they enjoy?
This was the first planned inspection of the supported living service and looked at personal care and support, not the premises used for housing. 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.
Every inspection of The White House Nursing Home
6 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- December 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at The White House Nursing Home →
- March 2021Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at The White House Nursing Home →
- August 2020Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- October 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2017Goodstayed GoodSafe: Requires improvement
- June 2016Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- September 2014
Registered with the Care Quality Commission on 9 September 2014.
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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39 live-in carers within about an hour of South Tyneside
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 £950 to £1,140 a week. 34 can care for a couple. 10 years' experience on average.
“Petty introduced herself to Mum every time she was caring for her and responded very quickly to Mum if she was distressed in the night.”
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.