CQC report explained · a nursing home
What the CQC found at The White House Nursing Home Limited
Rated Outstanding: inspectors found the home performing exceptionally well.
What inspectors found, September 2020
Inspected but not rated; inspectors found strong infection control measures during the COVID-19 pandemic.
The inspection took place on 20 August 2020. It was a targeted inspection focused only on infection prevention and control in response to the coronavirus pandemic.
Inspectors found that the home was taking steps to protect people from infection. These included restricting visitors, using a visiting marquee, providing PPE, testing people and staff, and using dedicated equipment for people with COVID-19 symptoms or positive tests.
The home also used digital care records so relatives could see updates about a person's health, appetite and activities. Staff received infection control training and support for their mental health and wellbeing.
The home was inspected but not rated. This means the inspection did not give an overall quality rating or assess all five areas of care.
Protected visiting
Visitors were kept separate from residents through a visiting marquee with a perspex screen. PPE was provided where needed.
“The provider had built a 'visiting marquee' to the rear of the premises.” from the report
Support for people with COVID-19
People with positive tests or symptoms received one-to-one support, including help with meals and social activities. They also had dedicated equipment and PPE.
“People who tested positive for COVID-19 or showing symptoms were provided with one to one staff to support their needs” from the report
Updates for relatives
Relatives and representatives could access daily care records securely and see current information about health, appetite and activities.
“Digital care planning allowed relatives and other representatives to access their daily records in 'real time' through a secure internet gateway.” from the report
Staff training and wellbeing
Staff received infection prevention and control training from several sources. They were also given access to mental health and wellbeing resources.
“Staff received training from multiple sources to make sure of their good practice in infection prevention and control.” from the report
Planning and supplies
Inspectors found that early lockdown, communication and good PPE supplies helped the home prevent an infection outbreak during the period reviewed.
“Proactive and decisive management planning had enabled the service to prevent an outbreak of infection and safely protect the people using the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How does the current visiting arrangement compare with the visiting marquee and screen used during this inspection?
- 02How would you support a resident who tested positive for COVID-19 or developed symptoms, including with meals, activities and personal care?
- 03Can relatives still access daily care updates through a secure digital system?
- 04How often are staff trained in infection prevention and control, and how are staff supported with their wellbeing?
- 05What arrangements are now in place for testing, PPE and preventing or managing an infection outbreak?
This was a targeted inspection of infection prevention and control measures during the coronavirus pandemic; it did not rate the other areas of care. This explanation was written from the published report of 26 September 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.
What inspectors found, March 2018
Rated Outstanding; inspectors found safe, kind and personalised care, with outstanding activities, end-of-life support and leadership.
This was an unannounced, comprehensive inspection on 4 and 8 January 2018. Inspectors spoke with people living in the home, relatives, staff and health professionals. They observed care and mealtimes, and checked care plans, staff records, medicines records, complaints and quality checks.
The home was rated Good for being safe, effective and caring. Inspectors found enough staff, safe medicines arrangements, suitable risk plans, clean and maintained surroundings, suitable staff training, support with food and drink, and prompt access to health professionals. People were treated with kindness, dignity and respect.
The home was rated Outstanding for being responsive and well-led. Inspectors found highly personalised care, a wide range of activities, strong community links and compassionate end-of-life care. Managers were described as accessible and committed to improvement, with systems that checked the quality of care.
The overall Outstanding rating means the inspection found care that was consistently very good, with examples of practice that went beyond what is normally expected. The previous overall rating in April 2015 was Good, although the home had re-registered as a new provider in February 2016.
Personalised care
Care plans included people's needs, preferences, life history and communication methods. Staff knew people well and adapted support to them.
“People received personalised support which was responsive to their specific needs and wishes.” from the report
Activities and community links
People could choose from many individual and group activities, outings and visits. Staff also supported people who stayed in their rooms to avoid social isolation.
“People were supported to live an active and fulfilling life at the home and in the wider community.” from the report
End-of-life care
The home recorded people's wishes, worked with palliative care professionals and supported relatives and others after someone died.
“When people were nearing the end of their life, they received compassionate and supportive care at the home.” from the report
Leadership and improvement
Inspectors found strong leadership, regular checks on care quality and a clear commitment to learning and improvement.
“There was clear oversight and scrutiny of the service.” from the report
Kind and respectful staff
People were treated with warmth, dignity and compassion. Staff supported privacy, independence and involvement in decisions.
“Staff consistently demonstrated warmth, respect and empathy in their interactions with people and their relatives.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular dementia, nursing or end-of-life care needs?
- 02How would my relative's care plan be created, and how often would we be involved in reviewing it?
- 03Which activities and community visits would be suitable for my relative, including if they preferred to stay in their room?
- 04How would you support my relative's cultural, religious, language and communication needs?
- 05How do you adjust staffing when people's care needs increase?
This was an unannounced comprehensive inspection covering the overall quality of the home and all five key questions. This explanation was written from the published report of 28 March 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.
Every inspection of The White House Nursing Home Limited
Each visit the CQC has published, newest first, back to the day the home was registered.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at The White House Nursing Home Limited →
- March 2018OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at The White House Nursing Home Limited →
- February 2016
Registered with the Care Quality Commission on 9 February 2016.
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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At least 100 live-in carers within about an hour of Kingston upon Thames
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 £980 to £1,260 a week. 82 can care for a couple. 11 years' experience on average.
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
“We cannot speak highly enough of the care that Angelique gave, and would recommend her to anyone else needing a live-in carer.”
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.