CQC report explained · a nursing home
What the CQC found at Thornbury Care Centre
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, including PPE, testing, cleaning, safe admissions and managing outbreaks. The provider said it had measures to reduce risks from COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found strong infection control arrangements and no concerns were reported about the focused checks.
This was an announced, targeted inspection on 3 February 2022. Inspectors checked infection prevention and control, and asked about staffing pressures linked to COVID-19.
The home was clean, with extra cleaning and deep cleans. Staff had suitable protective equipment, training and supplies. People and relatives could keep in touch through visits and technology.
Inspectors were assured about testing, vaccinations, admissions, social distancing, shielding and managing infection outbreaks. The service was inspected but not rated, so this report does not give a new overall quality rating.
Clean environment
The environment was clean, with extra cleaning of frequently touched areas and regular deep cleans.
“The environment was clean. Additional cleaning was taking place, including of frequently touched surfaces.” from the report
PPE arrangements
Staff had suitable PPE, enough supplies and training in using it safely. Supplies were checked weekly.
“Staff wore appropriate PPE and there were sufficient supplies.” from the report
Contact with relatives
People and relatives could stay in contact through visits and technology, in line with government guidance.
“People and their relatives were supported to keep in contact using a range of technology as well as visits to the home, in line with government guidance.” from the report
Testing and vaccination checks
Regular testing was in place for people and staff. The service also checked vaccination status and met the requirement for non-exempt staff and visiting professionals.
“People and staff participated in a regular testing programme.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you managing any current staffing pressures, and are they affecting people's care?
- 02How do you check that PPE supplies remain sufficient and that staff use PPE safely?
- 03How often are people and staff tested for infections now?
- 04How do you check vaccination status for staff and visiting professionals?
- 05How are cleaning, visiting and infection outbreak arrangements being managed now?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not rate the overall service or assess the other four key questions. This explanation was written from the published report of 3 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, June 2018
Rated Good; inspectors found safe, kind and personalised care while refurbishment was still being completed.
Inspectors visited on 20 and 21 March 2018. The first day was unannounced and the second was announced. They spoke with seven people, three relatives and several staff, and checked care records, medicines records, staff files and quality records.
The home was rated Good overall, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, suitable training, personalised care plans and kind, respectful care.
The provider had taken over the home recently and a full refurbishment was under way. An improvement plan was progressing well, but the work was not due to finish until the end of June 2018. The home had a registered manager and systems to check quality and act on improvements.
Safe medicines and staffing
Inspectors found medicines were stored, given and recorded safely. There were enough staff to respond to people's needs without delay.
“Medicines administration records (MARs) accurately accounted for the medicines people had received.” from the report
Kind and respectful care
People and relatives spoke positively about the care. Staff promoted dignity, choice and independence in day-to-day support.
“Staff treated people with dignity and respect and promoted their independence.” from the report
Personalised care
Care plans included people's routines, preferences, interests and health needs. Staff used this information to tailor support.
“People's care plans were detailed and personalised to reflect their individual needs.” from the report
Staff support and training
Records showed that staff training, supervision and appraisals were up to date. Staff said they felt supported by management.
“Records showed staff received regular one to one supervision sessions with a manager and an annual appraisal.” from the report
Quality improvement
The provider had a structured system of checks and action plans. Inspectors found that the improvement plan was progressing well.
“The provider had a structured approach to quality assurance.” from the report
Refurbishment not yet finished
minorThe home was part way through a full refurbishment during the inspection. It was due to be completed at the end of June 2018, so families should check the current condition.
“We found a full refurbishment of the home was in progress and was due to be completed at the end of June 2018.” from the report
Limited attendance at meetings
minorMeetings for residents and relatives had not been well attended. The provider was trying other ways to gather views, including a committee and a comments box.
“Relatives' and residents' meetings to date had not been very well attended.” from the report
- 01Has the full refurbishment been completed, and which improvements were made for people living with dementia?
- 02How are staffing levels checked now, and how quickly can staff respond when someone needs help?
- 03How are relatives' views collected if they cannot attend meetings?
- 04How are care plans reviewed with people and their relatives, including preferences about routines, food and activities?
- 05What checks are currently used to monitor medicines, falls, care records and complaints?
This was the first rating inspection under the new provider and it assessed all five CQC questions and the overall quality of the home. This explanation was written from the published report of 6 June 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.
Every inspection of Thornbury Care Centre
Each visit the CQC has published, newest first, back to the day the home was registered.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- June 2018GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2017
Registered with the Care Quality Commission on 31 March 2017.
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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46 live-in carers within about an hour of Sunderland
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 £1,210 a week. 42 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.