CQC report explained · a nursing home
What the CQC found at Thorncliffe Grange
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were safe. This included PPE, testing, visitors, admissions, hygiene and managing outbreaks.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured that Thorncliffe Grange had safe infection prevention and control arrangements.
This was an announced, targeted inspection on 12 November 2020. It was carried out because of coronavirus outbreak concerns and looked at infection prevention and control.
Inspectors were assured that the home was using PPE safely, following shielding and social distancing rules, managing visitors and testing, and admitting people safely. They also found that infection outbreaks could be prevented or managed and that the infection control policy was up to date.
Staff supported doctors, therapists and social workers to carry out some assessments remotely. New easy-clean furnishings had been bought, and further work to make communal areas easier to clean was planned.
The service was inspected but not rated. This was not a full inspection of the home's overall quality.
Safe use of PPE
Staff had a dedicated area for putting on and removing PPE. Inspectors saw staff wearing full PPE when needed, with checks and enough supplies in place.
“Staff were seen to be wearing full PPE as needed, and there were systems in place to check that PPE was being worn appropriately and sufficient stocks were available for staff.” from the report
Safe admissions
New residents had pre-admission assessments to check that the home could meet their needs safely. The home followed guidance for new admissions and their initial isolation.
“Pre-admissions assessments were being completed to ensure the home could meet the person's needs safely and support them during the initial period of isolation.” from the report
Remote professional support
The home helped external professionals complete assessments remotely, reducing the number of people entering the home.
“Staff supported external professionals such as doctors, speech and language therapists and social workers to completed assessments remotely to reduce the number of people coming into the home.” from the report
Easy-clean furnishings
New chairs and mattresses had been bought to support infection control, while residents' preferences for their own furniture were respected.
“New furnishings, such as arm chairs and mattresses, had been purchased which were easy to clean and promoted good infection control practices.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you currently check that staff are wearing PPE correctly and that there are sufficient stocks?
- 02How are visitors managed, and how do you maintain shielding and social distancing arrangements?
- 03How often are residents and staff tested, and what happens if someone tests positive?
- 04How do you assess new residents before admission and support them during their initial isolation?
- 05Has the planned work to make communal areas easier to clean been completed?
This was an announced targeted inspection of infection prevention and control under Safe; the other areas and an overall quality rating were not assessed. This explanation was written from the published report of 1 December 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, November 2018
Rated Good; inspectors found safe, kind and personalised care, with activities being reviewed.
This was an unannounced inspection on 31 October 2018. One inspector spoke with people living at the home, relatives, staff and health professionals. They observed care, checked four care records, medicines records, staff files and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicines management, detailed care plans and good support with food, health needs and personal choices.
People and relatives described staff as kind, respectful and approachable. The home had systems for safeguarding, complaints, learning from incidents and checking the quality of care.
The activities programme was under review, and the home had recently recruited an activities coordinator to improve the range of options. The rating had stayed Good since the previous inspection in November 2014.
Enough staff
Inspectors found staffing levels were high, and people received prompt support. Staff and relatives also said there were enough staff to meet people's needs.
“Staffing levels were high which meant people received prompt support.” from the report
Kind and respectful care
People and relatives spoke positively about staff's kindness and compassion. Staff protected privacy and supported people to make choices about their daily lives.
“We observed staff speaking to people kindly and with respect.” from the report
Detailed care planning
Care records described people's needs, preferences, abilities and risks in detail. They gave staff clear guidance about the support each person needed.
“The care records contained detailed information to guide staff on the care and support to be provided.” from the report
End-of-life support
The home helped people and families discuss future wishes and provided a room where relatives could spend time with someone receiving palliative care.
“The home has devised a family room which is for patients with palliative needs and family can stay with the patient as long as they require” from the report
Activities were being reviewed
minorThe activities programme was under review when inspectors visited. A new activities coordinator had recently been recruited to improve the range of options.
“There was an activities programme which was currently under review, which included quizzes, crafts, bingo, film afternoons and musical entertainment.” from the report
- 01What activities are available now, and what changed after the activities coordinator was recruited?
- 02How do you make sure staffing levels remain high enough for people's needs at different times of day and night?
- 03How are swallowing, falls, pressure-area and moving-and-handling risks reviewed when a person's needs change?
- 04How are people and their families involved in decisions about daily routines, care plans and end-of-life wishes?
- 05How do you use complaints, family feedback and incident reviews to make improvements?
This was an unannounced inspection covering the home, the care provided and all five CQC question areas; the overall Good rating had remained unchanged since November 2014. This explanation was written from the published report of 27 November 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 Thorncliffe Grange
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 26 January 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.
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At least 100 live-in carers within about an hour of Tameside
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. 90 can care for a couple. 10 years' experience on average.
“Primrose is a very kind and compassionate healthcare professional”
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.