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CQC report explained · a nursing home

What the CQC found at Three Corners

Goodpublished 26 April 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found enough staff, safe recruitment checks, individual risk assessments and safe medicines systems. However, some as-needed medicines did not have enough information to guide staff on when and why they should be given.
Effective?
Good
Staff had relevant training, supervision and appraisal, and people received support with health, nutrition and hydration. Inspectors found that some mental capacity assessments were not specific enough and one best-interest decision had not been documented.
Caring?
Good
People were treated with kindness, dignity and respect. Staff knew people's preferences and supported them to make choices, maintain relationships and express their views.
Responsive?
Good
Care plans were person centred, detailed and regularly updated. People had a range of activities, including individual support, outings and events, and complaints were responded to quickly.
Well-led?
Good
The management was described as approachable and supportive. Audits, staff meetings, feedback and checks of care, medicines, accidents and the building were used to monitor quality and safety.
The latest report, explained

What inspectors found, April 2018

Three Corners rated Good; inspectors found kind, safe and responsive care, with improvements still needed in mental capacity records and some medicines guidance.

Inspectors visited on 22 and 23 March 2018. The first day was unannounced. They observed care, spoke with people, relatives, staff and healthcare professionals, reviewed care and staff records, and checked the building.

The home was caring, safe and well run. Inspectors found enough staff, suitable recruitment checks, individual risk assessments, trained staff and good links with health professionals. People were treated with kindness, dignity and respect.

The home had improved since the previous inspection in October 2015. Care records were now person centred and up to date, so the responsive rating improved from Requires Improvement to Good. The home was rated Good overall and Good in all five areas.

What inspectors praised
  • Kind and respectful care

    Staff built strong relationships with people and respected their privacy, dignity and choices.

    “People were observed to be treated with kindness and compassion by all the staff who valued them.” from the report
  • Safe staffing and risk management

    Inspectors found enough staff on duty and individual plans to reduce risks such as falls, skin damage, malnutrition and unsafe moving.

    “There were adequate numbers of staff to keep people safe and make sure their needs were met.” from the report
  • Personalised care and activities

    Care plans included people's preferences and health needs. Activities were varied and included group sessions, one-to-one time, visits and trips out.

    “A variety of activities were available at the home based on people's individual wishes and needs.” from the report
  • Improved care records

    The home had improved its records since 2015. Inspectors found them person centred, comprehensive and up to date.

    “During this inspection in March 2018 we found that records were person centred, comprehensive and contained up to date information.” from the report
  • Quality oversight

    The provider used audits, feedback, staff meetings and checks of accidents, medicines, training and the building to monitor the service.

    “The registered provider had procedures in place to monitor the quality of the service provided.” from the report
What inspectors were concerned about
  • Guidance for as-needed medicines

    needs fixing

    Some people had as-needed medicines, but records did not explain when and why staff should give them. The manager said this would be addressed immediately.

    “However, there was no information to guide staff on when and why people might need these.” from the report
  • Mental capacity records

    needs fixing

    Some capacity assessments covered a person's ability to make decisions generally rather than a specific decision at the time. Inspectors recommended that assessments and best-interest decisions comply with the Mental Capacity Act.

    “We recommend that the provider ensures that all assessments and best interest decisions are made in compliance with the Mental Capacity Act 2005.” from the report
Questions to ask them, based on this report
  1. 01What information is now recorded for each person's as-needed medicine, including when and why it should be given?
  2. 02How do you assess a person's capacity to make a specific decision at the time it is needed?
  3. 03How are best-interest decisions recorded when someone cannot make a specific decision?
  4. 04How are care records being transferred and checked on the electronic care monitoring system?
  5. 05How will you make sure activities continue to include people who stay in their rooms or do not use communal areas?

This inspection covered the overall quality of the home and all five key questions; the responsive rating improved from Requires Improvement at the October 2015 inspection to Good. This explanation was written from the published report of 26 April 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 story over the years

Every inspection of Three Corners

3 rated inspections over 3 years: the service has improved, from Requires improvement to Good.

  1. April 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Three Corners →

  2. January 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. May 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2010

    Registered with the Care Quality Commission on 8 December 2010.

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

Weigh the report against the rest

Care at home

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Most charge £980 to £1,400 a week. 17 can care for a couple. 12 years' experience on average.

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“She was not phased by anything, she was adaptable, kind & gave us complete confidence to go away & not worry about a thing!”
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