CQC report explained · a nursing home
What the CQC found at Threshfield Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about infection prevention and control, testing, protective equipment, admissions and outbreak management. They found that the visiting policy at the time was not in line with government guidance, although it was reviewed afterwards.
- Effective?
- Outstanding
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control and flexible visiting, but the visiting policy was not up to date at the time.
This was a targeted inspection on 20 January 2022. It looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care. The inspection was announced 24 hours in advance.
Inspectors were assured that the home was using protective equipment safely, supporting testing, managing outbreaks and keeping the premises clean. The home also provided virtual activities and a visiting pod when visits were restricted.
The home was experiencing a COVID-19 outbreak during the inspection. Its visiting policy required essential care givers to be double vaccinated and boosted, which was not in line with government guidance at the time. The provider reviewed the policy afterwards and said it was then following the guidance.
The home was inspected but not rated. This means the report does not give a new overall rating or a rated judgement for the full range of care quality questions.
Activities during restrictions
The home offered virtual activities when people could not leave because of an outbreak.
“The home offered a range of virtual activities to people when they were unable to leave the home due to an outbreak.” from the report
Testing arrangements
There were established testing arrangements and a designated area for testing. Visitors were helped with testing when needed.
“The home had well established testing regimes in place. There was a designated area to safely carry out testing.” from the report
Visiting support
The home had a visiting pod for times when visits inside were restricted. It also supported end-of-life visits in line with guidance.
“There was a purpose-built visiting pod in place that was used when visits into the home were restricted.” from the report
Infection control
Inspectors were assured that the home used protective equipment safely, supported social distancing and shielding, and had arrangements to prevent and manage outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Visiting policy was out of date
needs fixingAt the inspection, the policy required essential care givers to provide evidence of two vaccinations and a booster before visiting inside. Inspectors said this did not match government guidance, although the provider reviewed the policy afterwards.
“The providers policy in place at the time of the inspection was not in line with government guidance.” from the report
- 01What is the current policy for essential care givers visiting inside the home?
- 02How will you support visits if there is another COVID-19 outbreak or other infection risk?
- 03How are visitors helped with testing, and how do you make sure protective equipment is used safely?
- 04What measures are in place to manage staffing pressures linked to COVID-19?
- 05How will visits be supported if a resident is receiving end-of-life care?
This was a targeted inspection focused on infection prevention and control, visiting arrangements and staffing pressures; the service was inspected but not rated overall. This explanation was written from the published report of 23 February 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, April 2021
Inspected but not rated; inspectors were assured about infection prevention and control during the COVID-19 pandemic.
The home provided personal and nursing care for 45 older people at the inspection. It could accommodate up to 57 people, including people living with dementia.
This was an announced, targeted inspection on 12 March 2021. Inspectors looked at infection prevention and control measures because of the COVID-19 pandemic.
Inspectors were assured about visiting arrangements, social distancing, personal protective equipment, testing, safe admissions and the home’s cleaning and hygiene arrangements. The home had also organised video calls and virtual activities to help people stay in touch and avoid isolation.
The service was inspected but not rated. This is not an overall rating of the quality of care.
Safe visiting
The home had created a dedicated room for visits during the pandemic and supported contact by telephone and video calls.
“A purpose-built visitor's room had been installed to support safe visits during the COVID-19 pandemic.” from the report
Reduced spread between units
People were admitted using safety processes, and people and staff were kept on specific units to reduce movement between them.
“There was no movement of people between the units and staff were working on specific units to minimise the risk of transmitting COVID-19.” from the report
Organised testing
Testing for people living at the home, staff and essential visitors was arranged in a dedicated area with allocated staff.
“Testing of people who used the service, all staff and essential visitors was well organised.” from the report
Activities and family contact
The home arranged virtual activities and allocated activity staff to floors to support people and reduce social isolation.
“Virtual activities had been organised for people to attend such as a 'virtual museum visit' and a 'virtual live theatre performance'.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently arranged, and is there still a dedicated visitor area?
- 02How are new residents admitted safely and tested for infections?
- 03How are staff and residents kept from moving between units when there is an infection risk?
- 04How is PPE use, cleaning and infection control checked now?
- 05What activities and ways of contacting family are available for residents who cannot have ordinary visits?
This was a targeted inspection of infection prevention and control under the Safe question only; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 7 April 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 Threshfield Court
2 rated inspections over 4 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2021Inspected but not ratedSafe: Inspected but not rated
- March 2020Goodstayed GoodSafe: GoodEffective: OutstandingCaring: GoodResponsive: GoodWell-led: Good
- December 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 15 February 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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28 live-in carers within about an hour of North Yorkshire
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 £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“She was always 'just present enough': attentive, available, kind and engaging, but without ever over-stepping any boundary”
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.