CQC report explained · a nursing home
What the CQC found at Treeton Grange Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm, with risk assessments, safe medicines systems and incident monitoring in place. They noted worn, unclear hoist-sling labels and some infection-control areas where they were only somewhat assured.
- Effective?
- Good
- This key question was not inspected in this focused inspection. Its previous rating was carried forward into the overall rating.
- Caring?
- Good
- This key question was not inspected in this focused inspection. The report says people and relatives told inspectors staff were kind and caring.
- Responsive?
- Good
- This key question was not inspected in this focused inspection. Its previous rating was carried forward into the overall rating.
- Well-led?
- Good
- Inspectors found visible leadership, detailed care plans, quality checks and opportunities for people, relatives and staff to give feedback. The manager was described as approachable and supportive.
What inspectors found, December 2022
Treeton Grange Nursing Home was rated Good; inspectors found safe, kind care but noted worn hoist-sling labels and some infection-control weaknesses.
This was an unannounced, focused inspection on 7 December 2022. Inspectors reviewed Safe and Well-led, following concerns about moving and handling. They spoke with people, relatives, staff and a professional, and checked care records, staff files and management records.
The home was rated Good overall, with Good ratings for Safe and Well-led. Inspectors found systems to protect people from abuse, assess risks, manage medicines and learn from incidents. People and relatives said people felt safe, and staff were described as kind.
Inspectors found enough staff during the visit and said recruitment checks were safe. However, some people, staff and relatives felt more staff were needed. Hoist slings had worn labels that did not identify who they belonged to, but the provider replaced labels and audited the slings immediately after the inspection.
Infection-control arrangements were mostly satisfactory, although inspectors were only somewhat assured about the use of personal protective equipment and the layout and hygiene of the premises. The other three key-question ratings were not inspected and carried over from the previous comprehensive inspection.
Safeguarding and risk checks
Staff understood how to recognise and report abuse. Risks were assessed and reviewed, with guidance for staff on supporting people safely.
“Risks to people were assessed and regularly reviewed. Risk assessments provided detailed guidance about how staff should safely care for people.” from the report
Medicines
People received medicines as prescribed. Staff training, competency checks, storage arrangements and medication records were in place.
“Medicines were managed safely and people were receiving their medicines as prescribed.” from the report
Kind and respectful care
People and relatives described staff as kind and caring. Care plans were detailed and individualised.
“People and their relatives told us staff were kind and caring.” from the report
Leadership and improvement
Inspectors found visible leadership, regular audits and meetings, and opportunities for people and relatives to give feedback.
“The provider and registered manager completed audits to monitor the quality of the service to ensure people achieved good outcomes.” from the report
Working with health professionals
The home worked with community healthcare professionals, including through weekly GP reviews and referrals when needed.
“The service worked in partnership other professionals to ensure people's individual care needs were met.” from the report
Hoist-sling labels
needs fixingSome hoist slings had worn labels and did not show which person they belonged to. The provider audited all slings and replaced labels after the inspection.
“However, during our inspection we found hoist slings were not labelled to appropriately inform the staff team who the slings belonged to.” from the report
Staffing pressures reported
minorSome people, staff and relatives said more staff were needed or that staff felt rushed. Inspectors observed enough staff during the visit and found staffing was based on assessed needs.
“Some people, staff and relatives told us they felt the service required more staff on duty.” from the report
Infection-control practice
needs fixingInspectors were only somewhat assured that PPE was being used effectively and safely, and that the layout and hygiene of the premises promoted safety.
“We were somewhat assured that the provider was using PPE effectively and safely.” from the report
- 01How do you now label and check hoist slings so each one is clearly linked to the correct person?
- 02What changes have you made to PPE use since inspectors were only somewhat assured about it?
- 03What have you done to improve the layout and hygiene of the premises?
- 04How do you decide staffing levels each day, and how do you respond when staff or relatives feel the team is rushed?
- 05Which ratings were carried forward from the previous comprehensive inspection, and when will all five areas next be reviewed?
This was a focused inspection of Safe and Well-led only; the other key-question ratings carried over from the previous comprehensive inspection published on 7 April 2020. This explanation was written from the published report of 22 December 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, March 2022
Inspected but not rated; inspectors found good infection control, hygiene, testing and visiting arrangements.
The inspection took place on 21 February 2022 and was announced 48 hours in advance. It was a targeted inspection focused on infection prevention and control, including how the home was managing COVID-19-related staffing pressures.
Inspectors found the home was clean and hygienic. Cleaning was scheduled and checked. PPE was available and used safely, people and staff were tested regularly, and staff were fully vaccinated according to the report.
Visits were available inside and outside the home. Inspectors saw visitors being welcomed and spending time with relatives. The service was inspected but not rated, so this report does not give an overall quality rating or a rated score for Safe.
Clean environment
Inspectors found the home clean and hygienic. Cleaning schedules were in place and regularly checked.
“The home was clean and hygienic. Cleaning schedules were in place and audited regularly by the housekeeper and registered manager.” from the report
Family visits
The home supported contact between people and their relatives and friends. Visits were available both inside and outside the home.
“Contact between people and their relatives and friends had been maintained. Visits outside and inside the home were made available” from the report
Testing and vaccination
People and staff were tested regularly. The report says all staff were fully vaccinated and had been supported to access vaccinations.
“People living in the home and staff were tested regularly for COVID-19. All staff employed were fully vaccinated” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures, and have they affected people's care?
- 02How often are people and staff tested now, and what happens if there is a suspected outbreak?
- 03How are visits currently arranged, and what checks are visitors expected to complete?
- 04How do you keep cleaning schedules and infection control checks up to date?
- 05What is the current vaccination and PPE policy for staff and visiting professionals?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 1 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.
Every inspection of Treeton Grange Nursing Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- December 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2022Inspected but not ratedSafe: Inspected but not rated
- August 2020Inspected but not ratedSafe: Inspected but not rated
- April 2020Goodstayed GoodSafe: GoodWell-led: Good
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- August 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 19 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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