CQC report explained · a nursing home
What the CQC found at Turfcote Care Home with Nursing
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention and control arrangements, including testing, visiting, social distancing and outbreak management. They were only somewhat assured that PPE was being used effectively and safely because some staff did not wear it correctly.
- Effective?
- Good
- 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
Turfcote Care Home with Nursing was inspected but not rated; infection controls were mostly reassuring, but some PPE use needed improvement.
Inspectors visited on 26 January 2022. This was an announced, targeted inspection during the COVID-19 pandemic. They looked at infection prevention and control, visiting arrangements and staffing pressures.
The home had COVID-19 testing for staff and residents. Visitors were supported to visit safely, and people were helped to keep in touch by telephone when visits were restricted. The layout and staff movement were changed to support social distancing and reduce infection risks.
Inspectors were assured about most infection control arrangements. However, some staff were not wearing PPE correctly. This was addressed during the visit, and the provider said the correct use of PPE had been reinforced.
The service was inspected but not rated. This means the visit did not provide a new overall quality rating or ratings for all five key questions.
Testing and outbreak response
Regular COVID-19 testing was in place for staff and residents. The home took action when positive results were found.
“A regular testing programme for COVID-19 for staff and people living at the home was in place, and where positive results had been returned action was undertaken to mitigate risks.” from the report
Safe visiting
The home had arrangements for essential carers and other visitors. People were also supported to keep in touch by telephone when visits were restricted.
“People living in the home had a designated essential carer and visiting was arranged for the essential care giver and other visitors in accordance with government guidance.” from the report
Social distancing arrangements
Communal areas were arranged with space between people. Staff movement was changed to reduce movement between different parts of the home.
“Lounges and dining rooms had been set out with space between people.” from the report
Staffing response
The provider had a recruitment drive and used agency staff to fill staffing gaps.
“Gaps in staffing were filled by agency staff.” from the report
PPE was not always used correctly
needs fixingSome staff were not wearing PPE correctly. The provider addressed this during the visit and reinforced the correct approach with staff.
“Some staff did not wear PPE correctly. This was addressed at the visit and the provider confirmed the correct use of PPE had been reinforced to staff.” from the report
PPE areas were unclear
minorThe areas for putting on and removing PPE were not clearly designated. Inspectors discussed this with the home during the visit.
“Designated areas for donning and doffing PPE were not clear and this was discussed at the visit.” from the report
- 01How do you now check that staff wear PPE correctly?
- 02Are the areas for putting on and removing PPE now clearly marked?
- 03How are staffing gaps being covered while the recruitment drive continues?
- 04How are essential carer and other visits arranged now?
- 05How do you respond when a staff member or resident has a positive COVID-19 test?
This was a targeted inspection of infection prevention and control, visiting arrangements and staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 10 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 2018
Turfcote Care Home with Nursing was rated Good; inspectors found safe, caring care, but activities were not yet consistent for everyone.
This was a comprehensive inspection over three days. The first day was unannounced. Inspectors observed care, spoke with people, relatives, staff and health professionals, and checked care records, medicines, recruitment files, training records and management 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 arrangements, suitable care planning, good access to health professionals and respectful care.
The home had improved since the previous inspection. Care records were now complete, audits were identifying issues and an activities coordinator had been appointed. However, there were still days without enough meaningful activities, and the coordinator needed further training.
Safe staffing and safeguarding
Inspectors saw enough staff on duty, including trained nurses, and found that staff understood how to recognise and report abuse.
“Throughout the three days of the inspection we saw that there were enough staff on duty to meet people's needs” from the report
Improved care records
Care records and risk assessments had improved since the previous inspection. They gave staff clear information about people's needs and how to support them.
“Care plans and risk assessments provided clear information and guidance for staff on how to support people using the service with their needs.” from the report
Respectful care
Inspectors observed staff listening to people, offering choices and protecting privacy and dignity.
“We saw examples of good care and saw that people were treated with understanding, compassion and dignity.” from the report
Good management checks
The provider and managers carried out checks across the home and took action when problems were found.
“We saw action had been taken in response to audit findings.” from the report
Activities were not consistent
needs fixingThere were days when there were not enough meaningful activities, particularly when the part-time activities coordinator was off. Inspectors also said some activities were not always suitable for people with limited mental capacity.
“Although we saw that on the second day of the inspection, people were supported to engage in a range of activities, on the first day there was an absence of meaningful activities” from the report
Activities coordinator needed training
needs fixingThe activities coordinator had not received specific training for the role. The provider was asked to continue improving activities and provide training and guidance.
“We accept that the coordinator will require training and guidance so that they can develop to ensure every person in the home is provided for.” from the report
- 01What activities are planned on days when the activities coordinator is not working?
- 02How do you choose activities for people with dementia or limited mental capacity?
- 03What training and guidance has the activities coordinator received since the inspection?
- 04How do you check that every person is regularly engaged in suitable activities?
- 05What evidence can you show that the improvements to care records and audits have continued?
This was a comprehensive inspection covering all five key questions and the overall quality and safety of the home; the first day was unannounced. This explanation was written from the published report of 6 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.
Every inspection of Turfcote Care Home with Nursing
3 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Turfcote Care Home with Nursing →
- April 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Turfcote Care Home with Nursing →
- December 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- May 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- September 2013
Report published without a new overall rating.
- August 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 12 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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