CQC report explained · a nursing home
What the CQC found at Tutnall Hall Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home had safe infection prevention and control arrangements, including visitor procedures, PPE, testing, hygiene and outbreak management.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed in this targeted inspection.
- Well-led?
- Good
- This question was not assessed in this targeted inspection.
What inspectors found, September 2020
Tutnall Hall Care Home: targeted infection-control inspection found good practice, but the service was inspected and not rated.
The inspection took place on 13 August 2020 and was announced. It was a targeted review during the coronavirus pandemic, focused on infection prevention and control in the home.
Inspectors were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, hygiene and infection outbreaks safely. They also found extra staff and activities had been provided, and better internet access helped people keep in touch with family and friends.
This was not a full inspection of the home. The overall service and the Safe question were marked 'Inspected but not rated'. The report does not give ratings for the other four questions.
Infection prevention
Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of PPE and testing.
“We were assured the service were following safe infection prevention and control procedures to keep people safe.” from the report
Extra staffing
Extra staff were put on shift to reduce waiting times when staff needed longer to put on additional PPE.
“Additional staff had been placed on shift to ensure the service continued to run safely.” from the report
Family contact
Further Wi-Fi was installed so people could maintain contact with family and friends when visits were restricted.
“The provider had installed further Wi-Fi connectivity to support the additional usage of internet, which supported people to maintain contact with the family and friends.” from the report
Support for new residents
Garden rooms with direct outdoor access were kept available for new residents, allowing close family members to visit safely during isolation.
“Garden rooms which had direct access to outdoors were kept free for new people coming to live in the home.” from the report
Social wellbeing
Extra activities staff were provided so people could continue to have social activities when family and friends could not visit.
“Additional staff for activities were put in place, to ensure they continued to meet people's social wellbeing needs” from the report
Further development identified
minorCQC signposted the provider to resources to develop its approach. The report does not explain what specific improvement was needed.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01How are visitors currently managed to prevent infection, and what visiting arrangements are available?
- 02How do you make sure PPE is used safely and that staff have access to testing?
- 03How are new residents admitted safely and supported during any isolation period?
- 04What activities and other support are available when family or friends cannot visit?
- 05What changes did you make after CQC signposted you to resources to develop your infection-control approach?
This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it did not provide ratings for the other four questions or a full overall rating. This explanation was written from the published report of 11 September 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 2019
Tutnall Hall Care Home was rated Good overall; inspectors found exceptionally responsive care, including strong support for people and families at the end of life.
This was an unannounced inspection on 5 and 12 July 2019. One inspector spoke with people living at the home, relatives, staff and a visiting health professional. They observed care and reviewed care plans, medicine records and management records.
The home was rated Good for Safe, Effective, Caring and Well-led. Inspectors found people were protected from harm, received their medicines safely, had suitable food and healthcare support, and were treated with kindness, dignity and respect.
Responsive care was rated Outstanding. Inspectors found staff understood people as individuals and adapted care to their wishes. This included supporting relationships, personal routines, independence and end of life care. The overall rating remained Good, the same as at the previous inspection, while Responsive improved from Good to Outstanding.
Personalised care
Staff were described as knowing people exceptionally well and adapting support to their individual wishes. Inspectors saw examples of the home changing arrangements to protect people's independence and comfort.
“People and their families were provided with exceptional person-centred care that was planned and delivered in line with their changing needs and circumstances.” from the report
End of life support
People's end of life wishes were central to care planning. Staff worked closely with healthcare professionals and supported relatives, including by allowing family members to stay overnight.
“People received a seamless transition to End of Life care at the home through the close working relationship between the GP and the home's staff.” from the report
Kind and respectful staff
People and relatives valued the staff team. Inspectors found that staff respected privacy, dignity, equality and people's choices about daily life.
“People liked and valued the care staff supporting them.” from the report
Safe and clean environment
Inspectors found that risks were assessed, medicines were managed safely and staff understood people's health needs. The home and equipment were regularly checked for cleanliness.
“The home was clean and odour free. Regular checks were in place to ensure the home and equipment remained clean.” from the report
Listening to people
People and relatives were involved in decisions and meetings. The management team acted on suggestions, including requests about menus and the environment.
“People were at the centre of decision making and planning.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you record and review a person's end of life wishes, and how are relatives involved?
- 02How do you make sure care plans are updated when a person's needs or wishes change?
- 03How are medicines checked, stored and supplied, and how are any medicine concerns followed up?
- 04What choices are available about meals, activities, routines and where a person spends their time?
- 05How do you involve relatives in care planning and respond to suggestions or complaints?
This was an unannounced planned inspection that looked at the overall service, including care, treatment, premises and all five CQC key questions. This explanation was written from the published report of 22 November 2019 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 Tutnall Hall Care Home
4 rated inspections over 5 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Good
- January 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2016Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- November 2014GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2013
Registered with the Care Quality Commission on 1 July 2013.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
At least 100 live-in carers within about an hour of Worcestershire
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. 85 can care for a couple. 9 years' experience on average.
“I have never met a person who is so kind and thinks about others before himself to such an extent as Chris Malagala.”
“She was very caring, kind and patient to all his needs, she built up a wondetful rapport with him, she was dedicated and was there for him through good times as well as through the tough times”
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.