CQC report explained · a nursing home
What the CQC found at Tuxford Manor Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was using PPE safely, managing infection outbreaks, admitting people safely and keeping its infection prevention and control policy up to date.
- 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, May 2022
Inspected but not rated; inspectors were assured about infection control and staffing during a COVID-19 outbreak.
This was a targeted inspection on 22 April 2022. Inspectors looked at infection prevention and control during the home’s response to COVID-19 outbreaks. They also asked about staffing pressures.
Inspectors were assured that the home was managing visitors, testing, isolation, PPE, cleaning and admissions safely. The home had been closed to non-essential visitors during an outbreak, but had reopened by the inspection.
There was a stable staffing team, with staff covering sickness, holidays and other absences. The report records good infection control arrangements, including clean communal areas, PPE stations and regular audits.
The service was inspected but not rated. This was not a full assessment of the five areas used for a standard CQC rating.
Infection control
The home used visitor testing, designated visiting areas, PPE and cleaning of frequently touched surfaces to reduce infection risks.
“We observed the home was visibly clean and tidy.” from the report
Staffing stability
The home had a consistent staffing team and covered sickness, holidays and other absences without using agency staff during the pandemic.
“A consistent and stable staffing team was in place.” from the report
Support during restrictions
The provider considered the effect of isolation on people’s wellbeing and increased staff time for those who were most vulnerable.
“The provider also assessed the impact of isolation on people's wellbeing and measures were put in place to assist the most vulnerable, including increased time spent with staff.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently tested and where can visits take place if there is another infection outbreak?
- 02How will you support my relative if they need to isolate and cannot see visitors?
- 03How do you cover sickness, holidays and other staff absences now?
- 04How often are infection prevention and outbreak audits completed, and what happens when an issue is found?
- 05How do you assess whether a new resident can be admitted safely during an outbreak?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 6 May 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, May 2020
Rated Good; inspectors found kind, personalised care and strong management, with some skin-monitoring records not always completed.
This was an unannounced inspection over two days in January 2020. Inspectors spoke with people living in the home, relatives, staff and managers. They observed care and checked care plans, medicines records, recruitment files, training information and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were protected from abuse and avoidable harm, received their medicines safely, and had care that reflected their needs and choices.
People were described as receiving kind, respectful and highly personalised care. The home offered many activities, supported links with families and the community, and worked with health professionals. Management had strong monitoring systems and showed that it acted on problems and learned from them.
Personalised care
Staff knew people well and used detailed information about their lives, preferences and triggers to plan care. Care plans had been reviewed and moved to a computerised system.
“People received exceptional care that was very personalised and reflected their needs.” from the report
Activities and relationships
People had many activities linked to their interests, including exercise, therapy, food preparation and community activities. The home also supported contact with relatives and friendships.
“People received excellent opportunities to participate in a number of social activities relevant and meaningful to them.” from the report
Kind and respectful staff
Inspectors saw friendly and respectful interactions. People were supported to make choices, stay independent and have their privacy respected.
“Throughout the inspection staff treated people with kindness and compassion with very positive interactions.” from the report
Strong management and learning
Managers used audits, checks and meetings to monitor care and make improvements. The home showed examples of learning from incidents, concerns and people's feedback.
“There was a strong emphasis on continuous improvement.” from the report
Skin checks were not always recorded
needs fixingStaff checked people's skin during personal care, but the report says they did not always record this. The staff said this would be addressed.
“Staff monitored people's skin, every time they provided personal care, but did not always record it.” from the report
Staffing could vary
minorPeople generally said there were enough staff, but a relative reported variable staffing numbers. One staff member said an extra pair of hands would sometimes help.
“One extra pair of hands would help…..but then another day you are falling over each other.” from the report
- 01How do you now make sure every skin check is recorded after personal care?
- 02How do you calculate staffing levels when people's needs change or the home is especially busy?
- 03How are each person's activities and interests recorded and kept up to date?
- 04How will you involve my relative in planning their care and reviewing their 'My wishes' end-of-life record?
- 05How can my relative and family raise a concern, and how will we be told what action was taken?
This was a planned, unannounced inspection covering all five CQC questions; Safe, Effective, Caring and Well-led remained Good, while Responsive improved from Requires improvement to Good. This explanation was written from the published report of 19 May 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.
Every inspection of Tuxford Manor Care Home
3 rated inspections over 5 years: the service has held its Good rating throughout.
- May 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- October 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2014
Report published without a new overall rating.
- April 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- July 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 2 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.
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
75 live-in carers within about an hour of Nottinghamshire
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. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
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.