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CQC report explained · a residential care home

What the CQC found at Tweed View House

Goodpublished 4 March 2020, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed, including through PPE, cleaning, testing, social distancing and outbreak planning. The provider also described measures to reduce the effect of COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed or rated in this targeted inspection.
Caring?
Good
This area was not assessed or rated in this targeted inspection.
Responsive?
Good
This area was not assessed or rated in this targeted inspection.
Well-led?
Good
This area was not assessed or rated in this targeted inspection.
The latest report, explained

What inspectors found, March 2022

Inspected but not rated; inspectors found good infection control and safe visiting arrangements at Tweed View House.

This was an announced, targeted inspection on 17 February 2022. Inspectors looked mainly at infection prevention and control during the COVID-19 outbreak response, and asked about staffing pressures.

The inspectors were assured that the home was using PPE safely, managing visitors, testing people and staff, and maintaining hygiene and social distancing. They found the home very clean and said infection control practices had improved since the previous inspection.

The service was inspected but not rated. This means the report does not give an overall quality rating or ratings for the five areas of care.

What inspectors praised
  • Good infection control

    Staff used PPE correctly and could explain how to put it on and remove it safely. Infection control training was up to date and staff were checked on their practice.

    “Staff wore their PPE correctly. Staff were able to explain the process for putting on and removing PPE in the safest way to minimise the spread of infection.” from the report
  • Clean environment

    Inspectors found the home very clean. Extra cleaning focused on frequently touched areas such as grab rails and door handles.

    “The service was very clean. Additional cleaning was being carried out on frequent touch points such as grab rails and door handles.” from the report
  • Safe family visits

    The home offered different visiting arrangements, including visiting pods, bedroom visits and garden visits. Visits were booked, areas were cleaned between visits, and visitors used testing and PPE.

    “Two visiting pods were available, bedroom and garden visits were offered.” from the report
  • Improvement since the previous inspection

    The report says the home's infection control practices had improved since the last inspection. It also had a good working relationship with the local infection control team.

    “The service had improved infection control practises since our last inspection.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How have you maintained the improved infection control practices mentioned in this report?
  2. 02How do you currently manage staffing pressures, and what effect would staff shortages have on people's care?
  3. 03How are visits arranged now, and what testing or protective equipment is required?
  4. 04How do you check that staff continue to use PPE and follow infection control procedures correctly?
  5. 05What are the home's current full CQC ratings, since this inspection was inspected but not rated?

This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess or rate the other four key questions. This explanation was written from the published report of 24 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.

An earlier report, explained

What inspectors found, July 2021

Inspected but not rated; inspectors found good infection control arrangements but several areas needed further development.

This was an unannounced, targeted inspection on 26 May 2021. It looked at infection prevention and control during the COVID-19 pandemic.

Inspectors found good arrangements for visiting, testing and providing protective equipment. The home had visiting pods, supported video and telephone calls, and required visitors to test negative before visits.

Inspectors were only somewhat assured about some areas. These included social distancing, the safe use and disposal of protective equipment, cleaning schedules, waste management, outbreak planning, and the infection control policy.

The service was inspected but not rated. This means the report does not give a full quality rating for the home or a rated judgement for Safe.

What inspectors praised
  • Keeping in touch

    The home created indoor visiting pods and supported video, telephone, window and outdoor visits.

    “The provider had created two visiting 'pods' to allow people to safely meet their visitors inside the home.” from the report
  • Testing and protective equipment

    There was enough protective equipment, and people and staff were tested regularly. Visitors had to test negative before each visit.

    “There was sufficient PPE such as aprons, gloves and masks to help ensure people, staff and visitors were protected from the risk of infection.” from the report
  • Infection control training

    Staff had extra training and two staff members acted as infection prevention and control champions.

    “Staff had received additional training in infection prevention and control, COVID-19 and testing.” from the report
What inspectors were concerned about
  • PPE and social distancing

    needs fixing

    Inspectors were only somewhat assured about social distancing and the effective and safe use of PPE. The provider was signposted to resources to improve this.

    “We were somewhat assured that the provider was using PPE effectively and safely.” from the report
  • Cleaning and waste arrangements

    needs fixing

    Inspectors identified areas for development in social distancing in communal areas, waste management and cleaning schedules.

    “We have signposted the provider to resources to develop their approach in relation to social distancing within communal areas, waste management and cleaning schedules.” from the report
  • Infection control checks

    needs fixing

    The provider needed to develop its infection control policy and auditing system, as well as its assessment and monitoring of COVID-19 risks.

    “We have signposted the provider to resources to develop their IPC policy and auditing system.” from the report
Questions to ask them, based on this report
  1. 01What has the home changed about how PPE is put on, removed and disposed of since this inspection?
  2. 02How does the home manage social distancing in communal areas for people living with dementia?
  3. 03How often are cleaning schedules and waste management checked?
  4. 04Has the infection prevention and control policy and auditing system been updated?
  5. 05How are COVID-19 risks assessed and monitored now?

This was a targeted inspection of infection prevention and control practices, with the Safe question inspected but not rated; it was not a full inspection of all five questions. This explanation was written from the published report of 3 July 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.

The story over the years

Every inspection of Tweed View House

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. March 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Tweed View House →

  2. July 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at Tweed View House →

  3. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. July 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. May 2016Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. August 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 14 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.

Next steps

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