CQC report explained · a nursing home
What the CQC found at Tynefield Care Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Inspectors found safe recruitment, enough staff, suitable risk management, competent medicines practice and effective infection control, although some prescribed items had initially been stored in people's rooms.
- Effective?
- Good
- This key question was not inspected during this visit, so no new rating was given.
- Caring?
- Requires improvement
- This key question was not inspected during this visit, so no new rating was given.
- Responsive?
- Good
- Care plans were personalised and people had choices about their support. The home provided group and individual activities, supported communication needs and responded to complaints.
- Well-led?
- Good
- Inspectors found a warm and welcoming atmosphere, approachable leadership and systems for monitoring quality. Some improvements were not recorded on the relevant audits, although they were included in the wider improvement plan.
What inspectors found, January 2023
Tynefield Care Limited was rated Good; inspectors found safe, personalised care, with some minor record-keeping and feedback issues.
This was an unannounced inspection on 2 November 2022. Inspectors spoke with people, relatives, staff and a professional. They reviewed care plans, medicines records, staff files and quality records.
The home was rated Good overall, with Good ratings for Safe, Responsive and Well-led. Inspectors found people were protected from harm, received their medicines as prescribed, and were supported by staff who knew their needs and preferences.
The rating improved from Requires Improvement at the previous inspection. The earlier breach about person-centred care had been resolved. Inspectors noted that some prescribed items needed safer storage, some improvements were not recorded on the relevant audits, and not all relatives had received recent feedback questionnaires.
Medicines support
People received medicines as prescribed. Staff were trained and assessed as competent, and errors were investigated with action taken.
“People received the support they required with their medicines from staff who were regularly assessed as being competent.” from the report
Personalised care
Care plans described people's lives, needs and preferences. People and their representatives were involved in planning and reviewing care.
“People's care plans were personalised to include details to ensure staff knew about people's lives and their current needs.” from the report
Activities and inclusion
People could take part in group and individual activities, including outings and themed events. The home also supported people to vote and maintain social connections.
“People participated in group activities such as seasonal events and theme nights as well as individual activities of their choosing such as going out shopping and woodworking.” from the report
Positive leadership
People and staff described the home positively. Leaders responded to issues found during the inspection and used audits, incidents and complaints to plan improvements.
“The atmosphere in the home was warm and welcoming.” from the report
Storage of prescribed items
needs fixingSome dressings and nutritional supplements were stored in people's rooms. The registered manager acted during the inspection to move them to suitable storage.
“Some prescribed items such as dressings and nutritional supplements were found to be stored in people's rooms.” from the report
Audit records
minorSome improvement work was not recorded on the relevant audit. The home said it would record these issues on the audits in future.
“During the inspection it was identified some areas of improvement were not recorded on an audit.” from the report
Relative feedback
minorNot every relative had received a recent feedback questionnaire. The home was checking contact details and planned to improve distribution.
“Not all relatives had received recent feedback questionnaires.” from the report
- 01How are dressings, nutritional supplements and other prescribed items stored now?
- 02How do you check that medicines are available, recorded correctly and given at the right intervals?
- 03How will you make sure all relatives receive feedback questionnaires in their preferred way?
- 04Which ratings were carried over from the previous inspection rather than assessed during this visit?
- 05What improvements to the floors, servery area and bathrooms have now been completed?
This was an unannounced inspection of Safe, Responsive and Well-led; Effective and Caring were not inspected and the overall rating used the previous ratings for those questions. This explanation was written from the published report of 11 January 2023 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, January 2022
Inspected but not rated; inspectors found good infection prevention arrangements during a targeted COVID-19 review.
The inspection took place on 11 January 2022 and was announced 24 hours beforehand. It was a targeted check of infection prevention and control in response to COVID-19 outbreaks in care homes.
Inspectors found clear visiting arrangements, suitable protective equipment, regular cleaning and staff training. They were assured that the home was managing testing, admissions, social distancing and infection outbreaks safely.
The inspection also asked about staffing pressures linked to COVID-19. The home was inspected but not rated, so this report does not provide an overall quality rating or ratings for all five areas of care.
Visiting arrangements
Visitors had to follow clear infection control steps, including screening, testing guidance and use of protective equipment.
“The service had clear visiting protocols in place with robust infection, control and prevention procedures that all visitors were required to follow.” from the report
Cleaning and hygiene
The home had cleaning schedules and regularly cleaned frequently touched areas throughout the day.
“The service was regularly cleaned throughout the day. There was cleaning schedules in place which staff followed, this included regular cleaning of high touch areas.” from the report
Staff training and protective equipment
Staff had infection prevention training, used the correct protective equipment during the inspection and had access to supplies.
“Staff received training in relation to infection prevention and control.” from the report
Managing infection risks
The home had assessed risks and changed how visitors entered to reduce movement through shared areas.
“Risks had been assessed and measures were taken to mitigate risk to ensure the safety of people, staff, and visitors.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures linked to COVID-19, and what effect do they have on people's care?
- 02What infection screening, testing and protective equipment rules must visitors follow now?
- 03How do you manage a suspected or confirmed infection outbreak, and how would families be kept informed?
- 04How do you make sure new admissions are assessed and admitted safely?
- 05How do you check that staff and visiting professionals meet the current COVID-19 vaccination or exemption requirements?
This was a targeted inspection of infection prevention and control, with questions about COVID-19-related staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 20 January 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 Tynefield Care Limited
7 rated inspections over 6 years: the service has improved, from Requires improvement to Good.
- January 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- January 2022Inspected but not ratedSafe: Inspected but not rated
- January 2021Requires improvementstayed Requires improvementSafe: Requires improvementWell-led: Requires improvement
- December 2019Requires improvementSafe: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2019Inspected but not ratedSafe: Inspected but not rated
- August 2019Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- April 2018Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- June 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
- August 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- May 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 25 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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