CQC report explained · a residential care home
What the CQC found at 39 Adeyfield Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found careful risk assessments, testing and cleaning arrangements. They were only somewhat assured about PPE use because staff practices did not follow guidance in some respects.
- Effective?
- Good
- This question was not covered by this targeted inspection.
- Caring?
- Good
- This question was not covered by this targeted inspection.
- Responsive?
- Good
- This question was not covered by this targeted inspection.
- Well-led?
- Good
- This question was not covered by this targeted inspection.
What inspectors found, February 2022
Walsingham Support - 39 Adeyfield Road: targeted inspection found good infection-control practice, but PPE use was not fully in line with guidance; the service was inspected but not rated.
The CQC made an unannounced visit on 31 January 2022. This was a targeted inspection during the COVID-19 response. It looked mainly at infection prevention and control, and asked about staffing pressures.
Inspectors found strong infection-control arrangements for visitors, testing, cleaning, laundry and managing risks. They were assured that most infection-control measures were being followed.
Inspectors were only somewhat assured about PPE use. Staff wore extra gloves and aprons for all tasks, which was not in line with guidance, and their clothing was not short-sleeved or suitable for high-temperature laundering.
The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other four key questions.
Visitor infection controls
Visitors were screened, supported with testing and had their vaccination status checked where relevant. They were also required to use hand sanitiser and PPE.
“Visitors were health screened, supported with testing and had their COVID-19 vaccination status checked, where applicable.” from the report
Risk assessment
The home had assessed risks affecting people's and staff members' health, safety and wellbeing.
“Risks to people and staff in relation to their health, safety and wellbeing had been carefully assessed.” from the report
Clean environment
Inspectors found the home clean and hygienic. Extra cleaning and laundry tasks were being completed methodically.
“Additional cleaning tasks and laundry management processes had been implemented, which were methodically completed by staff on duty.” from the report
Testing and outbreak planning
People and staff took part in routine testing, and inspectors were assured that the home had arrangements to prevent or manage infection outbreaks.
“People and staff had engaged with the routine testing scheme.” from the report
PPE did not follow guidance
needs fixingStaff wore extra gloves and aprons for every task, which was not in line with guidance. Staff clothing was also not short-sleeved or suitable for laundering at high temperatures.
“Staff were wearing additional items of PPE, such as gloves and aprons, whilst completing all tasks at the service. This is not in accordance with guidance.” from the report
- 01What changes did you make to PPE practice after the CQC said it was not in accordance with guidance?
- 02Are staff now wearing short-sleeved clothing or clothing that can be laundered at high temperatures?
- 03How do you manage staffing pressures linked to COVID-19, and what impact did they have on people's care?
- 04How are visits currently managed following the change in Government guidance mentioned in the report?
- 05When was the home last fully inspected for Effective, Caring, Responsive and Well-led?
This was an unannounced targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not provide ratings for the other key questions. This explanation was written from the published report of 25 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, January 2018
Rated Good; inspectors found safe, caring and well-managed support, with people involved in their daily lives and choices.
The inspection was unannounced and took place on 20 December 2017. One inspector observed care, spoke with three people, three staff members and managers, and reviewed care plans, staff files and service records.
The home supported six people with learning disabilities, sensory impairment or autistic spectrum disorder. Inspectors found enough staff, safe medicines management, clean surroundings and suitable infection control arrangements.
People were involved in planning their care, choosing food and activities, and doing everyday tasks such as cooking, cleaning and laundry. Staff supported people to communicate, stay independent and take part in community activities.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The previous inspection in December 2015 also found that the service met the required standards in the areas examined.
Safe staffing and medicines
Inspectors found enough staff to meet people's needs and found that medicines were stored, administered and recorded safely.
“We found there was enough staff at Walsingham Support to meet people's daily needs.” from the report
Choice and independence
People helped with everyday tasks, chose what to eat and were involved in decisions about their support.
“People were involved in daily tasks around the home like cleaning, laundry, cooking and baking.” from the report
Kind and respectful care
Staff were observed listening to people, supporting their dignity and helping them design their own rooms.
“We observed throughout the inspection good staff interaction.” from the report
Personalised support
Care records included information about how people communicated, helping staff understand gestures, expressions and other ways people expressed themselves.
“People's care records looked at were person centred and contained personalised information with good guidance for staff on how to support people.” from the report
Activities and community access
People were supported to follow their interests, attend outings and take part in activities such as shopping, puzzles, gardening and trips.
“We found staff supported people to access the community and follow their interests.” from the report
Management and improvement
The manager sought feedback and used regular audits and action plans to improve the service when needed.
“Records demonstrated that where shortfalls were identified these were acted upon promptly.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and support my relative's particular communication needs?
- 02How do you check that medicines continue to be administered and recorded safely?
- 03How would you involve my relative in choosing food, activities and decisions about their care?
- 04What activities and community outings would be suitable for my relative's interests and abilities?
- 05How do you use family feedback and audits to identify and fix problems?
This was an unannounced inspection covering all five CQC questions; inspectors observed care, spoke with three people and reviewed two people's care plans and other service records. This explanation was written from the published report of 17 January 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 39 Adeyfield Road
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- January 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 30 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.
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