CQC report explained · a residential care home
What the CQC found at William Court and Nunn Court
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough suitably trained staff, safe recruitment, good safeguarding and risk management, and safe systems for medicines and infection control.
- Effective?
- Requires improvement
- This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Caring?
- Good
- This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Responsive?
- Requires improvement
- This key question was not inspected during this visit. Its previous rating was carried forward when calculating the overall rating.
- Well-led?
- Good
- Inspectors found an open and inclusive culture, visible management, effective audits and good involvement of people, families and staff in care planning and improvement.
What inspectors found, September 2022
William Court and Nunn Court is rated Good; inspectors found safe, kind and well-led care, with improvements since the last inspection.
The inspection was unannounced and took place on 12, 14 and 29 July 2022. One inspector spoke with people living in the home, relatives and staff, and reviewed care, medicine, recruitment and management records.
The home was rated Good for Safe and Well-led. Inspectors found enough trained staff, safe medicine systems, suitable safeguarding arrangements and good checks on risks, infection control and the environment. People were supported by staff who knew them and treated them kindly.
This was a focused inspection of Safe and Well-led. The other three key questions were not inspected, so their ratings were carried forward from the previous inspection. The overall rating improved from Requires Improvement to Good, and the previous breach about staffing had been resolved.
Enough trained staff
Staffing levels were based on people's individual needs. Inspectors found enough staff to provide safe care and one-to-one support for activities.
“People were supported by enough suitably trained staff to safely meet their needs.” from the report
Kind, person-centred support
Staff knew people well and supported their choices, interests and independence. Families and people using the service were involved in care planning.
“Staff delivered care and support tailored to people's strengths and needs.” from the report
Learning from incidents
Incidents were reported and investigated without delay. The provider used what it learned to improve care and training.
“The provider used lessons learnt following incidents as training opportunities in order to improve the quality of care people received.” from the report
No registered manager in post
minorThere was no registered manager at the time of the inspection. The provider was recruiting one, while the deputy manager was supported by the provider to run the home.
“The service did not have a registered manager in place however the deputy manager with the support from the provider had the knowledge and experience to ensure the home was well led.” from the report
- 01What progress has been made in recruiting and appointing a registered manager?
- 02How do you check that staffing levels continue to match each person's individual needs?
- 03How are people and their families involved in reviewing care and support plans?
- 04How are medicine audits carried out, and how quickly are any problems addressed?
- 05What changes have been made since the previous inspection's staffing concerns?
This was a focused inspection of Safe and Well-led only; the ratings for Effective, Caring and Responsive were carried forward from the previous inspection. This explanation was written from the published report of 23 September 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, December 2020
Inspected but not rated; inspectors were mostly assured about infection control, but found not enough colour-coded cleaning equipment.
This was an unannounced, targeted inspection on 13 November 2020. It looked only at infection prevention and control practices, as part of CQC's response to coronavirus outbreaks in care homes.
Inspectors were assured about visitor controls, PPE, social distancing, admissions, testing and outbreak planning. The home was clean, and regular cleaning and infection control audits took place.
There was not enough colour-coded mops and buckets in each flat. The provider said after the inspection that it had bought more cleaning equipment. The service was inspected but not rated, so this report does not give a full overall quality rating.
Controlled visits
Visits were staggered and arranged by appointment. Visitors used PPE and had their temperature checked before entering.
“All visits were staggered and by appointment only. Visitors had to wear appropriate personal protective equipment (PPE) and had their temperature checked prior to entering the service.” from the report
PPE and staff training
PPE was available on each floor, with clear instructions. Staff had infection prevention and control training and followed current guidance.
“PPE was readily available for staff on each floor and clear signage was in place regarding the correct use of PPE.” from the report
Support during isolation
People who needed to self-isolate had dedicated staff. Staff movement between flats was reduced to help limit infection spread.
“People who needed to self-isolate had their own dedicated staff who supported all their needs throughout the day.” from the report
Testing and cleaning
People and staff took part in regular whole-home testing, with easy-read and pictorial information. The environment was very clean and regular cleaning took place.
“The environment was very clean and regular cleaning took place including frequently touched surfaces.” from the report
Cleaning equipment
minorThere were not enough colour-coded mops and buckets in each flat. The provider said it bought additional equipment after the inspection.
“There were not enough colour coded mops and buckets in each flat.” from the report
- 01What additional colour-coded mops and buckets were bought after the inspection, and are there now enough in every flat?
- 02How do you check that cleaning equipment is being used for the correct areas to reduce cross-contamination?
- 03How are infection control audits recorded, and what happens when an audit identifies an area for improvement?
- 04How do dedicated staff support people who need to self-isolate?
- 05How are whole-home testing and easy-read information provided to people living here?
This was an unannounced targeted inspection of infection prevention and control practices only; it did not rate the other areas of care. This explanation was written from the published report of 10 December 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 William Court and Nunn Court
2 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- September 2022Goodcurrent ratingSafe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good
Read what inspectors found at William Court and Nunn Court →
- December 2020Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at William Court and Nunn Court →
- March 2019Requires improvementSafe: Requires improvementWell-led: Requires improvement
- September 2017
Registered with the Care Quality Commission on 18 September 2017.
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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