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CQC report explained · a residential care home

What the CQC found at Windsor Court Residential Home

Goodpublished 5 October 2018, 8 years ago

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

The latest report, explained

What inspectors found, August 2021

Inspected but not rated; inspectors were assured that the home had suitable infection prevention and control measures.

This was an announced, targeted inspection on 9 August 2021. Inspectors checked how the home was prepared to prevent and control coronavirus infections.

Inspectors were assured about visitor safety, social distancing, admissions, PPE, testing, cleaning, outbreak planning and infection control policies. The home had PPE stations, extra cleaning schedules and a visiting area for relatives.

The home was inspected but not rated. This means the inspection did not give an overall quality rating or ratings for the other four CQC questions.

What inspectors praised
  • Infection control checks

    The home used regular spot checks and staff competency checks to support good infection control practice.

    “Regular spot checks and competency checks were made to ensure staff continued to follow best practice.” from the report
  • PPE and cleaning

    There was plenty of PPE, with stations around the home. Extra cleaning schedules covered surfaces that people touched regularly.

    “Additional cleaning schedules had been introduced to ensure robust measures to reduce infection risks, including the cleaning of any regular touchpoint surfaces.” from the report
  • Contact with relatives

    Staff supported people to keep in touch with friends and relatives by telephone and video calls. An outdoor visiting area had also been set up.

    “Staff supported people to make regular telephone and video calls.” from the report
  • Testing and training

    The provider took part in regular COVID-19 testing for people and staff. Staff had training on infection control, COVID-19 and PPE.

    “Staff participated in various training sessions around infection control, COVID-19 and using PPE.” from the report
What inspectors were concerned about
  • Items needing removal

    minor

    Inspectors found some items that could not be cleaned effectively. The registered manager said these had been removed after the inspection.

    “Some items that could not be effectively cleaned needed removing.” from the report
Questions to ask them, based on this report
  1. 01Have all items that could not be cleaned effectively been removed, and how do you check this now?
  2. 02How often do you carry out spot checks and staff competency checks on PPE and infection control?
  3. 03How are visitors currently tested, supported with handwashing and kept safe when entering the home?
  4. 04How often are PPE supplies, cleaning schedules and infection control policies reviewed?
  5. 05How do residents currently keep in contact with relatives when visits are limited?

This was an announced targeted inspection of infection prevention and control during the coronavirus pandemic; the other CQC questions and an overall quality rating were not assessed. This explanation was written from the published report of 21 August 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.

An earlier report, explained

What inspectors found, October 2018

Rated Good; inspectors found safe, kind and personalised care, with quality systems much improved since the previous inspection.

Inspectors made an unannounced visit on 18 September 2018. They spoke with people living in the home, relatives and staff. They reviewed care plans, recruitment records, medicine records, staffing information and audits, and observed care.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safer medicine management, suitable risk assessments, kind staff and care plans that reflected people's individual needs.

The report says the home had improved since December 2017. Earlier concerns about medicines, risk records, food and care plans had been addressed. The new management team had introduced audits and action plans, although one outside-area audit was not in place during the visit and was provided the following day.

What inspectors praised
  • Improved safety

    Medicine procedures, risk assessments and monitoring records had improved since the previous inspection. Staff understood safeguarding and inspectors found enough staff to meet people's needs.

    “At this inspection we found that the provider had made the required improvements.” from the report
  • Kind and respectful staff

    Inspectors saw staff spending time with people, listening to them and protecting their privacy and dignity. People and relatives spoke positively about the care.

    “We observed staff patiently talking to people and spending time with people.” from the report
  • Personalised care

    Care plans recorded people's routines, likes, dislikes and choices. Staff knew people well and supported individual interests and relationships.

    “We found that peoples care plans were now up to date, relevant and person-centred which meant that their support was tailored to their individual needs.” from the report
  • Food and activities

    The dining experience had improved, including the presentation of pureed food. People were offered choices, regular drinks and a range of activities and outings.

    “We found that people's dining experience had improved with the cook presenting food that was much more appetising for people who required pureed diets.” from the report
  • Stronger management

    The new management team had introduced audits, meetings, feedback systems and action plans. Staff reported that the home was more organised and improvements had been made.

    “Since the last inspection the service had appointed a new management team.” from the report
What inspectors were concerned about
  • Outside-area checks

    minor

    During the inspection there was no audit recording checks on maintenance needed in the outside area. The provider supplied an audit the next day, so this was a minor shortfall rather than a current breach.

    “However, during our inspection we found that the provider did not have an audit in place to record any checks on maintenance required of the outside area.” from the report
Questions to ask them, based on this report
  1. 01How do you now check that medicines, including as-required and topical medicines, are recorded and given safely?
  2. 02How are staffing levels decided at busy times, and what happens if people's needs change?
  3. 03How often are care plans and risk assessments reviewed, and how are relatives involved?
  4. 04What activities and outings are currently available for someone with my relative's interests and abilities?
  5. 05How do you audit maintenance and safety checks in the outside area?

This was an unannounced comprehensive inspection covering all five CQC questions and the overall quality of the care home. This explanation was written from the published report of 5 October 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.

The story over the years

Every inspection of Windsor Court Residential Home

3 rated inspections over 3 years: the service has held its Good rating throughout.

  1. August 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Windsor Court Residential Home →

  2. October 2018Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Windsor Court Residential Home →

  3. February 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2015Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. December 2010

    Registered with the Care Quality Commission on 16 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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45 live-in carers within about an hour of Stockton-on-Tees

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Most charge £980 to £1,190 a week. 40 can care for a couple. 10 years' experience on average.

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