CQC report explained · a nursing home
What the CQC found at Yarnton Residential and Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed through protective equipment, testing, cleaning, screening, isolation and visitor checks. The provider also said it had measures to manage COVID-19-related staffing pressures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong infection control and visiting arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 2 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected the service.
Inspectors found enough suitable personal protective equipment, regular staff training and checks, safe admission and isolation arrangements, regular testing, and cleaning measures. Staff were seen using protective equipment correctly.
The home had a visiting pod and used essential care giver arrangements. Visitors had checks on arrival, including temperature checks, lateral flow testing and appropriate protective equipment.
The service was inspected but not rated. This means the report does not give an overall quality rating and does not assess all five areas of care.
Protective equipment
There was enough suitable protective equipment. Staff received infection control training and were checked on their use of it.
“We observed staff putting on and taking off PPE as per guidelines.” from the report
Safe admissions
The home had arrangements for screening and isolation when people were admitted.
“The provider had robust systems to ensure safe admissions, including only allowing new admissions after a confirmed negative result of the Covid-19 test.” from the report
Visiting arrangements
The home created a visiting pod and supported essential care givers to continue visiting during restrictions.
“Several visitation adjustments had been introduced including a visiting pod which had been created to safely facilitate relatives' visits on a pre-booking basis.” from the report
Testing and cleaning
Regular testing and extra cleaning of frequently touched surfaces were in place to reduce infection risks.
“An additional cleaning schedule had been introduced to ensure robust measures to reduce infection risks, including additional tasks such as cleaning of any regular touchpoint surfaces.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visiting arrangements working now, including use of the visiting pod and essential care giver visits?
- 02What infection control training and checks do staff receive now, and how is correct use of protective equipment monitored?
- 03How are new residents screened and supported to isolate after admission?
- 04How often are residents and staff tested for COVID-19 now?
- 05How is the home managing staffing pressures, and could these affect residents' care?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated and the other areas were not assessed. This explanation was written from the published report of 23 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, June 2019
Yarnton Residential and Nursing Home was rated Good; inspectors found safe, kind and well-led care, with activities needing to be more meaningful.
Inspectors visited on 29 May and 3 June 2019. They spoke with people living in the home, relatives, staff and health professionals. They reviewed care records, medicines records, staff files, complaints, incidents and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and were treated kindly. Inspectors found enough skilled staff, safe medicines systems, good support with food and health, and care that was tailored to people's needs.
The home had improved since the previous inspection, when it was rated Requires Improvement. Earlier concerns about fire evacuation, pressure risks and risk management had been addressed. The new manager had also improved the staff culture and teamwork.
The main area for improvement was activities. There were activities and community links, but inspectors said they were not always meaningful or linked closely enough to people's interests.
People felt safe
People told inspectors they felt safe. Staff understood how to report safeguarding concerns, and risks such as falls, pressure sores and medicines were managed.
“People living at Yarnton received safe care from skilled and knowledgeable staff.” from the report
Kind and respectful care
People and relatives spoke positively about staff. Inspectors saw calm, polite interactions and found that people were treated with dignity.
“People were positive about the care they received and told us staff were caring.” from the report
Good food and health support
People had choices about food and where they ate. Staff supported special diets, nutrition, hydration and access to healthcare.
“Staff supported people to maintain good nutrition and hydration.” from the report
Improved leadership
Inspectors found a more positive staff culture, better teamwork and clear plans for improvement. Quality checks were used to identify and act on issues.
“Quality assurance systems were operated effectively and used to drive improvement in the service.” from the report
Community links
People could take part in activities, visits and events involving the local community. Inspectors found these links reflected people's needs and preferences.
“The service was an important part of the local community.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you find out about each person's interests and use this information to plan meaningful activities?
- 02How often are activities provided, including at weekends and for people who prefer one-to-one activities?
- 03What checks now make sure medicines records remain accurate, following the recording errors mentioned in the report?
- 04How do you maintain consistency when agency staff are needed, and how do you make sure they know each person's care plan?
- 05How would you support my relative and our family with end of life care, and how would you work with the local hospice?
This was a planned inspection of the whole service, including the accommodation and care, and all five CQC question areas were assessed. This explanation was written from the published report of 21 June 2019 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 Yarnton Residential and Nursing Home
5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Yarnton Residential and Nursing Home →
- June 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Yarnton Residential and Nursing Home →
- June 2018Requires improvementdown from GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2016Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2015Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Inspected but not ratedCaring: Inspected but not ratedResponsive: Inspected but not ratedWell-led: Inspected but not rated
- June 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2015
Report published without a new overall rating.
- May 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2011
Registered with the Care Quality Commission on 6 November 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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