CQC report explained · a nursing home
What the CQC found at Yeovil - Sherborne House Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found that medicines were managed more safely, risks were regularly reviewed and there were enough staff. Infection prevention arrangements, recruitment checks and incident reviews were also found to be satisfactory.
- Effective?
- Good
- Staff sought consent and followed the principles of the Mental Capacity Act. People received suitable food and drink, staff were trained, and the home worked with health and social care professionals.
- Caring?
- Good
- This area was not inspected during this focused visit, so the report does not give a new Caring rating.
- Responsive?
- Good
- This area was not inspected during this focused visit, so the report does not give a new Responsive rating.
- Well-led?
- Good
- A new registered manager had introduced regular audits covering areas such as medicines, call bells and infection control. Inspectors found that identified problems were dealt with quickly and that staff and professionals spoke positively about the management.
What inspectors found, January 2023
Rated Good; inspectors found improvements in medicines, the environment and leadership.
This was an unannounced focused inspection on 10 January 2023. Inspectors spoke with people living at the home, relatives, staff and health professionals. They also reviewed care, medicines, recruitment and management records.
The home was rated Good for Safe, Effective and Well-led. Inspectors found that medicines management had improved, risks were reviewed, staffing was sufficient and staff were trained. People were supported to access health services and make choices about their care.
The overall rating improved from Requires Improvement at the last inspection. The previous breach about safe care and treatment had been resolved. The home had also been redecorated and had introduced stronger checks on quality and risk.
Medicines checks
Medicines management had improved since the previous inspection. Electronic records, stock checks and staff competency checks gave managers better oversight.
“Medicines management had significantly improved since the previous inspection.” from the report
Safer surroundings
The home had been redecorated and adapted for people's needs. Dementia-friendly signs, quiet areas and improved access were provided.
“The home had been extensively redecorated since the last inspection.” from the report
Staff training
New staff received an induction and practical checks. Ongoing training covered areas including medicines, infection control and fire safety.
“New staff received an induction which included shadow shifts with more experienced staff and practical competency checks.” from the report
Management oversight
The new manager used regular audits to check quality and risk. Inspectors found that issues were quickly resolved and learning was shared.
“At this inspection, there was evidence the registered manager undertook various audits providing a robust oversight of quality and risk in the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you check that the improved electronic medicines system continues to record stock levels and missed doses accurately?
- 02What further decoration or changes to the environment are still planned?
- 03How many staff are usually on duty for the times when my relative needs the most help?
- 04How would you support my relative if their health or mobility changed?
- 05How do you involve families in care decisions and in reviewing their relative's care?
This was a focused inspection of Safe, Effective and Well-led, with infection prevention and control included under Safe; the other areas were not inspected and the overall rating used ratings from the previous inspection. This explanation was written from the published report of 31 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, February 2022
Inspected but not rated; inspectors found strong infection control during a COVID-19 outbreak, with some PPE and equipment checks needing improvement.
This was an unannounced, targeted inspection on 1 February 2022. Inspectors looked mainly at infection prevention and control, visiting arrangements and whether COVID-19 staffing pressures affected care.
The home was managing an outbreak. Inspectors were assured that staff used PPE, cleaning had increased, testing was available and visits were arranged in line with people's welfare and government guidance.
There were some small problems. Staff sometimes needed reminders about using PPE correctly, and two PPE stations were missing supplies or a hazardous waste bin. The manager took action to address these issues.
The service was inspected but not rated. This report does not provide a full rating of the home's overall quality or of all five areas inspectors normally consider.
Infection control
Staff generally followed infection control measures, including hand hygiene and changing PPE. The home had clear signs and several places for staff to use PPE safely.
“People were supported by staff who understood how to keep them safe during a COVID-19 outbreak and prevent infections further spreading.” from the report
Visiting arrangements
People could stay in touch with relatives during the outbreak. Named visitors could attend through the home's testing arrangements, and management responded when someone asked for more visits.
“During the COVID-19 outbreak, systems were in place for visits to take place in line with people's welfare needs.” from the report
Cleaning and laundry
Cleaning of frequently touched areas had increased. The home also had arrangements for infected people's laundry to be kept separate.
“Arrangements were in place even during staff absences to clean high touch points such as grab rails and light switches.” from the report
Staffing cover
The home used regular agency staff and existing staff worked extra hours when needed. Inspectors found that people had not been affected by staff shortages.
“People had not been impacted by staff shortages and regular agency staff were used when required.” from the report
PPE was not always used correctly
needs fixingOn a few occasions, staff needed reminders because they had missed a step or worn PPE incorrectly. Management said reminders were given in staff meetings.
“However, on a few occasions members of staff needed reminding about forgetting a step or incorrectly wearing their PPE.” from the report
Some PPE stations were incomplete
needs fixingTwo stations were missing PPE supplies or a hazardous waste bin. The manager acted to put this right and formalise some checks.
“On two occasions stations were missing items of PPE or a hazardous waste bin.” from the report
- 01How do you now check that every PPE station has the right supplies and a hazardous waste bin?
- 02How do you make sure staff use every step of the PPE process correctly?
- 03How would you arrange visits if there were another COVID-19 outbreak?
- 04How would you make sure staffing shortages do not affect people's care?
- 05When was the home's last full inspection and what were its ratings?
This was an unannounced targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it was not a full inspection and the service was not rated. This explanation was written from the published report of 15 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.
Every inspection of Yeovil - Sherborne House Care Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- January 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Yeovil - Sherborne House Care Home →
- February 2022Inspected but not ratedSafe: Inspected but not rated
Read what inspectors found at Yeovil - Sherborne House Care Home →
- January 2020Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- May 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 7 February 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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76 live-in carers within about two hours of Somerset
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,370 a week. 62 can care for a couple. 12 years' experience on average.
“She looked after my mum, who can be incredibly challenging, so well and so gently, and we always felt confident that my mum was getting the best care available.”
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Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.