Background to this inspection
Updated
26 August 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
One inspector carried out this inspection.
Service and service type
Homelands Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Homelands Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 22 June 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with three visitors and eight people who used the service about their experience of the care provided. We spoke with six members of staff including the registered manager. We reviewed a range of records. This included people’s care records and medication records. We looked at staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including quality assurance records were reviewed.
After the inspection
We continued to seek assurances from the provider.
Updated
26 August 2022
About the service
Homelands Nursing Home is a care home providing personal and nursing care to up to 50 people with different health needs. The service provides support to elderly frail people with general nursing needs in The Manor House, also known as The Main House. There is a separate unit, The Coach House, for up to 12 people living with dementia. At the time of our inspection there were 37 people using the service.
People’s experience of using this service and what we found based on our review of Safe and Well-led
Staff did not always follow infection prevention and control procedures. Not all staff wore a mask or wore a mask appropriately. The provider and registered manager did not have oversight of staff practices in relation to PPE usage. The service was accessing COVID-19 testing in line with government guidance. Following this inspection, we have received assurances that staff are now following current guidelines.
People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to people’s individual needs.
Staff knew and understood people well and were responsive, supporting them to live a quality life of their choosing. They placed people’s wishes, needs and rights at the heart of everything they did. People told us they felt involved in their care and support. One person told us, “[I] can choose how I spend my time.” Other comments from people included, “I love it here”, “The staff are very kind”, “I love the food”, and, “I’d say if I’m not happy.”
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 31 December 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from good to requires improvement based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Homelands Nursing Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to infection control at this inspection. Please see the action we have told the provider to take at the end of this report.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.