We carried out a review of the data available to us about QEF Care and Rehabilitation Centre on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about QEF Care and Rehabilitation Centre, you can give feedback on this service.
QEF Care and Rehabilitation Centre is a rehabilitation centre in Leatherhead providing personal and nursing care to younger and older adults. The service aims to help people regain their independence following an acquired brain injury, stroke, incomplete spinal injury or neurological illness and provides therapy alongside residential care and support. The service can support up to 48 people. At the time of the inspection, 21 people received treatment and support in QEF Care and Rehabilitation Centre.
People’s experience of using this service and what we found
The centre had a large staff and management team and there were substantial changes in the service in the past year. The management team started consolidating the improvement actions identified via audits, as well as internal and external feedback but this work was not yet completed at the point of the inspection. We discussed this with the management who assured us about how they would further strengthen the governance in the service and action any improvements in a timely and effective way. We also saw evidence of actions directly affecting people’s safety being already completed. We will check if good practice around quality and safety monitoring was embedded in the service at our next inspection.
People received safe support around their health, physical and emotional needs and medicines. There were enough staff to ensure people could access timely support and therapy during their stay. Staff knew how to protect people from avoidable harm by supporting them to manage risks. Staff also knew what to do if they were concerned people might be at risk of abuse or neglect.
People were supported to keep safe from infections, to host visitors and enjoy going out of the service in a COVID-19 safe way. Staff supported people to access other health services when needed and there was a range of social activities available in the centre. The service was adapted to people’s needs which allowed them to freely access all facilities and remain comfortable when re-building their independence or receiving complex care.
People received personalised care with support being provided in a targeted, joined-up way by different health and social care professionals. People and their relatives told us how this enabled them to regain their ability, for example to walk or communicate freely.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff received ongoing support and training, felt competent to fulfil their roles and commented positively on the overall culture of the service and teamwork. The centre worked in close partnership with the NHS services in the local area and other healthcare professionals and specialists.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 15 June 2020 and this is the first inspection.
Why we inspected
This inspection was based on the date the service was registered by CQC.
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.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
We found the following examples of good practice.
Clear and detailed measures were in place to reduce the risk of visitors spreading infection. All visitors were screened for symptoms of COVID-19 before being allowed to enter the home, this included visitors having to complete a lateral flow test before entering the building in accordance with current government guidance.
An area of the service had been designated to use to care for people with COVID-19 in the event of an outbreak at the service. This area was closed off from the rest of the service and plans were in place for it to be staffed by a separate staff team to reduce the risk of COVID-19 transmission around the service.
PPE guidance was accessible to staff around the service including on bedroom doors to remind staff of the PPE requirements when supporting individual people. We saw good PPE practice from staff during the inspection.
People who had to isolate in their rooms received frequent support from staff to engage with activities of their choice and equipment had been purchased to help with this.