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Queensferry Court Care Home Good

The provider of this service changed - see old profile

Reports


Review carried out on 8 July 2021

During a monthly review of our data

We carried out a review of the data available to us about Queensferry Court Care Home on 8 July 2021. 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 Queensferry Court Care Home, you can give feedback on this service.

Inspection carried out on 31 March 2021

During an inspection looking at part of the service

About the service

Queensferry Court Care Home is a nursing home providing personal care and accommodation for up to 56 people. At the time of our inspection 26 people were using the service.

The service is over two floors and is separated into different zones. The service supported people on short term placements on a ‘discharge to assess’ scheme. This scheme allowed people to live at Queensferry Court, while they and professionals decided long term care arrangements. As part of this scheme, external physio and occupational therapists worked closely with the service.

As well as the ‘Discharge to assess’ scheme, people also remained at the service longer term.

People’s experience of using the service and what we found

We identified a few concerns about the recording and administration of medicines that are taken “as needed”. We found that during the night shift, the environment was not always safely managed. We observed that kitchen staff did not always wear the correct personal protective equipment. We reported these concerns to the registered manager, they told us that after the inspection these concerns were resolved.

We observed staff were well trained and knew people’s care needs well enough to ensure that they were supported safely and effectively. The service was clean.

There were enough staff and staff were safely recruited. If needed, referrals were made to other professionals. Professional advice was documented and followed, for example GPs and physiotherapists.

People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

We observed positive caring interactions between people and staff. Visiting professionals we spoke to reported that the service was caring.

There was a clear governance process to ensure that records were audited at the service. The registered manager oversaw the care staff work to ensure it was effective. Staff spoke highly of the registered manager and felt the service was managed well.

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 13 January 2020 and this is the first inspection.

Why we inspected

The inspection was brought forward. This was partly due to an incident that had occurred at the service, where a person had fallen and sustained serious injuries. At the time of the inspection, this incident was still being investigated by the local authority. We had also received concerns about: Infection control procedures, incident management, people being at risk of pressure related skin damage, poor moving and handling, dehydration and medicines.

A decision was made for us to inspect and examine those risks. We found some areas that needed improvement (reported in the safe part of the report). However, overall the service was ‘Good’.

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 choose to inspect sooner.

Inspection carried out on 27 January 2021

During an inspection looking at part of the service

Queensferry Court Care Home provides nursing care, personal care and accommodation for up to 56 people. At the time of the inspection there were 21 people living at the service. The service is spacious over two floors and is separated into different wings. The service provides long term care and supports people who require assessment following hospital discharge. Each wing has its own separate facilities, with toilets, bathrooms, sluice, storage, dining area, kitchenette and lounge areas.

We found the following examples of good practice.

¿ The home was closed to visitors. Families and health care professionals had been informed and kept up to date about visiting restrictions.

¿ Temperature and track and trace checks were performed upon entry to the home to minimise the risk of transmission. All visitors were offered Personal Protective Equipment (PPE) and a COVID-19 test.

¿ While the home was closed the service used video-calls and phone calls to keep families in touch. When visiting was allowed, the service had a large conservatory which allowed pre-booked visiting through windows, in the garden or with Perspex screens inside.

¿ Staff arrived at the main entrance for testing purposes and were then able to access areas they worked in without walking through the home. Staff changed into uniforms when they arrived at work and removed them before they left to prevent the transmission of infection.

¿ People had been isolated in their rooms to prevent cross infection. Wings of the home were zoned to separate people who had COVID-19 from those who did not. Staff were allocated zoned areas to work in and did not move around the home.

¿ Rooms were not ensuite but had wash hand basins, equipment in rooms was cleaned after use. Cleaning of communal toilets and bathrooms had been enhanced and were cleaned after each use by housekeeping staff to prevent cross infection.

¿ Enhanced cleaning also included frequently touch areas to reduce the risk of cross infection. The registered manager had purchased a sanitising machine for communal areas.

¿ People and staff were able to maintain social distancing in spacious communal areas. People could access entertainment, activities and exercises on a large smart TV in each lounge.

¿ Following audits, furniture in lounge areas was being replaced and upgraded to meet infection control guidelines. In other areas floors had been replaced to ensure easy cleaning.

¿ The provider had a good supply of PPE and there were PPE stations with clinical bins to prevent cross infection when providing care.

¿ The provider performed checks of temperature and oxygen saturation to identify symptoms or deterioration in people’s condition.

¿ Staff including agency staff used, were tested on a very regular basis to identify symptoms of COVID-19 early.

¿ The provider obtained profiles for agency staff and booked them for a continuous period to minimise the risk of cross infection.

¿ Staff had received additional training in infection control and prevention and handovers were used to discuss best practice, concerns and learn lessons.

¿ People and staff had risk assessments in place to identify anyone at high risk that may need to shield.

Inspection carried out on 26 October 2020

During an inspection looking at part of the service

Queensferry Court Care Home is situated in the suburb of Allenton which is three miles south of Derby and is owned by Agincare (Derby) Limited. Queensferry Court Care Home is registered to provide personal care and accommodation for up to 56 older people and younger adults. The service can support people that are living with dementia, have a physical disability or require support with their mental health. The service provides long term care and supports people who require rehabilitation following a hospital admission. The service had 6 beds available for people discharged from hospital with a positive Covid-19 status.

We found the following examples of good practice.

¿ The service had identified a dedicated unit to support people safely who were admitted to the service with Covid-19. Access to and from this unit was separate from the rest of the home. A cohort of staff would work in this unit to minimise the risk of transmission.

¿ A Covid 19 screening questionnaire was required for all visitors, to complete upon entry, hand washing facilities and hand gel were in place to comply with the required guidance.

¿ People using the service were not receiving visitors at the time of the inspection as an additional precaution to protect people. However, other methods of contact were encouraged, for example, video and telephone calls.

¿ Enhanced cleaning schedules included regular cleaning of touch areas such as handrails and door handles. This reduced the risk of cross infection.

¿ People were supported to remain active through live streamed activities via smart televisions. Games, puzzles and daily newspapers were available to everyone using the service.

¿ To reduce the risk of infection transmission, staff no longer worked across different units and when they arrived at work, they then changed into their uniforms. Staff had received additional training in infection prevent and control and the use of PPE.

¿ If agency staff were needed the service used two regular agencies and regular staff from these agencies, who were risk assessed and received testing weekly.

¿ Staff and people living in the service accessed regular testing for Covid-19. This meant action could be taken swiftly if anyone developed symptoms or had a positive test result.

¿ The infection prevention and control policy was up to date. People and staff had risk assessments in place to identify their individual risks associated with Covid-19. This meant protective measures could be put in place to keep people and staff safe.

We were assured that this service met good infection prevention and control guidelines as a designated care setting.

Further information is in the detailed findings below.