Background to this inspection
Updated
21 May 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service
This inspection took place on 3 March 2022 and was unannounced.
Updated
21 May 2022
About the service
Nazareth House is a residential care home providing personal and nursing care to 44 people aged 65 and over at the time of the inspection. The service can support up to 50 people.
The home is set out across three floors with communal lounges, dining rooms and adapted bathrooms on each floor. The home had a visitor pod for social distanced visiting and a chapel for religious services. One of the wings specialises in providing care to people living with dementia.
People’s experience of using this service and what we found
The home was clean and odour free. People were protected from the spread of infection. Staff had access to PPE and had received training in how and when to use it effectively. We observed staff used PPE appropriately.
People were protected from the risk of abuse by trained staff who understood how to raise concerns and had access to and understood the providers whistleblowing policy and procedure. The management team were easily accessible within the home, people and relatives told us they knew how to and would be comfortable raising concerns or making a complaint if needed.
Risks to people were well managed. Individual risk had been considered and planned into care. Staff knew people well and knew how to keep them safe. Specialist equipment was in place to support people where needed. The environment was safe and well maintained by a competent maintenance team.
Staff were recruited safely and there were enough staff to meet people’s needs. Staff received regular training and supervision and told us they felt well supported by the management team.
Medicines were managed safely by trained staff.
The management and provider team maintained oversight of the safety and quality of the service via regular auditing and implemented action plans were needed. The registered manager and staff team had a good understanding of their duty and responsibility and were keen to learn and improve.
The service worked in partnership with health care professionals.
People were supported to maintain family relationships and to feel part of the local community. People’s culture and religions were respected and supported.
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.
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 18 October 2019).
Why we inspected
The inspection was prompted in part due to concerns received about safeguarding and infection control. A decision was made for us to inspect and examine those risks.
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 coronavirus and other infection outbreaks effectively. We reviewed the information we held about the service.
No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Nazareth House on our website at www.cqc.org.uk.
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.