Quinton House

Updated 16 December 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

The inspection team consisted of 2 inspectors, a Specialist Nurse Advisor and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Quinton House 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. Quinton House 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

The inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection and sought feedback from the local authority. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 8 members of staff including the registered manager, clinical manager, team leader, care staff, activities coordinator, receptionist and the cleaner. We also spoke with 1 person, 4 relatives and 2 health professionals. We looked at 5 people's care plans and medicine records associated with their care. We also looked at a range of records relating to the management of the service including 2 staff recruitment files, maintenance of the building and premises, staff meetings, audits and quality assurance checks.

Updated 16 December 2022

About the service

Quinton House is a residential care home providing personal and nursing care to up to 27 people. The service provides support to older and younger adults including people living with dementia. At the time of our inspection there were 16 people using the service.

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

The registered manager was very visible within the home and took time to listen and engage with people. There was a culture of equality and diversity which staff echoed in their comments. In recognition of the importance of protecting and promoting staff wellbeing and positive mental health, the provider trained two staff as mental health well-being champions.

Improvements had been made to governance and clinical oversight. New systems and processes of governance, quality and safety improved clinical oversight and monitoring of the service. There was a real drive, passion and commitment from leadership to continuous improvement within the service and people’s outcomes. The clinical manager was being trained as a student nurse assessor with Coventry University, so the service could provide placements for student nurses.

Actions were taken, and lessons learnt in response to any accidents and incidents that occurred. One staff member told us they were confident to report any errors because of the no blame culture within the home.

Staff understood the importance of safeguarding people and their responsibilities to report any concerns. At the last inspection, risks to people were not always identified or managed. This included risks associated with allergies and catheter care and environmental hazards. At this inspection improvements had been made.

Risks to people’s health, safety and wellbeing were assessed, well managed and reviewed at regular intervals, or following a change in need. Medicines were ordered, stored and administered safely. There were enough staff to provide safe and effective care and we were assured by the provider's infection control practices. The home followed government guidance in relation to visiting and there were no restrictions on people having visitors to the home.

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 requires improvement (published 9 November 2021). At this inspection we found improvements had been made and the provider was no longer requires improvement.

Why we inspected

We undertook this focused inspection based on the current rating to identify if the service had made improvements. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. 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 requires improvement to good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Quinton House on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.