CQC report explained · a nursing home, run by Northamptonshire Care
OLIVE ROW CARE HOME
Albert Street, Kettering, NN16 0EB
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, February 2024
Inspected but not rated; inspectors found people were at risk of harm because care, records and management systems were not reliable.
This was an unannounced targeted inspection on 1 February 2024. Inspectors looked at concerns about management, staff skills, pressure ulcers, wound care, infection control, personal care and recognising changes in health. They spoke with 15 people, 2 relatives and 5 staff, and reviewed care records, incident records, training and other documents.
Inspectors found people were at risk of harm. Staff did not always recognise or report abuse and unexplained injuries. Staff did not always have the skills to provide or record care, and risk information and incident records were incomplete.
The home did not have a registered manager. Its systems did not reliably identify unmet needs, missing records, unreported incidents or when people needed referral to other health professionals. An area manager and trainer had been placed in the home to start training, review records and improve oversight.
The service was inspected but not rated. The previous rating was Good, published on 27 June 2023, but this targeted inspection did not review the whole of any key question, so it did not change that rating.
Clean environment
Inspectors found that the home appeared clean and that staff carried out regular cleaning.
“The home appeared clean and staff were employed to carry out regular cleaning.” from the report
Improvement work started
The provider had placed an area manager and trainer in the home. Staff had started receiving supervision and training to improve their skills.
“Staff had begun to receive one to one supervision and training to improve their skills and check their competency.” from the report
Unrecognised injuries and abuse
seriousStaff did not always recognise or report abuse and unexplained injuries. Inspectors raised two safeguarding alerts.
“Staff failed to report unexplained injuries and management failed to report all allegations of abuse to the relevant authorities.” from the report
Staff competency
seriousStaff did not always have the skills, experience or knowledge to meet people's needs or record the care they had given.
“People were not always receiving care that met their needs as staff did not always know how to carry out all personal care or know how to record the care they had given.” from the report
Incomplete risk and care records
seriousRisk assessments had been completed, but important risk information was missing from some care plans. This meant staff might not have had the information needed to provide care safely.
“People's risks had been assessed, but not all information about risks had been included in care plans.” from the report
Weak quality oversight
seriousThe provider's systems did not reliably identify poor care, incomplete records or incidents that had not been reported or followed up. The home also lacked systems to identify when people needed other health professionals.
“The provider failed to have systems and process in place to identify people were not always receiving care that met their needs, records were incomplete or that incidents had not been reported or followed up.” from the report
No registered manager
needs fixingThere was a manager in post, but no registered manager had been appointed at the time of the inspection.
“At the time of our inspection there was not a registered manager in post.” from the report
- 01What action has been completed since the inspection to make sure staff can provide and record all required personal care?
- 02How are unexplained injuries and safeguarding concerns now recognised, recorded and reported to the relevant authorities?
- 03How have care plans and risk assessments been reviewed to make sure staff have complete information about people's risks?
- 04How are incidents now recorded, investigated and followed up?
- 05Who is currently responsible for managing the home, and what progress has been made towards having a registered manager?
This was a targeted inspection of specific concerns within Safe and Well-led; it did not assess the whole of any key question, and the other ratings were not reviewed. This explanation was written from the published report of 17 February 2024 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of OLIVE ROW CARE HOME
2 rated inspections over a year: the service has held its Good rating throughout.
- February 2024Inspected but not ratedcurrent ratingSafe: Inspected but not ratedWell-led: Inspected but not rated
- June 2023Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2022GoodSafe: GoodWell-led: Good
- February 2022Inspected but not ratedSafe: Inspected but not rated
- May 2021
Registered with the Care Quality Commission on 12 May 2021.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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