Care home infection control
Failure to safely follow infection prevention and control (IPC) practices in care homes, risking outbreaks and resident health.
336 items
10 sources
3 inquiries
Strongest theme matches
Mixed across source types and ranked by classifier confidence plus text match strength.
CQC action
100match
Hulton Care Home
The provider must ensure infection prevention and control (IPC) practices are being safely followed.
Matched on
terms: care, control, home, infection
CQC action
99match
Attwood's Manor Care Home
The provider must ensure that staff follow safe infection control procedures.
Matched on
terms: care, control, home, infection
Committee recommendation
95match
#28 - NHS staff inconsistently adhere to basic infection prevention and control procedures.
We asked about issues with infection prevention and whether some of the basics were not being upheld as much as they should. DHSC said that we should not underestimate how much of the battle against AMR “is really basic things”, including cleaning, handwashing and hospital design. It told us that the experience of COVID-19 led to mixed progress,...
Matched on
terms: control, infection
CQC action
95match
Victoriana Care Home
People were at risk of experiencing harm as there were shortfalls in how to prevent cross contamination in the home. Processes for managing Covid19 did not always reflect government guidelines. There were some potential infection control risks.
Matched on
terms: care, control, home, infection
CQC action
95match
Adey Gardens Care Home
People who use services and others were not protected against the risks associated with control of infection because the provider did not ensure that the premises were a clean and hygienic environment for the people who lived there.
Matched on
terms: care, control, home, infection
CQC action
95match
Graceland Care Home
The provider must ensure safe care and treatment by sufficiently protecting people from the potential spread of infections.
Matched on
terms: care, home, infection
CQC action
94match
Chandos Lodge Nursing Home
The service had not fully implemented robust infection prevention and control procedures to effectively mitigate risk to people. We found evidence safe medicine practices were not always promoted in relation to storage and stock management of prescribed medicines.
Matched on
terms: control, home, infection
CQC action
90match
St Marys Care Centre
The provider must ensure effective infection and prevention control measures are in place and individual risks to people are effectively identified or mitigated.
Matched on
terms: care, control, infection
CQC action
90match
Cosham Court Nursing Home
The provider failed to ensure infection and prevention control measures were effectively managed or people were protected from the risk of harm.
Matched on
terms: control, home, infection
CQC action
90match
Leopold Muller Home
Systems were not effective to ensure people were protected from infections spreading through cross contamination. This placed people at risk of harm. This was a breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: care, home, infection
CQC action
90match
Archers Point Residential Home
The provider must ensure an effective system is in place to manage infection control, including maintaining appropriate cleanliness of premises (e.g., bedroom floors, en-suites, side tables) and equipment (e.g., wheelchairs), and documenting regular cleaning and maintenance checks for equipment.
Matched on
terms: control, home, infection
CQC action
89match
Cheshire Hair Transplant Clinic Limited
The service must ensure they have systems and processes in place to meet the requirements of The Health and Social Care Act 2008 Code of Practice on the prevention and control of infections and any other relevant guidance to reduce the risk to patients from infection.
Matched on
terms: care, control, infection
Committee recommendation
85match
#51 - Third Report - Coronavirus: lessons learned to date
The Government should review the provision of infection prevention and control measures, including infection prevention and control nurses, to social care and ensure that social care providers, particularly care homes, are able to conduct regular pandemic preparedness drills. The Government must ensure that care homes have isolation facilities and social care providers are able to provide safe visiting...
Matched on
terms: care, control, home, infection
Committee recommendation
85match
#51 - Sixth Report - Coronavirus: lessons learned to date
The Government should review the provision of infection prevention and control measures, including infection prevention and control nurses, to social care and ensure that social care providers, particularly care homes, are able to conduct regular pandemic preparedness drills. The Government must ensure that care homes have isolation facilities and social care providers are able to provide safe visiting...
Matched on
terms: care, control, home, infection
CQC action
85match
Haisthorpe House
People who used the service were not protected against the risk of exposure to healthcare associated infections because the provider did not operate a system to assess the risk and prevent, detect and control the spread of infection. The provider did not maintain appropriate standards of cleanliness and hygiene in relation to the premises. Medicines were not obtained,...
Matched on
terms: care, control, infection
CQC action
85match
Auckland House
The failure to assess the risk of and prevent and control the risk of the spread of infection was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Matched on
terms: care, control, infection
Inquiry recommendation
84match
R42 - Mandatory IPC training
Health Boards should ensure that all those working in a healthcare setting have mandatory infection prevention control training that includes CDI on appointment.
Matched on
terms: care, control, infection
CQC action
83match
Oaklands Care Home
The provider failed to ensure the homes environment was clean and free from offensive odours.
Matched on
terms: care, home
CQC action
82match
Ashdale Care Home
The provider had not completed routine water maintenance. This means there is an increased risk from legionella bacteria, which can cause serious ill health.
Matched on
terms: care, home
Committee recommendation
82match
#27 - Hospital-acquired C. difficile and MRSA infections reach multi-year highs across NHS.
An essential part of reducing the threat of AMR in humans is the day-to- day work of the NHS in preventing and controlling infections, such as good hygiene practices, aseptic technique and high standards of cleanliness, which can limit the need to use antimicrobials in the first place.67 A lot of AMR is spread through transmission in hospital....
Matched on
terms: control, infection
PFD report
81match
Barbara Cooke
Severe understaffing at a care home caused patient neglect, poor infection control, and lacking external nurse communication protocols. The hospital also had no system to record safeguarding alerts or notify authorities of deaths for vulnerable patients.
Matched on
terms: care, control, home, infection
PFD report
81match
Anthony Slack
The care home suffered from poor documentation and observation quality, unclear Covid-19 infection control (no admission risk assessment), and staff confusion over PPE. Ambulance delays also impacted patient transfer.
Matched on
terms: care, control, home, infection
CQC action
81match
Cotton Exchange
The provider must have processes that assess the risk of, and prevent, detect, and control the spread of, infections, including those that are healthcare associated.
Matched on
terms: care, control, infection
CQC action
81match
Haversham House Limited
The provider must ensure systems are in place for effective infection prevention and control measures within the home in line with government guidance on COVID-19, and that the home is clean and maintained to enable effective cleaning.
Matched on
terms: control, home, infection
Committee recommendation
81match
#2 - Second Report - Long-term funding of adult social care
The Government provided vital additional funding to the adult social care sector during the pandemic, and we appreciate that the additional covid-19 funding cannot continue indefinitely. However, the Government’s own guidance that care workers should self-isolate if they test positive for covid-19 indicates that the risk to the sector is not over. We do not accept that controlling...
Matched on
terms: care, control, infection
LGO / SPSO decision
78match
21-011-000 - East Anglia Care Homes Limited
Summary: Mr X complains his brother’s care home failed to tell him there was COVID-19 in the home, from which his brother died, and the care provider inappropriately contacted him about outstanding fees shortly after his death. The care home should have told Mr X his brother was at the end of his life. The Care Provider should...
Matched on
terms: care, home
LGO / SPSO decision
78match
21-011-064 - Hallmark Care Homes (Banstead) Limited
Summary: Mrs X complained about events leading up to her husband, Mr X, contracting COVID-19 and being admitted to hospital. These matters have already been investigated by the Care Provider and the Council has also carried out a safeguarding investigation. Both identified fault and the Care Provider has taken suitable actions to help prevent a reoccurrence. The findings...
Matched on
terms: care, home
LGO / SPSO decision
78match
21-004-573a - Cedars Place Care Home (21 004 573a)
Summary: Mrs B and Mrs C complained about the way the Trust cared for their late father, Mr D, when he was in hospital in December 2021 and contracted COVID-19. They also complained about the way the Council and Trust dealt with Mr D’s discharge to a care home, and about Mr D’s care at the Home. We...
Matched on
terms: care, home
CQC action
78match
The Cottage Residential Home
The provider must ensure people live in an environment which protects them from the risk of cross contamination and infection.
Matched on
terms: home, infection
Inquiry recommendation
78match
R12 - CDI infection control advice
Health Boards should ensure that when a patient has CDI patients and relatives are given clear and proper advice on the necessary infection control precautions.
Matched on
terms: control, infection
PFD report
77match
Eliza Simpson
The care home lacked a system for renewing deprivation of liberty orders, risking unauthorized detention. The absence of CCTV also hindered investigation into an absconding resident.
Matched on
terms: care, home
PFD report
77match
Walter Horton
Concerns include poor record keeping for falls, wound management, and handover, alongside a failure to follow aseptic techniques for wound care, increasing infection risk.
Matched on
terms: care, infection
Committee recommendation
77match
#7 - Third Report - Social care: funding and workforce
The Government must ensure that standards for weekly testing for care home staff are maintained including rapid turnaround times and that regular data is published on the number of tests delivered to social care staff and residents. In addition, the Government should consider extending routine testing beyond care homes to other care settings, particularly domiciliary care and consider...
Matched on
terms: care, home
LGO / SPSO decision
77match
21-000-741 - Barchester Healthcare Homes Limited
Summary: Mrs J complained about the care her mother received while she was resident at Meadowbeck Care Home operated by the Care Provider. Among other matters, Mrs J complained she had only very limited opportunity to visit her mother before she died of COVID-19 in May 2020. We uphold the complaint finding Mrs J was caused injustice through...
Matched on
terms: care, home
Inquiry recommendation
77match
R60 - Cleanliness Champions implementation
Health Boards should ensure that programmes designed to improve staff knowledge of good infection prevention and control practice, such as Cleanliness Champions Programme, are implemented without undue delay.
Matched on
terms: control, infection
Committee recommendation
77match
#46 - Third Report - Coronavirus: lessons learned to date
Staff shortages, the lack of testing, difficulties in obtaining PPE and the design of care settings to enable communal living hampered isolation and infection control and the ability to keep covid at bay. Social care staff in care homes and providing domiciliary care worked under strenuous conditions, at risk to themselves, to provide care to people. (Paragraph 291)...
Matched on
terms: care, control, home, infection
CQC action
77match
Unit 4 Cornishway Industrial Estate
Provide care and treatment in a safe way for service users by assessing the risk of, and preventing, detecting and controlling the spread of, infections.
Matched on
terms: care, control, infection
Committee recommendation
76match
#45 - Third Report - Coronavirus: lessons learned to date
The discharge of elderly people from NHS hospitals into care homes without having been tested at the beginning of the pandemic—while understandable as the NHS prepared to accept a surge of covid patients—had the unintended consequence of contributing to the spread of infection in care homes. The seeding of infections also happened as a result of staff entering...
Matched on
terms: care, home, infection
Committee recommendation
76match
#45 - Sixth Report - Coronavirus: lessons learned to date
The discharge of elderly people from NHS hospitals into care homes without having been tested at the beginning of the pandemic—while understandable as the NHS prepared to accept a surge of covid patients—had the unintended consequence of contributing to the spread of infection in care homes. The seeding of infections also happened as a result of staff entering...
Matched on
terms: care, home, infection
LGO / SPSO decision
76match
202104888 - Greater Glasgow and Clyde NHS Board - Acute Services Division
C complained about the care and treatment that their late parent (A) received from the board following A’s admission to hospital having suffered a stroke. A developed COVID-19 symptoms and this was confirmed by a positive swab. A’s condition deteriorated with them developing COVID-19 pneumonia and they sadly died. C complained to the board about their parent contracting...
Matched on
terms: care, control, home, infection
Inquiry recommendation
74match
R66 - Healthcare environment maintenance
Health Boards should ensure that the healthcare environment does not compromise effective IPC, and that poor maintenance practices are not tolerated.
Matched on
terms: care
CQC action
74match
Valewood House Nursing Home
People were not protected against identifiable risks of infection because standards of cleanliness and hygiene were inadequate.
Matched on
terms: home, infection
CQC action
74match
St Marys Nursing Home
The provider must ensure the environment is maintained to ensure people are safe from risk of infection.
Matched on
terms: home, infection
CQC action
74match
The Homestead (Crowthorne) Limited
The registered person failed to protect people from the risks associated with the spread of infections.
Matched on
terms: home, infection
LGO / SPSO decision
74match
20-009-170a - The Old Hall - Spilsby Care Home (20 009 170a)
Summary: Mrs A complains about the care of her mother, Mrs B at a care home. She has also complained about a council’s safeguarding enquiries. We found fault in relation to the Home’s lack of mask wearing. We did not find fault with the other issues in this complaint.
Matched on
terms: care, home
PFD report
73match
Wilhelmina Isobel Newton
The care home lacked clear written protocols and guidance for staff on responding to head injuries in elderly residents, particularly those on anti-clotting medication.
Matched on
terms: care, home
PFD report
73match
John Edwards
The care home was unable to manage complex needs, demonstrating inadequate policies for falls and pressure sores, poor record-keeping, and a failure to administer prescribed medication or seek timely medical assistance for deterioration.
Matched on
terms: care, home
PFD report
73match
Alvin Black
The report identifies concerns about the poor state of cleanliness at the prison's Health Care Centre, potentially increasing the risk of infection for prisoners; it also notes a missed opportunity to consider anti-coagulation therapy, with the system not picking up on this error.
Matched on
terms: care, infection
LGO / SPSO decision
73match
21-018-582 - Ashall Care Ltd
Summary: Mrs X complained about the short-term respite care her father, Mr Z, received at Farthings Residential Care Home which is owned by Ashall Care Ltd. The care provider has already found it failed to properly check Mr Z’s room when he moved in and did not explain how to keep his valuables safe. It has explained what...
Matched on
terms: care, home
CQC action
73match
Norton Lees Hall and Lodge
The provider had failed to ensure infection, prevention and control policies and procedures were always followed.
Matched on
terms: control, infection