The Knoll

We found the following examples of good practice. ● The provider and registered manager had set up a visiting 'pod' in accordance with recognised safe visiting guidance. Additionally, alternative ways, including the use of technology, had supported people's ability to remain in contact with their relatives.

● Admission to the home was completed in line with COVID-19 guidance. People were only admitted following a negative COVID-19 test result and supported to self-isolate for up to 14 days following admission to reduce the risk of introducing infection.

● People's health and wellbeing was monitored. People were observed for symptoms of COVID-19 and other potential infections. Healthcare professionals had continued to provide clinical support to people as this was required.

● Action had been taken to reduce the risk of infection spreading which had included the correct use of personal protective equipment (PPE). Staff had received training and support in relation to infection control and COVID-19. The registered manager observed staff practice ensuring they were following the correct use of PPE.

● The registered manager and provider had clear plans in relation to the isolation of people affected by COVID-19 and the cohorting of staff to reduce the spread of infection. The service did not use agency staff, which reduced the risk of COVID-19 entering the service.

● People and staff were tested in line with national guidance for care homes.

● As part of full infection control measures laundry and waste arrangements had been correctly implemented to reduce the spread of infection.

● Cleaning schedules had been enhanced and were followed by housekeeping staff and care staff. This included the additional cleaning of frequently touched surfaces to reduce the risk of infection spreading. The registered manager had implemented a foot sanitising station at the entrance of the home as a further means to reduce the risk of COVID-19 entering the home.

● The provider's policy for managing COVID-19 and related infection prevention and control procedures had

been reviewed and kept up to date. COVID-19 guidance was also kept up to date for staff reference.

● Staff and people were supported to socially distance. The home had a large lounge and dining room where social distancing could be supported, including during activities. Some people chose to be supported in their own room. The registered manager and staff ensured people received engagement to promote their wellbeing.

● The provider team had provided support and guidance to the home's management throughout the COVID-19 pandemic. This included support in relation to ensuring the appropriate resources and equipment were in place.

The five questions we ask about services and what we found