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CQC report explained · a residential care home

What the CQC found at St Andrew's Residential Care Home Limited

Goodpublished 10 August 2018, 8 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection control, safe admissions, PPE, testing, visiting arrangements and measures to manage COVID-19 staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured that infection controls, visiting arrangements and COVID-19 safety measures were in place.

This was an announced, targeted inspection on 31 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.

Inspectors were assured that visitors were prevented from spreading infections, people were admitted safely, PPE was used properly, and regular testing was available. The home also had measures for safe family visits, including two external visiting areas.

The inspection did not give an overall quality rating. Safe was recorded as inspected but not rated, and the report does not provide ratings for the other areas.

What inspectors praised
  • Safe infection control

    Inspectors were assured that the home had suitable arrangements for PPE, testing, hygiene, social distancing and managing outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Family visiting

    The home supported relatives to visit safely and offered external visiting areas as an alternative to bedroom visits.

    “The registered manager ensured people were supported to see their relatives safely and in line with the current guidance.” from the report
  • Communication with families

    People could keep in touch with their families by video call or telephone when needed.

    “Staff also ensured people were able to stay in touch with their families via video calls or phone calls.” from the report
  • Staffing response

    The provider said it had measures to reduce the effect of COVID-19-related staffing pressures and maintain continuity of care.

    “The provider told us they had measures in place to mitigate the risks associated with COVID-19 related staff pressures.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01What are the current arrangements for relatives visiting, including visits in bedrooms and visits at the end of life?
  2. 02How are COVID-19 or other infection risks managed now, including testing, PPE and outbreak arrangements?
  3. 03What measures are used when staffing pressures arise, and how do you make sure people still receive continuity of care?
  4. 04Which more recent full ratings or inspections cover Effective, Caring, Responsive and Well-led care?
  5. 05What are the current requirements for visitors and staff regarding vaccination, testing and infection control?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 8 February 2022 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.

An earlier report, explained

What inspectors found, August 2018

St Andrew's Residential Care Home Limited: Rated Good; inspectors found kind, personalised care and safe, well-managed support.

This was an unannounced inspection on 10 May 2018. Inspectors spoke with people living there, relatives, staff and the manager. They observed care and checked care plans, staff records, medicine records and other management records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. The previous inspection had also rated it Good.

Inspectors found enough staff, safe medicines practice and good infection control. People were supported by trained staff, involved in decisions, treated with dignity and given care that reflected their preferences. The home also provided activities and worked with health professionals when needed.

The manager monitored the quality of care, acted on feedback and used audits to make improvements. No regulations were reported as breached and no enforcement action was mentioned.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people with warmth, dignity and compassion. People were known well and received emotional support.

    “Throughout the inspection we observed staff treating people with dignity, respect and compassion.” from the report
  • Enough staff

    Inspectors found sufficient staff to meet people's needs. Staff were not rushed and responded promptly to requests for help.

    “There were sufficient staff to meet people's needs. Staff were not rushed in their duties and had time to sit and chat with people.” from the report
  • Personalised support

    Care records included people's histories, interests, likes and dislikes. Staff adapted support to individual needs rather than following one routine for everyone.

    “Care records contained details of people's personal histories, likes, dislikes and preferences and included people's preferred names, interests, hobbies and religious needs.” from the report
  • Safe medicines

    Medicine records were accurate and complete. Staff were trained, checked people's consent and followed specific instructions.

    “Medicines were managed safely. Records relating to the administration of medicines were accurate and complete.” from the report
  • Active quality monitoring

    The manager used audits, surveys and meetings to identify improvements. Feedback from people and relatives led to changes such as new menus.

    “The registered manager monitored the quality of service.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How do you currently assess and update each person's risks and care plan when their needs change?
  2. 02How are medicines checked now, and how often is staff competency assessed?
  3. 03What activities are available today, and how are they matched to each person's interests and abilities?
  4. 04How are people and relatives involved in care reviews and decisions about daily support?
  5. 05How do audits, surveys and meetings lead to changes in the home?

This was an unannounced inspection of the overall service, including the premises and care provided, and it assessed all five CQC questions. This explanation was written from the published report of 10 August 2018 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.

The story over the years

Every inspection of St Andrew's Residential Care Home Limited

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at St Andrew's Residential Care Home Limited →

  2. August 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Andrew's Residential Care Home Limited →

  3. July 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. September 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2011

    Registered with the Care Quality Commission on 21 January 2011.

Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.

Next steps

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These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.

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