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CQC report explained · a nursing home

What the CQC found at St Anne's Home - London

Goodpublished 18 April 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. There were enough staff, risk assessments were in place, medicines were managed safely and infection control arrangements were suitable.
Effective?
Good
This question was not inspected during this visit. Its previous rating was carried forward.
Caring?
Good
This question was not inspected during this visit. Its previous rating was carried forward.
Responsive?
Good
This question was not inspected during this visit. Its previous rating was carried forward.
Well-led?
Good
Inspectors found clearer roles, improved quality monitoring and a positive culture. People, relatives and staff spoke positively about the management.
The latest report, explained

What inspectors found, April 2023

St Anne's Home - London is rated Good; inspectors found safe care and stronger management, with one medicines communication issue still being addressed.

The inspection was unannounced and took place on 24 February, 28 February and 10 March 2023. One inspector observed care, spoke with people, a relative and staff, and checked care, medicines, risk, recruitment and management records.

The home was rated Good overall. Safe and Well-led were both rated Good. Inspectors found enough staff, safe recruitment, improved medicines management, suitable infection control and systems for learning from accidents and incidents.

The home had previously been rated Requires Improvement in December 2019 and was in breach of a regulation. Inspectors found that improvements had been made and the home was no longer in breach.

This was a focused inspection of Safe and Well-led. The other three ratings were carried over from the previous inspection, so they were not reassessed during this visit.

What inspectors praised
  • Safer medicines

    Medicines systems had improved since the previous inspection. Staff were trained and checked as competent, and inspectors found assurance that medicines were given safely and as prescribed.

    “We checked 6 people's medicines including controlled drugs and found a level of assurance that people received their medicines safely, consistently and as prescribed.” from the report
  • Enough staff

    Inspectors found enough staff to meet people's needs. People did not have to wait long for assistance, and recruitment checks were completed.

    “There were enough staff on duty to meet people's needs. People, a relative and records confirmed this.” from the report
  • People felt safe

    People said they felt safe, and staff understood how to report suspected abuse. Risk assessments covered issues such as falls, mobility and skin integrity.

    “People told us they felt safe at the service.” from the report
  • Improved oversight

    The provider had improved its quality monitoring and auditing. A dedicated clinical lead and pharmacist checks supported safer medicines management.

    “At this inspection, the provider had made improvements.” from the report
  • Kind and respectful culture

    People and relatives spoke positively about staff and managers. Inspectors found the culture open, inclusive and respectful.

    “People spoke positively about the staff and managers at the service.” from the report
What inspectors were concerned about
  • Medicine changes

    needs fixing

    One of five recommendations from a pharmacist check was still ongoing. It concerned keeping communication about medicine changes effective.

    “Four out of the five recommendations had been completed and one was ongoing in relation to maintaining effective communication about medicine changes.” from the report
  • Fire training updates

    minor

    Inspectors found some slippage in staff fire-training updates. The training officer had addressed this, but families may wish to ask how it is kept up to date.

    “It was noted although all staff had received fire training there had been some slippage on updates.” from the report
Questions to ask them, based on this report
  1. 01How are you completing and checking the remaining action about communication when medicines are changed?
  2. 02How often are staff fire-training updates completed, and how do you check that no updates are missed?
  3. 03What were the results of the recent satisfaction survey, and what improvements will follow from it?
  4. 04How will you continue the medicine checks introduced since the previous inspection?
  5. 05Can you explain which ratings were carried over because they were not assessed during this inspection?

This was a focused inspection of Safe and Well-led, including infection prevention and control under Safe; the Effective, Caring and Responsive ratings were carried over from the previous inspection. This explanation was written from the published report of 18 April 2023 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 2020

Inspected but not rated; inspectors found strong infection control measures during the coronavirus pandemic.

The inspection took place on 6 August 2020. It was an announced, targeted inspection focused only on infection prevention and control in response to coronavirus.

Inspectors found good practice at the home. Visitors had to sign in, use hand sanitiser and wear protective equipment. Visiting was limited to one person at a booked time, and the home took part in NHS Test and Trace.

Inspectors said they were assured about infection control, including protective equipment, testing, safe admissions, social distancing, hygiene and managing possible outbreaks. The home was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Visitor infection checks

    Infection control checks started when visitors entered the home. Visitors had to sign in, use hand sanitiser and wear a mask and gloves.

    “Infection control was monitored as soon as you entered the service.” from the report
  • Controlled visiting

    The home limited visits to one person at a time and required visitors to book a time slot.

    “The service had a strict visiting policy to reduce the spread of the virus.” from the report
  • Protective equipment and testing

    Inspectors were assured that protective equipment was used safely and that testing was available for residents and staff.

    “We were assured that the provider was using PPE effectively and safely.” 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 infection control and protective equipment arrangements are in place now?
  2. 02How are visitors currently booked, checked and recorded when they arrive?
  3. 03How do you test residents and staff when infection is suspected or there is an outbreak?
  4. 04How do you manage new admissions safely?
  5. 05What arrangements are in place to prevent or manage an infection outbreak?

This was a targeted inspection of infection prevention and control during the coronavirus pandemic; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 21 August 2020 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 Anne's Home - London

5 rated inspections over 6 years: the service has held its Good rating throughout.

  1. April 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Anne's Home - London →

  2. August 2020Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at St Anne's Home - London →

  3. December 2019Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. November 2018Requires improvementdown from Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. April 2017Goodstayed Good
    Safe: Good

    Read this report on cqc.org.uk

  6. October 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  7. August 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. November 2010

    Registered with the Care Quality Commission on 16 November 2010.

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

Weigh the report against the rest

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