CQC report explained · a residential care home
What the CQC found at St Anne's Residential Home Limited
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were being managed, including the use of protective equipment, testing, social distancing, cleaning and arrangements for visitors.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection control and support for people's contact with family and friends.
This was an announced inspection on 27 October 2020. It was part of a CQC review of infection prevention and control in care homes during the coronavirus pandemic.
Inspectors found that the home was following up-to-date infection control guidance. They were assured about visitors, social distancing, shielding, admissions, protective equipment, testing, cleaning, outbreak management and the infection control policy.
Staff received training and support. People were helped to stay safe while taking part in activities and using communal areas. The home also supported phone and video calls and arranged safe visits.
Infection control guidance
Staff were following current infection prevention and control guidance. Training and regular updates helped staff understand the safety measures in place.
“The staff were following up to date infection prevention and control guidance to help people to stay safe.” from the report
Contact with family
People were supported to keep in touch with family and friends through calls and safely arranged visits.
“Staff helped people to stay in touch with family and friends through phone and video calls.” from the report
Support during the pandemic
People could take part in activities and use communal areas while safety measures were maintained. Staff also received emotional support during the pandemic.
“The registered manager ensured staff had access to additional support, including contact by phone and one-to-one meetings, with any emotional support needed in response to the pandemic.” from the report
Inspectors raised no specific concerns in this report.
- 01How are the infection prevention and control measures described in this report being used now?
- 02How does the home currently manage visits from family and friends?
- 03How are people supported to take part in activities and use communal areas safely?
- 04How does the home provide testing and protective equipment for people and staff?
- 05How are staff given updates and support when infection risks change?
This was an announced thematic review focused on infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the report does not assess the other key questions. This explanation was written from the published report of 10 November 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.
What inspectors found, February 2020
Rated Good; inspectors found safe, kind and personalised care, with some care records still being improved.
This was an unannounced inspection over two days. The inspector spoke with people living at the home, relatives, staff and visiting professionals. They reviewed care records, medicines, recruitment, training, accidents, incidents and quality checks.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People said they felt safe and cared for. Inspectors saw kind interactions, suitable staffing, safe medicines practice and support that respected people's choices.
The home was reviewing all care plans to make them more personalised. Inspectors also found limited guidance in some fluid monitoring records, and said daily notes about how people spent their day could include more detail.
Kind relationships
People and relatives spoke positively about staff. Inspectors saw staff offering reassurance, support and friendly conversation.
“Throughout the inspection we saw acts of kindness with staff providing reassurance and support.” from the report
Safe staffing
Staffing levels had increased since the previous inspection. Inspectors found enough staff to meet people's needs, and recruitment checks had been completed.
“There were enough staff to meet people's needs. Staff spent time with people helping them with tasks and chatting to them.” from the report
Activities and connections
Activities were linked to people's interests and included entertainers, outings, games and crafts. Visitors were welcomed and people were supported to stay in touch with family and friends.
“People had access to a range of meaningful activities that met their individual social and emotional needs.” from the report
Visible management
The management team was available to people and staff. Audits covered several important areas and were used to make improvements.
“Audits of many aspects of the service were taking place including infection control, care plans, health and safety and medicines administration.” from the report
Fluid monitoring guidance
needs fixingSome people had fluid charts, but the records did not clearly explain the required fluid amounts, why monitoring was needed or who staff should contact if concerned. The manager sought guidance from health professionals during the inspection.
“However, there was limited guidance on the amount of fluid levels a person should be consuming, the reason for the monitoring, and when or to whom they sought advice if they had concerns.” from the report
Care record detail
minorThe manager was reviewing care plans to make them more person-centred. Inspectors also said daily records could give more detail about how people spent their day.
“Details of how the person spent their day would benefit from expansion.” from the report
- 01How will you make sure my relative's fluid target, monitoring reason and escalation arrangements are clearly recorded?
- 02How will you finish reviewing my relative's care plan and make sure it reflects their personal needs and preferences?
- 03How do staff record what my relative has done and how they have spent their day?
- 04How do you check that staffing levels remain enough for people's current care needs?
- 05How can my relative and our family contribute to resident meetings, care plan reviews and complaints?
This was an unannounced, planned inspection covering all five CQC questions, with the overall rating and each question rating assessed during the visit. This explanation was written from the published report of 15 February 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.
Every inspection of St Anne's Residential Home Limited
2 rated inspections over 3 years: the service has held its Good rating throughout.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at St Anne's Residential Home Limited →
- February 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at St Anne's Residential Home Limited →
- August 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2015
Registered with the Care Quality Commission on 22 September 2015.
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.
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