CQC report explained · a nursing home
What the CQC found at St Annes Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, July 2023
St Annes Nursing Home is Rated Good; inspectors found kind, safe care but improvements were needed in staff training and care records.
This was an unannounced inspection over three days. Inspectors spoke with 17 people and relatives, 11 staff, and reviewed care records, staff files, medicines records, audits and safety information.
The home was rated Good overall. Safe, caring, responsive and well-led were rated Good. Inspectors found enough staff, safe medicines arrangements, respectful care, personalised care plans and good access to health professionals.
Effective was rated Requires Improvement. Some staff had not completed mandatory training updates or regular supervision. Fluid records and some care records were not always accurate, making it difficult to show that care was delivered as planned.
People felt safe
People and relatives told inspectors they felt safe. Inspectors found suitable risk assessments, safe equipment and enough staff to meet people's needs.
“People and relatives told us they felt safe living at the service.” from the report
Kind and respectful care
Staff were described as caring and attentive. Inspectors saw staff treating people patiently and respectfully, while supporting privacy and dignity.
“We observed staff supporting people patiently, speaking to them in a respectful manner and being attentive to their requests.” from the report
Personalised support
Care plans included people's medical backgrounds, life histories, preferences and wishes about independence. Relatives said they were involved and kept updated.
“People and relatives were involved in planning and reviewing their care.” from the report
Access to healthcare
The home made referrals to relevant health professionals and arranged weekly GP visits. Inspectors found that people's changing health needs were responded to.
“The provider had arranged weekly visits and consultations with the local GP.” from the report
Open leadership
The clinical lead had identified the home's strengths and challenges, used audits and worked on a service improvement plan.
“The clinical lead completed regular audits of care records, infection control, medicines records and health and safety.” from the report
Training was overdue
needs fixingThirteen staff were overdue mandatory training updates, including safeguarding, health and safety, infection control and the Mental Capacity Act. The home said it was addressing this.
“The clinical lead confirmed that there were 13 staff overdue their training updates and told us they were addressing this with staff.” from the report
Limited staff supervision
needs fixingA significant number of staff had not received regular supervision. This reduced opportunities to review their performance and development needs.
“This meant there was limited opportunity to review staff's working performance and development needs.” from the report
Inaccurate fluid records
needs fixingRecords for people at risk of dehydration had gaps and electronic system problems. This made it difficult to know exactly how much fluid people had received.
“This made it difficult to determine or monitor the exact amount the people received.” from the report
Care records did not always match care
needs fixingSome care records did not accurately show the care people received. Inspectors found gaps in one person's repositioning records that senior staff had not identified or addressed.
“Care records were not always accurately completed and did not always reflect the care people received.” from the report
- 01Have all staff now completed the overdue mandatory training, especially safeguarding, infection control and the Mental Capacity Act?
- 02How often will staff receive supervision, and how will the home check that this is happening?
- 03How are fluid records for people at risk of dehydration now checked for gaps and electronic recording errors?
- 04How does the home check that care records accurately show repositioning and other care that has been provided?
- 05What progress has been made with the service improvement plan since the inspection?
This was an unannounced inspection covering all five key questions, including infection prevention and control; the previous overall rating was Good, published on 5 April 2019. This explanation was written from the published report of 21 July 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.
What inspectors found, April 2019
St Annes Nursing Home was rated Good; inspectors found safe, kind and personalised care, with activities not suiting everyone.
Inspectors made an unannounced visit and spoke with people, relatives, staff and managers. They reviewed care plans, medicines records, complaints, incident records, audits and staff training information.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitably skilled staff, safe medicines systems, good support with health and nutrition, and care that respected people's choices and dignity.
The home had improved from Requires Improvement at the previous inspection. Earlier problems with staff recruitment and reporting incidents to the CQC had been addressed. Inspectors found no concerns at this inspection.
Safe staffing
The home had improved its recruitment checks since the previous inspection. Inspectors found enough suitably skilled and qualified staff to meet people's needs.
“There were enough suitably skilled and qualified staff to meet people's needs.” from the report
Kind, respectful care
Staff knew people's preferences and supported them with patience, dignity and respect. People and relatives said staff were caring and kind.
“Staff were patient and discreet when supporting people with their personal care.” from the report
Good health support
Staff monitored people's health and made timely referrals to doctors and other professionals. Nutrition, hydration and pressure injury risks were also assessed and managed.
“When people were unwell, staff quickly made referrals to health professionals such as doctors and implemented changes to people's care as recommended.” from the report
Active management
The manager was visible, approachable and involved in the day-to-day running of the home. Audits were used to identify problems and make changes.
“The registered manager was a visible presence at the service and took an active role in supporting staff and engaging with people about their experiences of receiving care.” from the report
Activities did not suit everyone
minorThe home offered games, quizzes, church services and entertainment, but people gave mixed feedback. The manager was recruiting dedicated activities staff to improve the range and frequency.
“The provider organised activities for people, although there was mixed feedback about the activities on offer.” from the report
- 01What activities are now available, and how are they matched to my relative's interests and abilities?
- 02Has a dedicated activities staff member been recruited, and has this improved the range and frequency of activities?
- 03How will you support my relative if they are reluctant to receive personal care?
- 04How do you check that medicines are given safely and at the right time?
- 05How will you keep our family informed about changes in my relative's health or care?
This was an unannounced inspection of the whole care home, including the premises and care provided, and it assessed all five CQC questions; the report gives conflicting visit dates in different sections. This explanation was written from the published report of 5 April 2019 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 Annes Nursing Home
6 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- July 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- April 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- May 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- June 2017Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- May 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: Requires improvementResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- November 2014
Report published without a new overall rating.
- September 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 17 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.
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Most charge £980 to £1,350 a week. 39 can care for a couple. 11 years' experience on average.
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