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CQC report explained · a nursing home

What the CQC found at St Bartholomews Court Nursing Home

Goodpublished 19 September 2018, 8 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found suitable safeguarding procedures, risk assessments, staffing and recruitment checks. Medicines were stored and administered safely, but hot water monitoring needed improvement and bushes near bedroom windows needed attention; both issues were dealt with quickly.
Effective?
Good
Staff received regular training and supervision. People had access to suitable food, GPs and other health professionals, including a multi-disciplinary team for people receiving reablement support.
Caring?
Good
People and families spoke positively about staff being kind, patient and friendly. People were supported to make choices, maintain independence, keep in touch with family and follow their faith.
Responsive?
Good
Care plans recorded people's needs, wishes and preferences and were reviewed regularly. The home provided activities, end-of-life care plans, a relatives' room and a complaints procedure.
Well-led?
Good
A registered manager was in post and staff described the home as well managed. Regular audits, surveys, feedback and partnership working were used to monitor and improve care.
The latest report, explained

What inspectors found, September 2018

St Bartholomews Court Nursing Home is rated Good; inspectors found safe, kind and well-managed care, with two minor issues dealt with during the inspection.

The inspection took place on 21, 25 June and 19 July 2018. The first visit was unannounced. Inspectors spoke with people living there, staff, a GP, the registered manager and visiting families. They also checked care plans, medicines records, policies and management records.

The home provides nursing care and support for up to 51 people. It also has a unit for short-term rehabilitation and support after hospital discharge. At the inspection, 46 people were using the service.

All five areas were rated Good: safe, effective, caring, responsive and well-led. Inspectors found safe medicines management, suitable staffing, regular staff training, kind care, personalised care plans, activities and regular checks on the quality of care.

The overall rating was unchanged from the previous inspection in December 2015. A Good rating means the inspectors found the service met the relevant standards at the time of this inspection, although they did identify two minor improvements that were acted on quickly.

What inspectors praised
  • Safe medicines

    Inspectors checked a sample of medicines and administration records and found them correct. Medicines were also stored safely and at the right temperature.

    “We looked at a random sampling of people's medicines and administration records, both paper and electronic, and found them to be correct.” from the report
  • Kind and respectful care

    People and families described staff as kind, patient, caring and friendly. Staff supported people to make choices and do as much as possible for themselves.

    “Family members told us, "The [staff] are kind and patient and have a laugh which is just as important” from the report
  • Food and health support

    People had choices at mealtimes and received help with special diets, allergies and different food textures. Health professionals were available when needed.

    “The head chef continued to be involved in planning people's meals in relation to their specific health needs” from the report
  • Checks on quality

    The registered manager used regular internal audits, feedback and partnership working to monitor the service and identify improvements.

    “Regular internal audits took place to ensure the service remained safe for people and that any improvements needed were identified and addressed.” from the report
What inspectors were concerned about
  • Hot water monitoring

    minor

    Inspectors found an improvement was needed in how hot water temperatures were monitored. The report says the issue was corrected immediately.

    “We identified an area of improvement in relation to the monitoring of hot water temperatures.” from the report
  • Busy evening staffing

    minor

    One family member felt more staff were needed between 6pm and 8pm. The registered manager said an additional staff member was being made available during busier times.

    “Another told us that they felt there were sufficient staff during the day but more were needed between 6pm and 8pm.” from the report
Questions to ask them, based on this report
  1. 01How many staff are available between 6pm and 8pm, and how do you check whether this is enough for residents' needs?
  2. 02How are hot water temperatures monitored now, and how often are the checks recorded?
  3. 03How will you make sure medicines continue to be given at the correct time and recorded accurately?
  4. 04How are residents and families involved in reviewing care plans and making decisions about daily care?
  5. 05What activities and support are available for people who prefer to spend time in their rooms?

This was an inspection of the overall service, covering all five key questions; the overall Good rating remained unchanged from December 2015. This explanation was written from the published report of 19 September 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 Bartholomews Court Nursing Home

2 rated inspections over 3 years: the service has held its Good rating throughout.

  1. September 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Bartholomews Court Nursing Home →

  2. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2011

    Registered with the Care Quality Commission on 14 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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