CQC report explained · a nursing home
What the CQC found at St Bernadettes Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- The inspection looked at infection prevention and control. Inspectors were assured about most areas, but were only somewhat assured about recording completed cleaning.
- Effective?
- Good
- This was not assessed in this targeted inspection.
- Caring?
- Good
- This was not assessed in this targeted inspection.
- Responsive?
- Good
- This was not assessed in this targeted inspection.
- Well-led?
- Good
- This was not assessed in this targeted inspection.
What inspectors found, March 2021
Inspected but not rated; inspectors found good infection control overall, but cleaning records needed improvement.
This was a targeted, announced inspection on 22 January 2021. It looked at infection prevention and control during the coronavirus pandemic, rather than the full range of care quality.
Inspectors found the home was hygienically clean. Staff had suitable protective equipment, received training, and were checked on how to use it. People and staff were tested for coronavirus, and isolation procedures were used when needed.
The home had suitable arrangements for visitors and its infection control policy was up to date. Inspectors were only somewhat assured about how cleaning was recorded, and recommended that these systems be developed. The service was inspected but not rated.
Clean environment
Inspectors found the home hygienically clean, with cleaning schedules intended to reduce the risk of infection spreading.
“The service was hygienically clean. Cleaning schedules helped make sure all areas of the service were regularly cleaned to reduce the risk of people catching or spreading coronavirus.” from the report
Protective equipment
Staff had the protective equipment they needed. They were trained and checked on how and when to use it.
“Staff had the personal protective equipment (PPE) they needed to help keep them and the people they supported safe.” from the report
Testing and isolation
People and staff were screened and tested for coronavirus. Isolation procedures were followed when necessary.
“Staff and people who used the service were screened for symptoms of coronavirus. They accessed regular testing and followed isolation procedures when necessary” from the report
Visitor arrangements
Visitor restrictions followed government guidance, with a process for allowing essential visitors safely.
“Visitor restrictions followed current government guidance. There was a procedure in place to safely allow essential visitors into the service.” from the report
Cleaning records
needs fixingInspectors were only somewhat assured about the systems for recording completed cleaning. They recommended that these systems and processes be developed.
“We recommended the provider continue to develop their systems and processes for recording cleaning completed.” from the report
- 01How have you improved the systems for recording cleaning since the inspection?
- 02How do you check that cleaning has been completed and recorded every day?
- 03What coronavirus testing and isolation arrangements are currently in place for residents and staff?
- 04How are essential visitors allowed into the home safely now?
- 05What training and checks do staff receive on using protective equipment?
This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 18 March 2021 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, September 2019
Rated Good; inspectors found major improvements in safety, care, activities and management since the previous inspection.
Inspectors visited without warning on 29 and 31 July 2019. They spoke with six people, two relatives or visitors, ten staff members and a health professional. They also observed the home and checked care, medicine, recruitment and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safer medicine systems, improved care records, better staff training and kind, respectful support.
People and relatives said cleanliness, staffing and communication had improved. Food, activities and support with health needs were also viewed positively. The home had addressed the concerns from the previous inspection and was no longer breaching regulations.
Safer care
Staff assessed risks and had guidance on how to support people safely. Medicines, equipment and infection control were managed appropriately.
“Medicines were safely received, stored, administered and returned to the pharmacy when they were no longer required.” from the report
Kind and respectful staff
People were supported with dignity and encouraged to make choices. Staff also helped people remain as independent as possible.
“Staff spoke with people in a polite and respectful way and showed an interest in what people wanted to say to them.” from the report
Improved care records
Care plans and risk assessments had been reviewed and updated. They reflected people's needs and were changed when those needs changed.
“Improvements had been made to the quality of care records. They were detailed, up to date and reflected the care being delivered.” from the report
Better leadership
The new manager had improved oversight, staff morale and communication with families. Quality checks were described as thorough.
“The recruitment of a new manager had resulted in significant improvement around leadership, oversight and management within the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you now make sure activities suit each person's interests, abilities and choices?
- 02How often are care plans and risk assessments reviewed when a person's needs change?
- 03How do you check that medicines continue to be given safely and on time?
- 04How do you keep families updated about changes in their relative's health and care?
- 05What action do you take if staffing levels or staff training fall below the required standard?
This was an unannounced planned inspection that covered all five CQC questions, with the previous rating and action plan used to focus the visit. This explanation was written from the published report of 3 September 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 Bernadettes Nursing Home
4 rated inspections over 3 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- October 2014
Report published without a new overall rating.
- July 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2012
Report published without a new overall rating.
- January 2012
Report published without a new overall rating.
- February 2011
Registered with the Care Quality Commission on 14 February 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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28 live-in carers within about an hour of North Yorkshire
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.
Most charge £1,010 to £1,290 a week. 27 can care for a couple. 12 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
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Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.