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CQC report explained · a residential care home

What the CQC found at St Brendans Residential Home

Goodpublished 3 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured about the home's infection prevention and control arrangements, including protective equipment, testing, hygiene and outbreak management.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, December 2020

Inspected but not rated; inspectors were assured about infection prevention and control measures.

This was an announced, targeted inspection on 3 December 2020. Inspectors checked infection prevention and control because of coronavirus outbreaks in care homes.

The inspectors were assured that the home was using protective equipment safely, supporting testing, following shielding and social distancing rules, and managing admissions safely.

They also found extra checks on infection control, plans for responding to a COVID-19 outbreak, and increased staffing to support social contact for people in isolation.

The home was closed to visitors during the inspection. Written plans were in place for visits to restart, including booking, protective equipment and cleaning between visits. The service was inspected but not rated, so this report does not give an overall quality rating.

What inspectors praised
  • Infection control checks

    The provider had added quality checks to make sure staff followed infection prevention and control practices.

    “The provider had implemented additional quality checks to ensure staff were following the correct Infection control and prevention practices in the home.” from the report
  • Outbreak planning

    Policies, procedures and contingency plans were in place to support a prompt response to a COVID-19 outbreak.

    “The provider had policies, procedures and contingency plans in place to support the staff in taking prompt actions should there be a COVID-19 outbreak in the service.” from the report
  • Support during isolation

    Staffing levels had been increased to provide social stimulation for people who were isolating.

    “The provider told us they had increased staffing levels to support provision of social stimulation where people were in isolation.” from the report
  • Planned visitor safety

    Written guidance covered visitor bookings, protective equipment and cleaning of the visiting area when visits restarted.

    “This included a booking system for visitors, provision of Personal Protective Equipment and a clean of the visiting area at the end of each visit.” 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. 01How are the infection prevention and control checks working now?
  2. 02What arrangements are currently in place for visitors, including booking, protective equipment and cleaning?
  3. 03How would you respond if there was a COVID-19 outbreak in the home?
  4. 04How do you support residents with social contact if they need to isolate?
  5. 05How are people admitted safely and tested when they move into the home?

This was a targeted inspection of infection prevention and control practices only; the service was inspected but not rated and the other areas of care were not assessed. This explanation was written from the published report of 18 December 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.

An earlier report, explained

What inspectors found, March 2020

St Brendans Residential Home was rated Good; inspectors found safe, kind care, with some records and specialist food knowledge needing improvement.

This was an unannounced inspection on 5 February 2020. Inspectors spoke with four people, a relative, staff, the manager, the provider and a visiting district nurse. They also observed care and checked care records, medicines, recruitment checks and safety records.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People appeared relaxed and comfortable. Inspectors found a friendly atmosphere, kind staff, suitable risk assessments, safe medicines processes and enough staff to meet people's needs.

There were some areas to improve. One chef's knowledge about specialist diets for people at risk of choking needed improvement. Records did not always show how people had been involved in care reviews or how their personal interests had been explored. The manager said these issues would be addressed.

What inspectors praised
  • People felt safe

    Risk assessments clearly described people's risks and told staff how to respond. Safety checks were completed for the building and equipment.

    “People had risk assessments in place. These records clearly highlighted to staff what risks people faced.” from the report
  • Kind and respectful care

    Staff were attentive and supported people's dignity, privacy and independence. They spent time with people who needed extra social contact.

    “We saw staff and people interacting in a friendly and kind way.” from the report
  • Good health support

    The home monitored people's health and acted quickly when they became unwell. Staff made referrals to other health professionals when needed.

    “When people had shown signs of not being well, appropriate action had been taken to get them the health care they needed.” from the report
  • Positive leadership

    The manager was closely involved in the home and responded positively to suggestions. Inspectors found a friendly and inclusive culture.

    “There was a positive culture at the home. Staff were open, friendly, and knew about people's needs and preferences.” from the report
What inspectors were concerned about
  • Specialist food knowledge

    needs fixing

    One chef's knowledge about specialist diets for people at risk of choking needed improvement. The manager had started to address this.

    “Although, we found one of the chef's knowledge in this area needed improving.” from the report
  • Care review records

    needs fixing

    Records did not always show that people had been consulted during care reviews. They also did not always show that particular interests had been explored.

    “People's records of their reviews of their care did not always show how they had been consulted with.” from the report
  • End of life plans

    minor

    End of life plans were in place, but the manager said they needed revising to include more detail about people's wishes and wants.

    “The registered manager told us they were going to start revising these plans to build upon their wishes and wants at this time.” from the report
Questions to ask them, based on this report
  1. 01How do you make sure chefs understand each person's specialist diet and choking risks?
  2. 02How will you record my relative's views and involvement in care reviews?
  3. 03How do you find out and record a resident's personal interests and make sure these are supported?
  4. 04How often are end of life plans reviewed, and how are people's wishes and wants added?
  5. 05What changes have been made since the inspection to improve the areas identified by inspectors?

This was an unannounced planned inspection covering all five CQC questions, and the report says both the premises and the care provided were looked at. This explanation was written from the published report of 3 March 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 Brendans Residential Home

3 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. December 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at St Brendans Residential Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Brendans Residential Home →

  3. August 2017Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2016Requires improvement
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  5. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. April 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. June 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. February 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. March 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  12. January 2011

    Registered with the Care Quality Commission on 20 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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