CQC report explained · a residential care home
What the CQC found at St Catherine Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about visitors, admissions, testing and managing outbreaks. They were only somewhat assured about PPE use and the infection control policy because face coverings, PPE disposal and monitoring were not always in line with guidance.
- 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, April 2021
St Catherine Rest Home was inspected but not rated; inspectors found good infection control arrangements but some unsafe PPE practices.
This was an announced, targeted inspection on 29 January 2021. It looked at infection prevention and control during the COVID-19 pandemic.
Inspectors were assured about visiting arrangements, safe admissions, testing, and managing infection outbreaks. People who tested positive were isolated in line with national guidance.
Inspectors were only somewhat assured that PPE was used safely and that the infection control policy and checks were up to date. The service was inspected but not rated, so this report does not provide a full overall quality rating.
Safer visiting
The home had a planned visiting process, including temperature checks, protective equipment and social distancing.
“The provider had a process in place to ensure people could visit the service in a safe way to help prevent the spread of infection.” from the report
Testing and outbreak planning
The home was carrying out whole-home testing and had arrangements for isolating someone who tested positive.
“Whole home testing was being carried out in line with government guidance.” from the report
Safe admissions
Inspectors found that national guidance had been followed when admitting someone from a designated setting, with extra measures put in place.
“The provider had followed national guidance when admitting a person from a designated setting.” from the report
Face coverings and PPE
needs fixingNot all staff wore face coverings correctly in communal areas. Inspectors also saw PPE being handled and disposed of in ways that did not follow national guidance.
“Not all staff wore face coverings appropriately while in communal spaces at the service which was not in line with national guidance.” from the report
Infection control checks
needs fixingThe infection control policy did not include all national guidance, and the audits did not show that PPE use and COVID-19 measures were routinely monitored.
“The IPC audits provided did not demonstrate that PPE use and COVID-19 IPC measures were routinely monitored.” from the report
- 01What refresher training was given to staff about infection prevention, face coverings and PPE?
- 02How do you now check that staff wear and dispose of PPE correctly in communal areas?
- 03Has the infection prevention and control policy been updated to include all relevant national guidance?
- 04How often are infection control and PPE checks carried out, and what happens when problems are found?
- 05How are visits arranged now, and what measures are used to reduce infection risks?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 9 April 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, May 2018
St Catherine Rest Home is rated Good; inspectors found safe, kind and personalised care, with minor issues about decoration and meal timing.
The inspection was unannounced and took place on 27 March 2018. The inspector, a specialist nurse and an expert by experience spoke with people, relatives, staff and managers. They reviewed care plans, recruitment files, risk assessments, medicine records and quality checks.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found thorough risk assessments, safe medicines management, enough staff, suitable training and good support with food, healthcare and consent.
People were treated kindly and with dignity. Care plans included people's preferences, histories and activities, and complaints were dealt with within the home's stated timescales. The home was clean, although some bedrooms had peeling paint and inspectors observed some confusion when desserts were served before main courses.
The previous inspection in February 2017 found breaches involving medicines, risk assessments, the premises and reporting incidents to the CQC. Inspectors said all of these breaches had been addressed by this inspection.
Safe medicines and risk management
Medicines were securely stored, records were complete and regular audits were carried out. Risk assessments were detailed, personalised and reviewed monthly.
“Medicines were stored and managed safely with regular audits taking place.” from the report
Kind and dignified care
People and relatives described staff as caring and friendly. Staff supported people's choices, privacy and independence.
“People were treated with kindness and respect.” from the report
Personalised care
Care plans recorded people's backgrounds, preferences, needs and activities. Families were involved in care planning and reviews.
“Care plans were detailed and contained relevant information about people who used the service and their needs such as their preferences and life history.” from the report
Support with food and health
People helped plan weekly menus and were supported with dietary needs, weight monitoring and access to health professionals.
“People were supported to have enough to eat and drink in line with their preferences and dietary needs.” from the report
Improvements since the previous inspection
The provider had corrected the earlier problems with medicines, risk assessments, the garden and unsafe storage. The home had also improved its reporting of notifiable incidents.
“At this inspection, we found the provider had taken steps to make improvements and had addressed all of the breaches identified at our previous inspection.” from the report
Some bedrooms needed redecoration
minorInspectors saw peeling paint on some bedroom walls. They recommended following best practice for the design and redecoration of the home.
“however some bedrooms had peeling paint on the walls.” from the report
Meal timing could cause confusion
minorTwo people were given dessert before finishing their main course. One person became confused and another mixed the meat with the dessert.
“One was confused by this and didn't know which to eat.” from the report
- 01What work has been completed on the bedrooms where inspectors saw peeling paint?
- 02How do you now make sure main courses and desserts are served in an order that suits each person?
- 03How often are medicines audits and risk assessment reviews completed now?
- 04How are families involved in care plan reviews and best-interest decisions?
- 05How do you make sure incidents are reported to the CQC and other organisations when required?
This was an unannounced inspection of the overall service, covering all five CQC questions and reviewing care, staffing, medicines, records, premises and quality systems. This explanation was written from the published report of 5 May 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.
Every inspection of St Catherine Rest Home
4 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- April 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- May 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- July 2016Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementWell-led: Requires improvement
- February 2016Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- December 2013
Registered with the Care Quality Commission on 19 December 2013.
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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At least 100 live-in carers within about an hour of Waltham Forest
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 £980 to £1,200 a week. 77 can care for a couple. 11 years' experience on average.
“Sidonia is a first class live-in carer whose dedication and thoughtfulness made her stay a happy experience.”
“Charity would take Nan on holidays day trips and shopping adventures”
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