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CQC report explained · a residential care home

What the CQC found at St Catherine's Care Home

Goodpublished 8 September 2021, 5 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 infection prevention, personal protective equipment, testing, admissions, visiting arrangements and the management of infection outbreaks. The provider also told inspectors it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
This area was not assessed in this targeted inspection.
Caring?
Good
This area was not assessed in this targeted inspection.
Responsive?
Good
This area was not assessed in this targeted inspection.
Well-led?
Good
This area was not assessed in this targeted inspection. The report says there was no registered manager in post at the time, although recruitment was under way.
The latest report, explained

What inspectors found, February 2022

Inspected but not rated; inspectors were assured about infection prevention, visiting arrangements and COVID-19 safety measures.

This was an announced, targeted inspection on 25 January 2022. It looked mainly at infection prevention and control, visiting arrangements and the effect of COVID-19 staffing pressures.

The inspectors were assured that the home was using personal protective equipment safely, arranging testing, managing visits and admissions safely, and keeping its infection control policy up to date. They also found measures to protect staff and residents, including temperature checks and air sterilisation systems.

The home was being extensively refurbished and was supporting up to six people at the time, although it was registered for up to 55. There was no registered manager in post, but the home was recruiting for the role.

The service was inspected but not rated. This means the visit did not provide a new overall quality rating.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had arrangements to prevent and manage infections, including safe use of protective equipment, testing and visiting procedures.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • COVID-19 technology

    The home had invested in equipment intended to reduce infection risks for residents and staff.

    “This included electronic temperature checking devices at entrances and whole room air sterilisation systems.” from the report
  • Staff wellbeing

    The home provided wellbeing information and access to further support for staff during the pandemic.

    “The service had focused on supporting the mental health and wellbeing of staff throughout the pandemic.” from the report
What inspectors were concerned about
  • No registered manager

    minor

    There was no registered manager in post when inspectors visited. Recruitment was in progress, so families should ask who is currently responsible for the home and when registration is expected.

    “At the time of our visit, the location did not have a registered manager registered with CQC; however, was in the process of recruiting to this role.” from the report
Questions to ask them, based on this report
  1. 01Who is currently managing the home, and what is the progress of the recruitment and registration of a manager?
  2. 02Has the extensive refurbishment been completed, and how many people does the home currently support?
  3. 03What arrangements are now in place for COVID-19 testing, protective equipment and infection outbreak management?
  4. 04How are staffing pressures being managed now, and what effect do they have on residents' care?
  5. 05What are the current visiting arrangements?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide ratings for the other key areas or an overall quality rating. This explanation was written from the published report of 9 February 2022 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, September 2021

St Catherine's Care Home is rated Good; inspectors found safer care, reliable medicines support and stronger management.

This was an unannounced, focused inspection on 11 August 2021. Two inspectors spoke with people, relatives, staff and a healthcare professional. They observed care and checked care, medicines, recruitment, agency staff, building safety and management records.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, safer medicines practice, suitable infection control and better checks on risks and incidents. People were protected from abuse and avoidable harm.

The home had improved since its previous inspection, which was rated Requires Improvement in October 2019. The previous breaches of Regulations 12 and 17 had been addressed, and the provider was no longer in breach.

This was not a full inspection of all five areas. The overall Good rating includes ratings for other areas carried over from the earlier comprehensive inspection.

What inspectors praised
  • Medicines were managed safely

    Staff gave medicines on time and as prescribed. Records, storage and disposal were checked, and managers monitored staff competence.

    “Staff administered people's medicines on time and as prescribed. Staff kept accurate medicines records” from the report
  • Enough staff

    Inspectors found enough staff to care for people safely. Agency staff were checked and given an induction before working in the home.

    “There were enough staff to care for people safely.” from the report
  • Stronger management checks

    Managers used audits and checks to identify risks and improvements. Incidents were investigated and lessons were shared with staff.

    “The manager thoroughly investigated safety related incidents and identified actions to prevent reoccurrence.” from the report
  • Positive staff culture

    Inspectors described the atmosphere as warm and welcoming. Feedback from people, relatives, staff and professionals was positive.

    “The atmosphere in the service was warm and welcoming and people benefitted from a compassionate and caring team of staff.” from the report
What inspectors were concerned about
  • Dementia training was still planned

    minor

    The manager said further training for staff supporting people living with dementia was planned. The report does not say that this was a breach.

    “The manager told us additional training was planned for staff in supporting people living with dementia.” from the report
  • Audit arrangements were still developing

    minor

    The manager planned to centralise audits to gain fuller oversight of the service. The report says improvements had already been made, but this further change was still planned.

    “The manager planned to centralised audits to ensure they had complete oversight of the running of the service.” from the report
Questions to ask them, based on this report
  1. 01Has the planned additional training for staff supporting people living with dementia been completed?
  2. 02Have the audits been centralised, and how are actions from those audits followed up?
  3. 03How are staffing levels calculated for different times of day and night?
  4. 04How are medicines audits used to identify and correct any problems?
  5. 05What has changed in the areas that were not reassessed during this focused inspection?

This was a focused inspection of Safe and Well-led, including infection control; ratings for the other key questions carried over from the previous comprehensive inspection. This explanation was written from the published report of 8 September 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.

The story over the years

Every inspection of St Catherine's Care Home

5 rated inspections over 5 years: the service has improved, from Requires improvement to Good.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at St Catherine's Care Home →

  2. September 2021Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Catherine's Care Home →

  3. October 2019Requires improvementdown from Good
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. February 2018Goodup from Requires improvement
    Safe: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. December 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  6. December 2016Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  7. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. November 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 28 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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