CQC report explained · a nursing home
What the CQC found at St David's Nursing Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured that the home was managing infection risks, including PPE, testing, cleaning, visiting, admissions and isolation. They also found accessible hand-washing facilities and no positive COVID-19 cases at the time of inspection.
- Effective?
- Outstanding
- This area was not rated in this targeted inspection.
- Caring?
- Good
- This area was not rated in this targeted inspection.
- Responsive?
- Outstanding
- This area was not rated in this targeted inspection.
- Well-led?
- Outstanding
- This area was not rated in this targeted inspection, although inspectors noted an infection-control lead and regular checks.
What inspectors found, March 2022
Targeted inspection found strong infection-control arrangements, but the service was inspected and not rated overall.
Inspectors visited the home on 14 February 2022. This was an announced, targeted inspection during the COVID-19 pandemic. They looked mainly at infection prevention, visiting arrangements and staffing pressures.
Inspectors found that staff used PPE correctly. The building was very clean, hand-washing points were stocked, and staff regularly checked cleaning. The home had an infection-control lead, and senior staff followed up improvements from checks and audits.
The home was following guidance on visiting, testing, admissions, isolation and vaccination requirements that applied at the time. There were no positive COVID-19 cases in the home during the inspection.
The service was inspected but not rated. This report does not provide a full overall rating or ratings for care quality areas other than the targeted infection-control checks.
Correct use of PPE
Inspectors saw staff using protective equipment correctly.
“Staff were using personal protective equipment (PPE) in the correct way.” from the report
Clean environment
The home was very clean, with no unpleasant smells reported.
“All areas of the building were very clean, and no malodours were present.” from the report
Cleaning checks
Staff had regular cleaning routines and senior staff checked whether improvements were needed and followed them up.
“Senior staff completed checks and audits with any improvements picked up and actioned afterwards.” from the report
Team communication
The report says infection-control updates were shared with staff and that staff worked together to reduce infection risks.
“Staff told us communication was really good and everyone worked as a team to ensure the people and the service stayed infection-free.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you managing staffing pressures now, and have they affected people's care?
- 02What infection-control arrangements and visiting rules are currently in place?
- 03Who is responsible for infection prevention and control, and how are checks and improvements recorded?
- 04How do you manage isolation if a resident or staff member tests positive?
- 05How do you make sure visiting professionals meet the vaccination or exemption requirements that apply?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it was not a full inspection and the service was inspected but not rated. This explanation was written from the published report of 1 March 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.
What inspectors found, August 2019
Rated Outstanding overall; inspectors found safe, kind and highly personalised care, with especially strong support for people's health, choices and wellbeing.
This was an unannounced, planned comprehensive inspection over three days in April 2019. The inspection team spoke with people, relatives, staff and health professionals. They observed care and mealtimes, and checked care plans, medicines records, recruitment files, staff support records, complaints and safety information.
The home was rated Outstanding overall. It was rated Good for Safe and Caring, and Outstanding for Effective, Responsive and Well-led. Inspectors found enough skilled staff, safe medicines management and respectful care that promoted dignity and independence.
Inspectors particularly praised the personalised support, varied activities, work with health professionals and end of life care. They found a positive culture, strong leadership and evidence that feedback and learning were used to improve the service.
The previous inspection also rated the home Outstanding overall. Inspectors said they found no concerns at this inspection and planned to re-inspect within the published timeframe for services rated Outstanding.
Enough skilled staff
Inspectors found staff were available when people needed them and had the training and skills to provide care safely.
“During our inspection we saw staff were always available to support people and no-one was left unattended during our visit.” from the report
Personalised support
Care planning took account of people's health needs, preferences, communication and independence. Staff used creative approaches to help people make choices and remain involved.
“People received exceptionally personalised care and support which met their needs, reflected their preferences and promoted their self-worth.” from the report
Activities and community links
People could take part in activities and outings suited to their interests. Staff also helped people attend family events and stay connected with their community.
“There was a varied activities programme which staff planned in partnership with people.” from the report
End of life care
The report describes highly personalised and compassionate end of life support for people and their families. Plans included people's treatment choices, preferred surroundings and personal wishes.
“People received an exceptional standard of care at the end of their lives.” from the report
Strong leadership
Inspectors found clear roles, supportive management and a culture of learning. The home used audits, feedback and partnerships to improve care.
“There was an extremely positive, open and empowering culture.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and meet my relative's specific nursing needs, including any risks linked to mobility, nutrition, diabetes or swallowing?
- 02How would you support my relative to make choices if they have dementia, communication difficulties or may lack capacity?
- 03What activities and outings would be suitable for my relative's interests, mobility and communication needs?
- 04How would you involve our family in care planning and in decisions about treatment or end of life care?
- 05How do you make sure there are enough suitably trained staff on every shift, including when people's needs change?
This was an unannounced comprehensive inspection that looked at the premises and care provided, and rated all five key questions. This explanation was written from the published report of 7 August 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 David's Nursing Home
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- August 2019Outstandingstayed OutstandingSafe: GoodEffective: OutstandingCaring: GoodResponsive: OutstandingWell-led: Outstanding
- October 2016OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Good
- March 2014
Report published without a new overall rating.
- April 2013
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 18 November 2010.
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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81 live-in carers within about an hour of Bracknell 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 £1,020 to £1,300 a week. 74 can care for a couple. 13 years' experience on average.
“I can truly say that Peter always put Dad at the centre of everything and I know that they found a great friendship in difficult times.”
“Without his support we wouldn't have been able to navigate bringing and keeping Dad at home.”
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.