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CQC report explained · a residential care home

What the CQC found at St George's Residential Care Home

Goodpublished 3 August 2022, 4 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found that people were protected from abuse and avoidable harm. Risks were assessed, there were enough staff, medicines were given as prescribed, and infection prevention procedures were followed.
Effective?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward to the overall rating.
Caring?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward to the overall rating.
Responsive?
Good
This key question was not inspected during this focused inspection. Its previous rating was carried forward to the overall rating.
Well-led?
Good
Inspectors found a person-centred culture, approachable management and good involvement of people, relatives and staff. The home used feedback and worked with other services to improve care.
The latest report, explained

What inspectors found, August 2022

St George's Residential Care Home is rated Good; inspectors found safe, person-centred care and effective management.

This was an unannounced focused inspection on 30 June and 7 July 2022. One inspector spoke with people, staff, relatives and professionals, observed care, looked around the home, and checked care, medicines, recruitment and management records.

The home was rated Good for Safe and Well-led. Inspectors found enough staff, safe medicines practice, suitable infection control, managed risks and protection from abuse. Staff understood people's needs and supported them in a caring and person-centred way.

The overall rating stayed Good, as it was at the previous inspection. This inspection focused on Safe and Well-led because concerns had been received about infection prevention and control. The other key question ratings were carried forward from the previous inspection.

What inspectors praised
  • Infection prevention

    Staff used suitable protective equipment and followed hand hygiene procedures. The home was clean and hygienic, and managers monitored infection control practice.

    “People were protected from the risk of infection because staff followed good practice in infection prevention and control.” from the report
  • Safe staffing and medicines

    Inspectors found enough staff to meet people's needs. Staff were trained to give medicines safely, and records were checked.

    “People received their medicines as prescribed by their doctors.” from the report
  • Person-centred care

    Staff knew people well and provided individualised support. The home arranged activities based on people's interests, including trips and meals out.

    “People received high quality, person-centred care because the management team had developed a person-centred culture which focused on providing good care for people.” from the report
  • Homely atmosphere

    People, relatives and staff described a welcoming, family-style atmosphere. Relatives said staff were caring and that they would recommend the home.

    “There is a very homely atmosphere. It is [person's] home.” 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 will you continue to monitor infection prevention and control, including staff use of protective equipment and hand hygiene?
  2. 02How do you check that medicines records remain complete and that medicines are given as prescribed?
  3. 03How often are my relative's risk assessments and care guidance reviewed when their needs change?
  4. 04What activities are currently available, and how do you use each person's preferences to plan them?
  5. 05How can relatives give feedback or raise concerns, and how will the home show what action was taken?

This was an unannounced focused inspection of Safe and Well-led, prompted by infection prevention and control concerns; the other key question ratings were carried forward from the previous inspection. This explanation was written from the published report of 3 August 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, March 2022

St George's Residential Care Home was inspected but not rated; inspectors found strong infection-control measures, but the admissions process was still being updated.

This was an unannounced, targeted inspection on 16 February 2022. Inspectors looked at infection prevention and control, visiting arrangements, admissions, and whether COVID-19 staffing pressures affected people.

Inspectors were assured that visitors were screened, infection risks were managed, PPE was used safely, and people and staff had regular testing. The home was clean and had detailed cleaning schedules. Safe visiting arrangements were also in place.

The home was inspected but not rated overall. The Safe question was also inspected but not rated. The other four questions were not covered by this inspection.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had measures to prevent and manage infections, including visitor screening, testing, PPE and outbreak planning.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
  • Clean environment

    The home was clean and hygienic, with cleaning schedules and staff responsible for carrying out the cleaning.

    “The home was clean and hygienic. Comprehensive cleaning schedules were in place and there were designated staff members who performed these duties.” from the report
  • Contact with relatives

    When physical visits were not possible, staff supported people to use handheld devices to keep in touch with relatives and friends.

    “Social media platforms were used to facilitate contact between people and their relatives where physical visiting was not possible.” from the report
What inspectors were concerned about
  • Admissions process being updated

    minor

    The home was developing a new admissions process during the inspection. Ask what process is now in place and how it reflects current guidance and best practice.

    “The service was in the process of developing a new admissions process at the inspection.” from the report
Questions to ask them, based on this report
  1. 01What admissions process is now in place, and how does it reflect current guidance and best practice?
  2. 02How are new residents tested and supported to self-isolate when they move into the home?
  3. 03How are visitors screened and supported to visit safely?
  4. 04What testing and vaccination arrangements are currently in place for residents and staff?
  5. 05How would the home manage an outbreak, including isolation and changes to the building layout?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; it did not rate the other four questions. This explanation was written from the published report of 10 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.

The story over the years

Every inspection of St George's Residential Care Home

4 rated inspections over 7 years: the service has improved, from Requires improvement to Good.

  1. August 2022Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St George's Residential Care Home →

  2. March 2022Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at St George's Residential Care Home →

  3. June 2021Goodstayed Good
    Safe: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. January 2017Goodup from Requires improvement
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
  5. July 2015Requires improvement
    Safe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
  6. July 2019

    Registered with the Care Quality Commission on 1 July 2019.

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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