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What the CQC found at St Georges Residential Home

Goodpublished 19 May 2023, 3 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found effective safeguarding, risk management and infection control. There were usually enough staff, medicines were managed safely, and accidents and incidents were investigated.
Effective?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Caring?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Responsive?
Good
This area was not inspected during this focused visit. Its previous rating was used when calculating the overall rating.
Well-led?
Good
Inspectors found a structured quality-checking system and positive feedback about the home. Staff meetings were not regular, but feedback was collected and action plans were used.
The latest report, explained

What inspectors found, May 2023

St Georges Residential Home is Rated Good; inspectors found safe care and effective management, but staff meetings had not been regular.

This was an unannounced, focused inspection on 2 May 2023. Inspectors checked Safe and Well-led after concerns about staffing levels and timely care. They spoke with people, relatives and staff, and reviewed safety and management records.

Inspectors found people were safe, with enough staff usually available to meet their needs. Medicines were managed safely, the home was clean, and safeguarding concerns, accidents and risks were investigated and acted on.

People, relatives and staff gave positive feedback about the care and management. The home had checks to monitor quality and make improvements. However, staff meetings had not been held regularly, and there was no registered manager in post at the time, although an application was progressing.

The overall rating remained Good. Only Safe and Well-led were inspected at this visit. The other areas used ratings from the previous inspection to calculate the overall rating.

What inspectors praised
  • Safeguarding

    The home had systems to investigate safeguarding concerns and acted on recommendations. Staff knew how to raise concerns.

    “The provider had effective systems to help keep people safe from the risk of abuse.” from the report
  • Staffing and medicines

    Inspectors found there were usually enough staff to meet people's needs. People said staff responded promptly and medicines were given and recorded safely.

    “There were usually enough staff to meet people's needs.” from the report
  • Learning from incidents

    The home investigated accidents and incidents and used its findings to improve care and reduce risks.

    “The provider analysed incidents to identify learning, which was used to help improve the care provided.” from the report
  • Quality checks

    The provider used regular checks and action plans to identify and monitor improvements.

    “The provider had a structured approach to quality assurance.” from the report
What inspectors were concerned about
  • Infrequent staff meetings

    needs fixing

    Staff meetings were not held regularly. The report says the meeting in April 2023 followed a gap since March 2022.

    “Staff meetings were not regular as, prior to the most recent meeting in April 2023, the last one was in March 2022.” from the report
  • No registered manager in post

    needs fixing

    There was no registered manager at the time of the inspection. The manager's registration application was progressing.

    “At the time of our inspection there was not a registered manager in post.” from the report
Questions to ask them, based on this report
  1. 01Has the manager's application to register with the CQC now been completed?
  2. 02How often are staff meetings held now, and how are staff views and concerns recorded?
  3. 03How do you check that there are enough staff at busy times and when someone is absent?
  4. 04How are safeguarding concerns, accidents and falls reviewed and followed up?
  5. 05What improvements have been made from the latest feedback questionnaires and action plans?

This was a focused inspection of Safe and Well-led only; Effective, Caring and Responsive were not inspected and their previous ratings were carried forward. This explanation was written from the published report of 19 May 2023 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 2021

Inspected but not rated; inspectors found strong infection control arrangements during a targeted visit.

Inspectors visited on 9 March 2021. The visit was announced and focused on infection prevention and control during the coronavirus pandemic.

They found suitable arrangements for visitors, including protective equipment, hand hygiene and social distancing. The home was clean, with extra cleaning of frequently touched surfaces.

Inspectors were assured that people were admitted safely, testing was available, protective equipment was used correctly and infection outbreaks could be prevented or managed.

This was not a full inspection of the home. It was inspected but not rated, so the report does not provide an overall rating or ratings for most areas of care.

What inspectors praised
  • Visitor infection controls

    Visitors had to use protective equipment and follow hand hygiene measures. The home also had arrangements to support safe visits with relatives.

    “Appropriate measures were in place at the entrance and inside the home to prevent visitors from spreading infection.” from the report
  • Use of protective equipment

    Protective equipment was stored and used safely, and staff had received infection prevention and control training.

    “PPE was safely stored and used. Staff had received training in infection prevention and control.” from the report
  • Clean environment

    The environment was clean and frequently touched surfaces received extra cleaning.

    “The environment was clean, with enhanced cleaning taking place of frequently touched surfaces.” from the report
  • Keeping families connected

    People were supported to contact relatives by video or telephone. The home had developed ways to support visits safely under the guidance available at the time.

    “People were supported to keep in touch with their family members via video or telephone calls.” 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 visitors currently asked to manage hand hygiene and protective equipment?
  2. 02How do you currently support visits and contact with family members?
  3. 03How do you check that staff are following infection prevention and control procedures?
  4. 04How are new admissions currently assessed and managed safely?
  5. 05What arrangements are in place now to prevent or manage an infection outbreak?

This was a targeted inspection of infection prevention and control, so the overall service and the other care questions were not rated. This explanation was written from the published report of 18 March 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 Georges Residential Home

4 rated inspections over 7 years: the service has held its Good rating throughout.

  1. May 2023Goodcurrent rating
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Georges Residential Home →

  2. March 2021Inspected but not rated
    Safe: Inspected but not rated

    Read what inspectors found at St Georges Residential Home →

  3. May 2018Goodstayed Good
    Safe: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  4. December 2016Goodstayed Good
    Responsive: Requires improvement

    Read this report on cqc.org.uk

  5. February 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good

    Read this report on cqc.org.uk

  6. February 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. August 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. September 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  11. 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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