CQC report explained · a nursing home
What the CQC found at St Johns Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, suitable risk assessments, safe medicines systems and appropriate infection control. The home had achieved positive outcomes in reducing falls and healing pressure sores.
- Effective?
- Good
- People's care and nursing needs were assessed and reviewed. Staff had relevant training, and people were supported with food, drinks, healthcare and decisions about their care.
- Caring?
- Good
- People said staff were kind, patient and respectful. Inspectors saw warm interactions and found that people were involved in decisions and supported to remain independent.
- Responsive?
- Good
- Care plans reflected people's backgrounds, abilities and preferences. People had access to activities, faith support, communication aids, complaint handling and planned end of life care.
- Well-led?
- Good
- Inspectors found clear leadership, regular audits and a visible registered manager. Feedback from people, relatives and staff was gathered and used to improve the service.
What inspectors found, March 2023
St Johns Nursing Home was rated Good overall; inspectors found safe, kind and personalised care with no breaches reported.
This was an unannounced first inspection of the home under its current registration. Inspectors visited on 7, 8 and 21 February 2023. They spoke with 17 people and relatives and 13 staff, and checked care records, medicines records, staff files, incidents, audits and health and safety records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, good risk management, safe medicines systems and a clean environment. People said they felt safe and did not face delays when receiving care.
Inspectors found that care was based on people's needs, choices and preferences. People were supported with food, drinks, healthcare, activities, communication, independence and end of life care. The home had a visible management team and systems to check and improve care.
This was the first inspection since the service was registered on 2 November 2021. The previous provider's service was rated Good in 2019.
Enough staff
Staffing was planned using people's needs and dependency levels. Inspectors saw people receiving care without delay.
“During the inspection we observed that there were enough staff to meet people's needs.” from the report
Kind and respectful care
People described staff as kind and caring. Inspectors saw staff taking time to speak with people in a friendly and unhurried way.
“Staff took the time to talk with people throughout the day in a friendly and unhurried manner.” from the report
Personalised support
Care plans included people's life histories, preferences and abilities. Staff adapted support to help people stay calm, independent and involved.
“Care plans contained details of people's medical backgrounds, life histories and preferred personal care routines.” from the report
Support at the end of life
People could record their wishes for end of life care. The home worked with a hospice team and supported relatives before and after a death.
“People were supported to document their wishes for the care and support they wanted towards the end of their life.” from the report
Visible leadership
Inspectors found a clear management structure, regular audits and senior management cover every day of the week.
“The registered manager and the deputy manager's working schedules meant a senior member of management was present every day of the week.” from the report
Some records audits were being improved
minorAt the time of inspection, the home was still putting changes in place to audit call bell responses, repositioning and people's eating and drinking records. Families may want to ask what progress has been made.
“At the time of inspection, they were in the process of implementing changes to audits around call bell responses, repositioning records and records of people's eating and drinking.” from the report
- 01What progress has been made with the new audits of call bell responses, repositioning records, and eating and drinking records?
- 02How will you assess and review my relative's risks, particularly around falls, pressure sores and changes in their health?
- 03How would you support my relative if they needed a modified diet or had difficulty swallowing?
- 04What activities, faith support and communication arrangements would be available for my relative, including if they were cared for in bed?
- 05How would you involve my family and my relative in planning end of life care and keeping care preferences up to date?
This was an unannounced first inspection covering all five key questions, including infection prevention and control; the previous provider's Good rating was published in 2019. This explanation was written from the published report of 16 March 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.
Every inspection of St Johns Nursing Home
8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- March 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2018Requires improvementup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- March 2018Inadequatedown from Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- February 2017Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- October 2016Inadequatestayed InadequateSafe: Inadequate
- June 2016Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- April 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2021
Registered with the Care Quality Commission on 2 November 2021.
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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