CQC report explained · a residential care home
What the CQC found at St Josephs Rest Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People were protected from abuse and avoidable harm. Staffing, recruitment, medicines, infection control and accident reporting were found to be suitable, although four fire doors needed immediate adjustment.
- Effective?
- Good
- People's needs were assessed before they moved in. Staff had relevant training and supervision, and people were supported with food, drink, decision-making and access to health care.
- Caring?
- Good
- Staff treated people with kindness, respect and compassion. Inspectors found that privacy, dignity, independence, confidentiality and people's cultural needs were respected.
- Responsive?
- Good
- Care plans were personalised, informative and reviewed monthly or when needs changed. People were supported with communication, activities, relationships and complaints.
- Well-led?
- Good
- People, relatives and staff said the home was well managed and approachable. Audits, meetings, surveys and links with health professionals were used to monitor and improve care.
What inspectors found, June 2023
Rated Good; inspectors found safe, kind and personalised care, with a fire-door problem fixed during the visit.
The inspection took place on 16 May 2023. One inspector spoke with people living in the home, relatives, staff, the manager and provider. They also observed care and checked care records, medicines, staff files, rotas, training, incidents and safety audits.
Inspectors found enough staff, safe medicines systems and suitable checks for risks, accidents, equipment and infection control. People were supported by trained staff, involved in decisions, treated with kindness and given care plans tailored to their needs.
Four fire doors did not close fully against their frames. The provider took immediate action, and a fire safety company advised on the required changes. The doors were adjusted so they closed properly. All five areas were rated Good, unchanged from the previous inspection published in 2017.
Enough suitable staff
Inspectors found enough staff to meet people's needs. Recruitment checks were in place, and the home did not use agency staff.
“There were enough staff employed by the service to meet the needs of the people and staff recruitment processes were robust.” from the report
Safe medicines
People said they received their medicines as prescribed. Records were complete, staff were trained and audits were used to check medicines were managed safely.
“Medicines administration records (MAR) were completed accurately with no gaps in signatures.” from the report
Kind and respectful care
Inspectors saw staff treating people kindly and courteously. People's privacy, dignity, independence and confidentiality were protected.
“Throughout our visit we saw staff interacted with people who used the service in a kind and courteous way.” from the report
Personalised support
Care plans included people's wishes, preferences and needs. They were reviewed monthly or sooner when people's needs changed.
“Care plans were comprehensive and personalised. This helped to ensure staff had the information they needed to meet people's needs.” from the report
Open management
The manager was described as approachable and supportive. The home used meetings, audits and feedback to monitor care and identify improvements.
“The registered manager operated an 'open door' policy.” from the report
Fire doors
needs fixingFour fire doors did not close fully against their frames. The provider arranged advice and adjusted the doors during the inspection, and later said all doors were planned for replacement.
“However, we noted that 4 of the fire doors did not close fully against the frame.” from the report
- 01Have all the fire doors been replaced as planned after the inspection?
- 02How are medicines audits checked, and what happens if a medicines problem is found?
- 03How will you make sure care plans continue to reflect changes in a person's needs?
- 04What activities are available for someone with my relative's interests, communication needs and cultural background?
- 05How will relatives be kept informed if their family member's health or care needs change?
This inspection looked at all five key questions and included infection prevention and control; it was prompted by a review of information held by CQC. This explanation was written from the published report of 9 June 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.
What inspectors found, December 2017
St Josephs Rest Home was rated Good; inspectors found safe, kind and well-organised care across all five areas.
Inspectors visited without notice on 15 November 2017. They spoke with people living in the home, relatives, staff and managers. They reviewed care plans, recruitment files, training records, quality checks and the building.
The home was rated Good for Safe, Effective, Caring, Responsive and Well-led. People felt safe, staff were kind, risks were managed and medicines were given as prescribed. Inspectors also found enough staff, suitable training and good access to health professionals.
Care was tailored to people's needs and interests. People were supported to make choices, stay independent, maintain relationships and join activities. Managers were described as open and approachable, with systems to check quality and respond to complaints.
The home was registered for 26 people, and 23 people were living there at the inspection. The Good rating means inspectors found the service meeting the expected standards in the areas they assessed.
People felt safe
People and relatives said the home was safe. Risks were assessed, reviewed and managed, including risks linked to mobility and falls.
“People and their relatives told us the service was a safe place to live.” from the report
Kind and respectful care
Inspectors saw positive relationships between staff and people. Staff respected privacy, dignity, choices and independence.
“We saw positive interactions between people and staff.” from the report
Individual care
Care plans covered people's communication, personal care, mobility, nutrition, mental health and end-of-life wishes. They were updated as needs changed.
“We found the care plans were individualised and informative.” from the report
Good staff support
Staff had induction, ongoing training and regular one-to-one meetings. Inspectors found appropriate recruitment checks before staff started work.
“The recruitment process was robust and included a Disclosure and Barring Service (DBS) check.” from the report
Open management
People, relatives and staff described managers as approachable. The home used audits, meetings and surveys to monitor quality and make improvements.
“People, relatives and staff felt the service was well run and the management team was open and approachable.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and update my relative's care plan and risk assessments after they move in?
- 02How do you make sure there are enough familiar staff on every shift, including during sickness?
- 03How will you support my relative's communication needs, interests and independence?
- 04How do you monitor medicines, nutrition and swallowing support for people who need extra help?
- 05How are relatives involved when care needs change or important decisions have to be made?
This was an unannounced inspection covering the overall service and all five CQC questions; the report says the Good rating continued from May 2015. This explanation was written from the published report of 9 December 2017 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 Josephs Rest Home
4 rated inspections over 8 years: the service has held its Good rating throughout.
- June 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015Goodstayed GoodSafe: Requires improvement
- April 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2014
Report published without a new overall rating.
- August 2013
Report published without a new overall rating.
- October 2012
Report published without a new overall rating.
- April 2012
Registered with the Care Quality Commission on 13 April 2012.
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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At least 100 live-in carers within about an hour of Redbridge
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 £980 to £1,250 a week. 75 can care for a couple. 10 years' experience on average.
“Sidonia is a first class live-in carer whose dedication and thoughtfulness made her stay a happy experience.”
“Charity would take Nan on holidays day trips and shopping adventures”
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.