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CQC report explained · a nursing home

What the CQC found at St Judes Nursing Home

Goodpublished 22 December 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People told inspectors they felt safe. Risk assessments, staffing, medicines management, recruitment checks and infection control were found to be suitable.
Effective?
Good
People's physical, mental and social needs were assessed. Staff were trained, but supervision meetings were brief and not always as regular as the home's policies required.
Caring?
Good
People and relatives described staff as kind, compassionate and respectful. Inspectors saw staff spending time with people and supporting their choices, dignity and independence.
Responsive?
Good
Care plans were personalised and kept up to date. People were supported with activities, communication, relationships, complaints and end-of-life wishes.
Well-led?
Good
Inspectors found approachable leadership, an open culture and effective systems for checking care quality, medicines, records, incidents and staff training.
The latest report, explained

What inspectors found, December 2023

Rated Good; inspectors found safe, kind and personalised care, with supervision meetings not always as regular as required.

The inspection visits took place on 27 and 28 November 2023. One inspector spoke with people, relatives, staff and a healthcare professional. They also reviewed care records, staff files, training information, medicines records and other documents.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were safe, medicines were managed safely, staffing levels were suitable and infection control procedures were followed.

People and relatives described the care as kind and respectful. Care plans were personalised and activities supported people's interests and relationships. The home had effective checks on care quality and a clear focus on person-centred care.

Inspectors noted that staff supervision records showed meetings were brief and not as regular as the home's policies required. The manager had recognised this and had started introducing a new format and record.

What inspectors praised
  • People felt safe

    People and relatives told inspectors they felt safe. Staff understood safeguarding procedures and how to report concerns.

    “People were protected from harm. There were effective safeguarding policies and procedures linked with those of the local authority.” from the report
  • Kind and respectful care

    People and relatives gave consistently positive feedback about staff kindness, compassion and respect. Inspectors also observed staff treating people kindly.

    “We observed staff treated people with kindness through the inspection, spending much time sitting and talking with them and playing games as requested by people.” from the report
  • Personalised support

    Care plans recorded people's needs, preferences, backgrounds and important relationships. Staff supported people to make choices and maintain independence.

    “Care plans were personalised, detailing health needs, backgrounds and people who were important to them.” from the report
  • Activities and relationships

    The home supported people to stay engaged, follow their interests and maintain relationships with relatives and friends.

    “People's lives were enriched by staff helping them to remain engaged and stimulated, to fulfil their wishes, to follow their interests and to take part in activities appropriate to them.” from the report
  • Strong quality checks

    The home used regular checks and audits to monitor care, medicines, incidents, records, training and people's health.

    “There was a wide ranging and effective governance system in place.” from the report
What inspectors were concerned about
  • Staff supervision was not always regular

    needs fixing

    Supervision records showed that discussions were brief and meetings did not happen as regularly as the home's policies required. The manager said improvements were being introduced.

    “Supervision records indicated discussions in these meetings was brief and the sessions were not as regular as the service's policies and procedures required.” from the report
Questions to ask them, based on this report
  1. 01How often are staff supervision meetings now held, and how do you check that the new supervision system is working?
  2. 02How will you support my relative's individual communication needs and choices if they cannot easily express themselves?
  3. 03What activities would be suitable for my relative's interests, abilities and background?
  4. 04How will you involve our family in care plan reviews and decisions about care?
  5. 05How are falls, infections, weight loss or skin problems monitored and acted on?

This was an inspection of all five key questions, including infection prevention and control, with visits to the home on 27 and 28 November 2023. This explanation was written from the published report of 22 December 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, April 2021

St Judes Nursing Home was inspected but not rated; inspectors found strong infection-control arrangements during the COVID-19 pandemic.

Inspectors visited the home on 24 March 2021. This was an announced, targeted inspection of infection prevention and control during the COVID-19 pandemic.

They found the home had arrangements for visitor screening, testing, protective equipment, social distancing and safe admissions. Staff were observed following protective equipment and social distancing guidance.

The home kept families in touch through email, video calls, garden visits and a visiting pod. It also shared health information with healthcare professionals before appointments, helping some consultations take place remotely.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for the other four CQC questions.

What inspectors praised
  • Health information shared well

    The home developed new health observation records and shared them with healthcare professionals before appointments. Inspectors said this reduced the need for outside visitors and supported remote consultations.

    “The provider had developed new ways of recording observations about people's health which were shared with healthcare professionals in advance of appointments.” from the report
  • Visitor safety

    Visitors were screened, tested and supported to follow hygiene measures. The home also offered visits through a visiting pod, video calls and the garden.

    “The provider was following best practice guidance to prevent visitors to the home spreading COVID-19 infection.” from the report
  • Protective equipment and distancing

    The home had designated areas for putting on and removing protective equipment. Inspectors saw staff following protective equipment and social distancing guidance.

    “Our observations during the inspection confirmed staff were adhering to PPE and social distancing guidance.” from the report
  • Safe admissions

    New residents were tested before admission and isolated for 14 days after arriving, to reduce the risk of infection spreading.

    “People had a COVID-19 test within 24 to 48 hours prior to being admitted into the service and were isolated for 14 days following admission to reduce the risk of transmission of COVID-19.” 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. 01Are the visitor screening, testing and hygiene arrangements described in the report still in place?
  2. 02How are health observations recorded and shared with healthcare professionals before appointments?
  3. 03How are new residents tested and supported during the 14-day isolation period?
  4. 04How does the home keep staff groups separate and make sure there are enough staff for each social bubble?
  5. 05How do you respond when staff have concerns about or refuse the COVID-19 vaccine?

This was a targeted inspection of infection prevention and control only; the service was inspected but not rated and the other four CQC questions were not assessed. This explanation was written from the published report of 22 April 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 Judes Nursing Home

3 rated inspections over 9 years: the service has held its Good rating throughout.

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

    Read what inspectors found at St Judes Nursing Home →

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

    Read what inspectors found at St Judes Nursing Home →

  3. December 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  5. November 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. September 2012

    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. October 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. January 2011

    Registered with the Care Quality Commission on 21 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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