CQC report explained · a nursing home
What the CQC found at St Luke's Hospital - Oxford
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They found arrangements for screening visitors, using protective equipment, social distancing, testing and managing possible outbreaks.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, November 2020
Inspected but not rated; inspectors found good infection control arrangements during the COVID-19 pandemic.
This was an announced, targeted inspection on 23 October 2020. Inspectors looked only at infection prevention and control because the home had been identified as a designated care setting for people discharged from hospital with COVID-19.
Inspectors were assured that the home was screening visitors, using protective equipment properly, supporting social distancing and accessing testing. A separate area and entrance were used for people with COVID-19, and staff had separate areas for changing protective equipment.
The home had computers and tablets to help people keep in touch with relatives while isolating. Inspectors also noted that some signage and laundry arrangements for the COVID-19 area were still being put in place.
The service was inspected but not rated. This means the report does not give an overall quality rating or a rated judgement across all five areas of care.
Separate COVID-19 area
The home had a physically separate area and entrance for people who had COVID-19. This helped keep the area apart from the rest of the service.
“The area of the home which had been designated for COVID-19 positive people was physically separate from the rest of the service, with its own external entrance.” from the report
Protective equipment
Staff used masks, gloves and aprons for personal care. Inspectors said the use of protective equipment followed government guidance.
“Staff wore fluid repellent surgical masks, gloves and apron when delivering personal care to all people.” from the report
Contact with relatives
The home provided computers and tablets so people isolating in the COVID-19 area could keep in touch with friends and relatives.
“The service had acquired computers and tablets to support people to maintain social contact with friends and relatives whilst they were isolating in the COVID-19 area of the service.” from the report
Staff training and supplies
Staff had training from external health professionals on using protective equipment. Inspectors also found ample supplies of hand sanitiser and protective equipment.
“Staff had received training from the external health professionals in the correct use of PPE.” from the report
Inspectors raised no specific concerns in this report.
- 01Have the additional signs for the COVID-19 positive area now been completed?
- 02Is laundry from people with COVID-19 now being washed by an external agency as planned?
- 03How are visitors currently screened for symptoms of acute respiratory infection?
- 04How does the home support people to keep in touch with relatives if they need to isolate?
- 05What infection prevention and control training have staff received since this inspection?
This was a targeted inspection of infection prevention and control measures only; the service was inspected but not rated and the report does not assess the other areas of care. This explanation was written from the published report of 19 November 2020 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, September 2020
St Luke's Hospital - Oxford was rated Good; inspectors found safe, effective and personalised care, with improvements since the previous inspection.
This was an unannounced focused inspection. Inspectors visited on 26 August 2020 and reviewed care records, medicines records, staff files and management records. They spoke with people, relatives, staff and health and social care professionals.
The home was rated Good for Safe, Effective, Responsive and Well-led. Inspectors found enough staff, safe medicines systems, good infection control, personalised care and effective support for people's choices, nutrition and healthcare needs.
The previous inspection was rated Requires Improvement and found three breaches of regulations. This inspection found that the provider had made enough improvements and was no longer in breach of those regulations. The Caring question was not covered by this focused inspection.
Safe medicines
Medicines were stored and given safely. The electronic recording system had reduced recording errors.
“People received their medicines as prescribed and the service had safe medicine storage systems in place.” from the report
Respect for choice
Staff followed the Mental Capacity Act and supported people to make their own decisions wherever possible.
“People's rights to make their own decisions were respected and people were in control of their support.” from the report
Personalised care
Care plans reflected people's individual needs, preferences and routines. They were updated when people's needs changed.
“People received personalised care and support specific to their needs, preferences and routines.” from the report
Open leadership
People, relatives and staff said managers were approachable. The home had systems to learn from incidents, feedback and audits.
“The provider successfully maintained an open and transparent culture which contributed to staff work satisfaction and in turn the staff delivering good care for people.” from the report
Some people missed previous activities
minorActivities had been changed in line with government guidance. Some people said they missed the former social programme and were doing activities in their rooms.
“We now do our own quizzes, they are helpful.” from the report
Care plan recording still needed checking
needs fixingThe home's audits continued to find concerns about recording after the electronic system was introduced. Families may want to ask how these issues are followed up.
“Following the introduction of the electronic recording system, audits of care plans continued to identify concerns around recording.” from the report
- 01How are activities currently planned for people who miss the previous social programme?
- 02What concerns have your care plan audits found, and how do you make sure they are corrected?
- 03How do you check that medicines are recorded accurately on the electronic system?
- 04How are relatives involved when a person's capacity to make a particular decision is questioned?
- 05How do you keep families informed about changes to visiting and social contact arrangements?
This was a focused inspection of Safe, Effective, Responsive and Well-led; the Caring question was not inspected, and the report says the findings for these areas were used with previous ratings to calculate the overall rating. This explanation was written from the published report of 16 September 2020 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 Luke's Hospital - Oxford
3 rated inspections over 4 years: the service has held its Good rating throughout.
- November 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- September 2020Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2019Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- December 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- November 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 24 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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38 live-in carers within about an hour of Oxfordshire
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 £1,300 a week. 32 can care for a couple. 12 years' experience on average.
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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.