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CQC report explained · a residential care home

What the CQC found at St Peters Home

Goodpublished 26 March 2020, 6 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection risks were being managed, including visitors, admissions, PPE, testing, hygiene, social distancing and 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.
The latest report, explained

What inspectors found, January 2021

Targeted infection-control inspection; the home had safe practices in place, but the service was inspected and not rated.

Inspectors visited the home on 9 December 2020. The visit was announced and focused on infection prevention and control during the coronavirus outbreak.

Inspectors were assured that the home managed visitors, social distancing, new admissions, testing, cleaning, outbreaks and infection-control policies safely. Staff had access to personal protective equipment and PPE stations were available around the home.

The home was not given an overall rating or a rating for safe care. This report was a focused check of infection-control arrangements, not a full inspection of the quality of care.

What inspectors praised
  • PPE available

    Staff used masks, gloves and aprons when providing personal care, and PPE was available at stations around the home.

    “Staff wore personal protective equipment (PPE) such as fluid repellent surgical masks, gloves, and apron when delivering personal care to all people.” from the report
  • Hand sanitiser

    The home had hand sanitiser available for people entering and leaving the building.

    “Facilities were in place to use hand sanitiser on entering and leaving the home.” from the report
  • Infection controls

    Inspectors were assured that the home had arrangements covering visitors, admissions, testing, hygiene and the management of outbreaks.

    “We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
What inspectors were concerned about
  • Approach needed further development

    minor

    Inspectors signposted the provider to resources to develop its infection-control approach. The report does not explain what specific changes were required.

    “We have also signposted the provider to resources to develop their approach.” from the report
Questions to ask them, based on this report
  1. 01What changes have you made since inspectors signposted you to resources to develop your infection-control approach?
  2. 02How do you currently manage visits and prevent visitors from spreading infections?
  3. 03How often are staff and residents tested, and what happens when someone has a positive test?
  4. 04Where are PPE stations located, and how do you check that staff use PPE safely?
  5. 05What is your current plan for managing an infection outbreak in the home?

This was a targeted inspection of infection prevention and control practices during the coronavirus outbreak; the service was inspected but not rated and the report does not rate the other care areas. This explanation was written from the published report of 7 January 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.

An earlier report, explained

What inspectors found, March 2020

St Peters Home: Rated Good; inspectors found kind, personalised care, with some risk assessments needing more detail.

This was an unannounced planned inspection on 27 February 2020. One inspector spoke with people living at the home, relatives and staff. They also observed care and checked care, medicine, recruitment and management records.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, suitable training and good support with health, food, activities and medicines.

People were treated with kindness and respect. The home supported people's choices, relationships, communication needs and end of life wishes. Inspectors said some risk assessments needed more detailed guidance, but this had not affected people and the manager agreed to improve them.

What inspectors praised
  • Kind and knowledgeable staff

    Inspectors found that staff knew people well and responded with kindness and compassion when people were anxious or distressed.

    “People were supported by staff who were caring, compassionate and knew them well.” from the report
  • Enough staff

    Staffing was based on people's needs and increased when people became unwell. Inspectors saw that people did not have to wait for help.

    “There were enough staff to meet people's needs.” from the report
  • Personalised activities and care

    Activities were based on people's hobbies and interests. Care plans included people's life stories, preferences and preferred gender of care worker.

    “People were supported to take part in a range of activities, which were designed around their likes, hobbies and interests.” from the report
  • Support for families

    Relatives were made welcome and involved in care decisions. The home also helped people maintain relationships and supported families during end of life care.

    “People's loved ones were supported to be with them at the end of their lives if they wished.” from the report
What inspectors were concerned about
  • Some risk assessments needed more detail

    needs fixing

    Inspectors said some assessments did not give enough guidance to staff about helping people calm when agitated. The manager agreed to add more detail, and inspectors said this had not affected people.

    “some risk assessments would benefit from more detailed guidance for staff in relation to helping people to calm when they were agitated.” from the report
  • Responsive rating fell from Outstanding

    minor

    The Responsive rating changed from Outstanding at the previous inspection to Good at this inspection. The current rating still means inspectors found people's needs were met through good organisation and delivery.

    “At this inspection this key question has now deteriorated to good.” from the report
Questions to ask them, based on this report
  1. 01What extra detail has been added to risk assessments for people who may become agitated?
  2. 02How will staff know what helps each person calm and feel reassured?
  3. 03Why did the Responsive rating fall from Outstanding to Good since the 2017 inspection?
  4. 04How are relatives involved when a person's care needs or health changes?
  5. 05How are activities matched to each person's interests, communication needs and abilities?

This was an unannounced planned inspection covering all five CQC questions; the previous overall rating and all five previous question ratings were published on 30 June 2017. This explanation was written from the published report of 26 March 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.

The story over the years

Every inspection of St Peters Home

3 rated inspections over 5 years: the service has held its Good rating throughout.

  1. January 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at St Peters Home →

  2. March 2020Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Peters Home →

  3. June 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-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. October 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. January 2011

    Registered with the Care Quality Commission on 14 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.

Next steps

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