CQC report explained · a nursing home
What the CQC found at St Ronans Nursing and Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection risks were managed through visitor screening, cleaning, protective equipment, testing and outbreak procedures.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, February 2021
The service was inspected but not rated; inspectors found strong infection prevention and control arrangements during a targeted visit.
The inspection took place on 25 January 2021 and was announced. It was a targeted inspection of infection prevention and control during the coronavirus pandemic.
Inspectors found good practice in visitor screening, social distancing, visiting arrangements, cleaning, laundry, protective equipment and Covid-19 testing. They were assured that the home had arrangements to prevent and manage infection outbreaks.
The home was inspected but not rated. This report does not provide an overall quality rating or ratings for most areas of care.
Visitor safety
Visitors were screened and visits were by appointment. Individual risk assessments helped staff manage visits safely, while a visiting pod and virtual visits helped people stay connected.
“The provider had implemented an external visitors' checklist which was completed before and following all visits.” from the report
Cleaning
The home was clean, uncluttered and had detailed records of cleaning. High-touch areas were cleaned through a continuing programme.
“The care home was kept clean. Staff kept detailed records of their cleaning schedules” from the report
Protective equipment and testing
The home had enough protective equipment, staff were using it correctly, and people and staff were routinely tested for Covid-19.
“Staff were using this correctly and in accordance with current guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visitors currently screened and how are individual visiting risks assessed?
- 02How often are high-touch areas cleaned, and can we see the cleaning records?
- 03What training do staff receive in infection control and the safe use of protective equipment?
- 04What Covid-19 or other infection testing is currently available to residents and staff?
- 05What were the home's most recent full inspection ratings for caring, staffing, medicines and leadership?
This was an announced targeted inspection of infection prevention and control only; the service was inspected but not rated and the other care questions were not assessed. This explanation was written from the published report of 3 February 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.
What inspectors found, August 2019
Rated Good; inspectors found kind, personalised care and improvements since the last inspection, but medicines checks and consent needed attention.
This was an unannounced inspection on 3 and 9 July 2019. Inspectors spoke with people living at the home, relatives, staff and health and social care professionals. They observed care and checked care, medicines, staffing and management records.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found people were generally safe, treated with dignity, supported to make choices and given personalised care. They also found good activities, food and access to healthcare.
There were some shortfalls. Medicines storage temperatures and stock checks were not always monitored fully. Inspectors also saw two occasions when staff did not ask for consent before providing support. The home was asked to address these issues during the inspection.
The previous rating was Requires Improvement, with three breaches of regulation, in August 2018. Inspectors found that improvements had been made and that the home was no longer in breach. No follow-up inspection was required.
Personalised care
Care plans contained detailed information about people's needs, preferences and how they wanted support to be provided. Staff knew people well and updated records as needs changed.
“Care plans were reviewed on a regular basis, so staff had detailed up to date guidance to provide support relating to people's specific needs and preferences.” from the report
Kind and respectful staff
People said staff were caring and respectful. Inspectors observed staff protecting privacy, supporting independence and responding gently when someone was upset.
“Throughout the inspection we saw that staff took steps to protect people privacy, such as knocking on their door before they entered” from the report
Activities and inclusion
The home provided personalised activities, outings and themed events. Inspectors found a strong focus on preventing social isolation and supporting links with families and the community.
“The service had a strong focus on inclusion and the prevention of social isolation and offered people a range of personalised activities.” from the report
Improved management
The home had acted on problems found at the previous inspection. Inspectors found clearer risk management, stronger infection control and more effective quality checks.
“At this inspection we found improvements had been made and the provider was no longer in breach of regulations.” from the report
Medicine monitoring
needs fixingMedicine storage temperatures were not always monitored, and stock checks did not cover every prescribed medicine. The management team acted immediately after these issues were raised.
“However, temperatures of medicine storage areas were not always monitored.” from the report
Consent during care
needs fixingInspectors saw two occasions when staff provided support without first asking for consent. The management team agreed to investigate these incidents.
“However, on two occasions, staff did not ask people's consent before providing them with interventions.” from the report
Mixed views on staffing
minorSome people and relatives said staff could be very busy and that people sometimes waited for help to use the bathroom. Inspectors did not find evidence of insufficient staffing during the inspection.
“People and their families had mixed views on the staffing levels in the home.” from the report
Recruitment records
minorRecruitment checks were completed, but reasons for gaps in some employment histories were not always recorded. The management team said this would be addressed.
“However, reasons for gaps in people's employment history was not always documented.” from the report
- 01How do you now monitor the temperatures of medicine storage areas, including medicine trollies kept in corridors?
- 02How do you check stocks of every prescribed medicine?
- 03What action was taken after inspectors saw staff provide support without asking for consent?
- 04How do you monitor staffing levels and waiting times for help with using the bathroom?
- 05How are reasons for gaps in staff employment histories recorded during recruitment?
This was an unannounced planned inspection that looked at the premises and care provided, and assessed all five CQC questions. This explanation was written from the published report of 24 August 2019 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 Ronans Nursing and Residential Care Home
3 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at St Ronans Nursing and Residential Care Home →
- August 2019Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at St Ronans Nursing and Residential Care Home →
- August 2018Requires improvementdown from GoodSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement
- March 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- May 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 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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47 live-in carers within about an hour of Portsmouth
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 £1,020 to £1,240 a week. 38 can care for a couple. 10 years' experience on average.
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“He stayed with her throughout the pandemic, refusing to visit his own family, who lived nearby, to reduce the risk of infection.”
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.