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CQC report explained · a residential care home

What the CQC found at St Theresa's Rest Home

Goodpublished 14 February 2019, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors found detailed risk assessments, safe medicines systems, suitable recruitment checks and enough staff available during the inspection.
Effective?
Good
Staff received training, supervision and appraisals. People were supported with food choices, health appointments and appropriate mental capacity and liberty safeguards processes.
Caring?
Good
Inspectors observed warm and respectful relationships. People were involved in decisions, treated with dignity and supported to remain as independent as possible.
Responsive?
Good
Care plans recorded people's needs, preferences, interests and life history. The home provided varied activities and recorded people's end-of-life wishes.
Well-led?
Good
Inspectors found an approachable management team, regular staff communication, quality audits and opportunities for people and relatives to give feedback.
The latest report, explained

What inspectors found, February 2019

St Theresa's Rest Home was rated Good; inspectors found safe, kind and personalised care with no serious risks or concerns identified.

The inspection was unannounced and took place on 8 January 2019. One inspector and an expert-by-experience spoke with eight people, six staff and 11 relatives. They reviewed care records, risk assessments, medicine records, staff files and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found detailed care plans and risk assessments, safe medicines systems, suitable staff checks, regular training and good access to health professionals.

People were seen being treated with kindness and respect. They had choices about food and daily life, personalised activities and support with their cultural and religious needs. People and relatives knew how to raise concerns, and inspectors found no serious risks or concerns.

What inspectors praised
  • Detailed risk planning

    Risk assessments covered areas such as mobility, diabetes, pressure sores, behaviour and nutrition. They gave staff clear guidance and were reviewed monthly or sooner if needs changed.

    “Risk assessments were detailed and person-centred and gave clear information and guidance on how care staff were to support people with their identified risk and to keep them safe and free from harm.” from the report
  • Safe medicines

    Medicine records were complete, with no gaps identified. Staff had medicine training and regular checks of their competence.

    “People received their medicines safely, on time and as prescribed.” from the report
  • Kind and respectful care

    People and relatives described staff as kind and caring. Inspectors saw people being treated with dignity and their requests being acted on.

    “We observed caring and respectful interactions between people and care staff.” from the report
  • Strong oversight

    The home used audits, meetings and feedback to check care quality and act on issues. Staff said the management team was available and supportive.

    “Management oversight processes in place allowed the service to check the quality of care and support that people received so that where required the appropriate improvements, learning and development of the service could be implemented.” 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. 01How will you assess and review my relative's risks if their mobility, nutrition, behaviour or health needs change?
  2. 02How will you support my relative if they need medicines prescribed for use only when needed?
  3. 03What activities would suit my relative's interests, hobbies and cultural or religious preferences?
  4. 04How will you involve me and my relative in reviewing the care plan and making decisions about care?
  5. 05How can we give feedback or raise a concern, and how will you tell us what action has been taken?

This was an unannounced inspection covering all five key questions; the report says the previous overall rating was Good and remained Good. This explanation was written from the published report of 14 February 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.

The story over the years

Every inspection of St Theresa's Rest Home

5 rated inspections over 4 years: the service has improved, from Requires improvement to Good.

  1. February 2019Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at St Theresa's Rest Home →

  2. July 2016Goodup from Requires improvement
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. March 2016Requires improvementstayed Requires improvement
    Safe: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  4. December 2015Requires improvementstayed Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement

    Read this report on cqc.org.uk

  5. May 2015Requires improvement
    Safe: InadequateEffective: Requires improvementCaring: GoodResponsive: Requires improvementWell-led: Requires improvement

    Read this report on cqc.org.uk

  6. March 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. May 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. October 2011

    Registered with the Care Quality Commission on 27 October 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

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Enfield

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 £1,260 a week. 79 can care for a couple. 11 years' experience on average.

“Over the time he spent with them he got to know our parents very well and became like part of the family, even joining in family celebrations.”
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“Charity would take Nan on holidays day trips and shopping adventures”
Bateman S., about Charity N.
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