St George's Residential Care Home

Updated 3 August 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

St George’s Residential Care Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St George’s Residential Care Home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since our last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection

People who lived in the home were living with dementia and were not easily able to share their views with us. We spoke with six people who lived in the home and observed how staff interacted with people. We also spoke with the deputy manager, six members of staff and a volunteer who visited the home regularly. We looked around the accommodation.

We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and training. We also reviewed records relating to the management of the service. We contacted four people’s relatives and representatives and three staff to gather their views.

Updated 3 August 2022

About the service

St George’s Residential Care Home is a care home providing accommodation and personal care to up to 41 people in one adapted building. The home provides support to older people and older people who are living with dementia. At the time of our inspection there were 33 people using the service.

People’s experience of using this service and what we found

People were safe and protected from abuse. Risks to people’s safety had been identified and managed. People received the care they needed because there were enough staff to support them. People received their medicines safely and as their doctors had prescribed. The registered manager had systems to learn and share lessons from incidents to ensure people were safe. People were protected from the risk of infection because staff followed good infection prevention procedures.

People’s rights were protected because the management team and staff understood their responsibilities under the Mental Capacity Act 2005. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People received person-centred care which met their needs. People told us they would recommend the home. The provider had invested in making improvements to the accommodation and had identified further areas for improvement. The staff worked in partnership with other agencies to ensure people received the support they needed. The provider and management team were aware of their responsibilities under the duty of candour. They were open and honest with people and their relatives when incidents occurred.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection. The last rating for this service was good, (published 19 June 2021).

Why we inspected

We received concerns in relation to infection prevention and control in the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.

The overall rating for the service has remained good, based on the findings of this inspection.

We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe section of this full report.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.