St Georges Residential Care Home

Updated 20 July 2023

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 completed by 1 inspector.

Service and service type

St Georges Residential Care Home is a ‘care home’ without nursing. 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. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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 the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with a person who used the service and the provider. We reviewed a range of records relating to the care and support provided. This included support plans, 2 staff files in relation to recruitment, and various records relating to the quality and safety of the service.

After our visit we received feedback from 1 relative of people using the service.

Updated 20 July 2023

We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

About the service

St Georges Residential Care Home is a small family run service providing accommodation and personal care for two people living with a learning disability.

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

Right support: Model of care and setting maximises people’s choice, control and Independence;

People were kept safe from avoidable harm because the provider knew them well and understood how to protect them from abuse. One person was able to tell us they felt safe living there and enjoyed helping out with daily domestic tasks.

People were supported to have maximum choice and control of their lives and the service supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

There were risk assessments in place covering the support provided, including safe access to the community.

Medicines were managed appropriately. Infection control measures were in place. Health and social care professionals were involved in people’s care to ensure they received the care and treatment which was right for them.

There was a stable staff team consisting of the provider and their family who had supported both people for many years.

Right care: Care is person-centred and promotes people’s dignity, privacy and human rights;

Staff relationships with people were caring and supportive, which one person confirmed. The stable staff team and people had formed close relationships over many years.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive, and empowered lives;

People’s equality, diversity and human rights were respected. The service’s vision and values centred around the people they supported.

Regular checks helped to ensure the quality and safety of the service people received. The service made improvements as necessary.

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 29 October 2018).

Why we inspected

This inspection was prompted by a review of the information we held about this service and length of time since the last inspection. 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.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for St Georges Residential Care Home on our website at www.cqc.org.uk.

Follow up

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