Background to this inspection
Updated
22 November 2019
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 Care Act 2014.
Inspection team: This inspection was carried out by three inspectors.
Service and service type:
St Georges Nursing Home is a ‘care home.’ People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection:
This inspection was unannounced and was carried out on 15 October 2019.
What we did before the inspection:
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection:
We spoke with four people who used the service and four relatives about their experience of the care provided. We spoke with ten members of staff including the operations director, the registered manager, deputy manager, senior care workers, care workers and the chef.
We looked at six people’s care records and multiple medication records. We looked at two staff files in relation to recruitment, training and supervision. We also looked at a variety of records relating to the management of the service.
Updated
22 November 2019
About the service
St George’s Nursing Home provides accommodation with personal and nursing care for up to 40 older people, some of whom may be living with dementia. The service accommodates people across two floors, which has separate adapted facilities.
People’s experience of using this service and what we found
People were respected by staff and valued as individuals. They were considered as being partners in their care. People, their family members and visiting health professionals, described the service people exceptional. People experienced exceptionally compassionate and kind care. They described the service as being, "Outstanding" and "Marvellous," and "Overwhelmingly responsive."
Staff knew how to recognise and report any suspicions of abuse, and people told us they felt safe and cared for. The registered manager had a robust recruitment process.
Staff was well supported and encouraged by the registered manager to develop their skills and knowledge. Accidents and incidents were appropriately recorded and investigated. Detailed risk assessments were in place for people who used the service. People’s medicines were managed safely, and staff members understood their responsibilities.
There was enough staff available to meet people’s assessed needs. Staff were responsive to people’s needs, enjoyed their work and worked well as a team.
People were supported to have as much choice and control over their lives and were supported in the least restrictive way possible. Policies and systems in the service support this practice.
The registered manager and staff involved people to make decisions about the service they received and obtained people’s feedback on how the service should be run. People told us that staff understood their needs and preferences well, and they received effective care and support from well-trained staff.
Staff had developed caring relationships with the people they supported. Family members told us there was a positive atmosphere and people were encouraged to take part in stimulating and meaningful activities.
People who used the service, family members, and visitors were encouraged to make comments, complaints, or compliments about the service.
The quality of the service was monitored and assessed consistently. Regular audits and improvements were carried out when these were needed. The registered manager gathered people’s views and used this information to look at ways they could continuously improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection: (and update) The last rating for this service was Good (5 June 2017)
Why we inspected: This was a planned inspection based on the previous rating.
Follow up We will continue to monitor the information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.