You are here

St Quentin Senior Living, Residential & Nursing Homes Requires improvement Also known as St Quentin Nursing Home

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 December 2021

About the service

St Quentin Senior Living is a care home providing personal and nursing care, the home accommodates up to 73 people in three separate buildings. These buildings are located next door to each other, they are named St Quentin, The Hawthorns and Langley house. At the time of the inspection, the service supported 67 people. Each building had its own care manager. The registered managers worked across all three buildings.

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

We found risks to people were not always monitored. People's medicines were not always managed or administered in a safe way. Some items, which could cause significant harm if ingested, were not stored securely.

The registered managers, home managers and nurses carried out quality assurance processes, including internal audits. However, we saw these were not always effective. This meant errors were missed that could potentially cause harm.

Relatives did not always feel engaged in the service. They did not feel the registered managers had sought their opinions or views to inform service delivery.

Staff felt supported and received regular training. The service worked in partnership with other professionals in order to achieve good outcomes for people.

People felt safe living at the home and with the staff who supported them. People felt supported and listened to as individuals. There were sufficient numbers of trained staff to meet people's needs in a safe way. The home had safe recruitment procedures and training in place to protect people from abuse. Staff followed good infection control procedures.

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. Staff gained consent from people before assisting them and respected their privacy.

Care plans were in place to manage risks, these were detailed and clear to follow. People were included in their care planning process. Staff had a good knowledge of each person's care needs, including their likes, dislikes and preferences. People experienced positive mealtimes.

Staff monitored and reviewed people's health and well-being and worked with other professionals to make sure they received the care and treatment they needed. People were supported by kind and caring staff.

There were opportunities for social stimulation and people could see their friends and family in line with COVID-19 visitors’ policy.

People and their relatives felt confident and comfortable to discuss any concerns with staff. People were confident their wishes for end of life care would be respected by staff.

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

The last rating for this service was Good (published 4 December 2018).

Why we inspected

We undertook this inspection as part of a random selection of services rated Good and Outstanding to test the reliability of our new monitoring approach.

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.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection. The provider took effective action to mitigate some of the risks during the inspection.

We have found evidence that the provider needs to make improvement. Please see the Safe and Well Led sections of this full report.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to the way people’s risks were monitored and mitigated, medicines management, and governance systems at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Quentin Senior Living on our website at www.cqc.org.uk.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 2 December 2021

The service was not always safe

Details are in our safe findings below

Effective

Good

Updated 2 December 2021

The service was effective

Details are in our effective findings below.

Caring

Good

Updated 2 December 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 2 December 2021

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 2 December 2021

The service was not always well-led.

Details are in our well-led findings below.