CQC report explained · a residential care home, run by Crownwise

St Andrews

92 Drewstead Road, Lambeth, London, SW16 1AG

Goodpublished 7 March 2024, 2 years ago

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

The five questions inspectors ask

Safe?: Good; People were protected from abuse and avoidable harm. Inspectors found enough staff, safe recruitment, risk assessments, safe medicines practice and suitable infection control.
Effective?: Good; Staff had relevant training, supervision and support. People's health, nutrition, care needs and choices were assessed and reviewed, and staff helped people access healthcare.
Caring?: Good; People were treated with kindness, dignity and respect. Staff knew people's preferences and supported their independence and involvement in decisions.
Responsive?: Good; Care plans were personalised and regularly updated. People were supported with communication, relationships, activities, complaints and end of life wishes.
Well-led?: Good; Inspectors found open management, staff support, regular audits and action to learn from incidents and feedback. There was no registered manager in post at the time of the visit.

The latest report, explained

What inspectors found, March 2024

Crownwise Limited - St Andrews was rated Good in all five areas, with safe, kind and personalised care found.

The CQC made an unannounced visit on 21 December 2023. One inspector spoke with people, staff and managers, reviewed care and staff records, checked medicines and observed care and the home.

People said they felt safe and were happy with the care. Inspectors found enough suitably recruited staff, safe medicines systems, regular training, personalised care and respectful relationships. People were supported with their health, choices, independence, family contact and activities.

The home was rated Good overall and Good for Safe, Effective, Caring, Responsive and Well-led. These ratings were unchanged from the previous inspection on 14 March 2018. There was no registered manager in post during this inspection, but a deputy manager had applied to register and the application was being assessed.

What inspectors praised

People felt safe
People said they felt safe, and staff understood how to recognise, report and escalate abuse concerns.
“People were protected from the risk of abuse.” from the report
Kind and respectful care
People described staff as caring and respectful. Staff supported privacy, dignity, choice and independence.
“People received care from a regular team of staff.” from the report
Personalised support
Care plans described people's needs, preferences and routines. Staff reviewed plans when people's needs changed.
“People received personalised care that met their needs.” from the report
Good staff support
Staff received training, supervision, team meetings and appraisals to help them carry out their roles.
“Staff received support to undertake their roles via regular supervisions, team meetings and handovers.” from the report
Quality monitoring
The provider used audits, feedback and reviews to check care and make improvements when needed.
“Detailed audits were undertaken on various aspects of the service.” from the report

What inspectors were concerned about

No registered manager at the visit
minor
The report records that there was no registered manager in post when inspectors visited. A deputy manager had applied to register, but the application was still being assessed.
“At the time of our inspection there was not a registered manager in post.” from the report

Questions to ask them, based on this report

01What is the current outcome of the deputy manager's application to become the registered manager?
02Who is responsible for the home while there is no registered manager in post?
03How are people's risk assessments and care plans reviewed when their needs change?
04How do you check that medicines are given as prescribed?
05What activities and support are available for the person to maintain family and community relationships?

This was an unannounced inspection covering all five key questions, including the care provided and the home's premises; the report says all five ratings remained Good from 14 March 2018. This explanation was written from the published report of 7 March 2024 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 Andrews

3 rated inspections over 8 years: the service has held its Good rating throughout.

March 2024Goodcurrent ratingstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at St Andrews →
March 2018Goodstayed Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
We are reading this report · the original is on cqc.org.uk
February 2016Good
Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read this report on cqc.org.uk
April 2014
Report published without a new overall rating.
Read this report on cqc.org.uk
August 2013
Report published without a new overall rating.
Read this report on cqc.org.uk
August 2012
Report published without a new overall rating.
Read this report on cqc.org.uk
December 2010
Registered with the Care Quality Commission on 30 December 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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What inspectors found, March 2024

People felt safe

Kind and respectful care

Personalised support

Good staff support

Quality monitoring

No registered manager at the visit

Every inspection of St Andrews

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