CQC report explained · a nursing home, run by Sovereign (George Potter)
George Potter House
130 Battersea High Street, Battersea, Wandsworth, London, SW11 3JR
Rated Good: inspectors found the service performing well and meeting their expectations.
What inspectors found, December 2023
Rated Good overall; inspectors found safe and effective care, but leadership and quality checks still needed improvement.
This was an unannounced focused inspection on 14 November 2023. Inspectors spoke with people living in the home, visitors and staff. They observed care and lunch, and checked care plans, staff records, medicines records and management documents.
The home was rated Good for Safe and Effective. Inspectors found people were protected from abuse, risks were assessed, staffing levels met people's needs, the home was clean and medicines were generally given safely. Staff were trained and supported, and people received food, drink and healthcare suited to their needs.
Well-led was rated Requires Improvement, as it was at the previous inspection. Quality checks had not identified missing guidance for some medicines or gaps in temperature records. Inspectors found no evidence that people were at risk of harm during this inspection, but said further improvements were needed.
The overall rating stayed Good. The previous recommendation about medicines recording had been acted on and medicines administration records had improved. The provider was given a recommendation to improve its oversight and quality monitoring.
People felt safe
People and relatives said staff treated people well and that the home felt safe. Staff knew how to recognise and report abuse.
“People told us they felt safe living at the care home and that staff treated them well.” from the report
Enough staff
Inspectors found staffing levels matched the rota and met people's assessed needs. Staff were available and responded quickly to requests.
“During our inspection, staffing levels matched the rota and enabled people's needs to be met safely.” from the report
Skilled and supported staff
Staff received induction, ongoing training, supervision and appraisals. Inspectors found they understood people's individual needs and preferences.
“Staff demonstrated good awareness of their working roles and responsibilities and said they received all the support they needed from their line managers and co-workers to perform their duties well.” from the report
Food and healthcare
People had choices about meals and could receive food prepared for specific needs, including swallowing difficulties. Staff supported access to doctors and other professionals.
“People received support to eat and drink in a way that met their personal preferences and mealtimes were informal and flexible to meet people's needs.” from the report
Improved medicines records
The provider had improved its medicines administration records since the previous inspection. Inspectors found no recording errors or omissions on the records they reviewed.
“We found no recording errors or omissions on any medicines administration record sheets we reviewed as part of this inspection, which we had identified as an issue at our last inspection.” from the report
Quality checks missed medicines issues
seriousThe provider's medicines audits did not identify missing protocols for as-required medicines. This meant staff did not always have the guidance needed to administer these medicines safely.
“The provider's systems for quality monitoring of the care home were not always effective.” from the report
Gaps in temperature records
seriousThere were numerous omissions in daily clinical room and medicines fridge temperature checks. Inspectors said this did not follow recognised medicines practice or the provider's own policies.
“Furthermore, we found numerous recording omissions on daily clinical room and fridge temperature checks.” from the report
Management change
needs fixingThe registered manager was due to leave at the end of 2023. A new manager and deputy manager had been appointed and were due to take day-to-day charge from 1 January 2024.
“The current registered manager was leaving their post at the end of 2023.” from the report
- 01What has been done to make sure protocols for all as-required medicines are complete and kept up to date?
- 02How are clinical room and medicines fridge temperatures now checked, recorded and audited?
- 03How has the new manager settled in since taking day-to-day charge from 1 January 2024?
- 04What improvements are included in the home's action plan, and how will families be told whether they have been completed?
- 05When will the new electronic care planning and medicines system be introduced, and how will it improve monitoring?
This was a focused inspection of Safe, Effective and Well-led only; Caring and Responsive were not inspected and their previous ratings were used for the overall rating. This explanation was written from the published report of 14 December 2023 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.
Every inspection of George Potter House
6 rated inspections over 7 years: the service has improved, from Requires improvement to Good.
- December 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Requires improvement
- June 2023GoodSafe: GoodWell-led: Requires improvement
- May 2021Inspected but not ratedSafe: Inspected but not rated
- October 2018Goodup from Requires improvementSafe: GoodEffective: GoodWell-led: Good
- August 2017Requires improvementstayed Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- January 2017Requires improvementstayed Requires improvementSafe: Requires improvementCaring: Requires improvementResponsive: GoodWell-led: Good
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- January 2014
Report published without a new overall rating.
- January 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- December 2011
Report published without a new overall rating.
- August 2011
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 20 January 2011.
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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