Source · CQC inspection

St. David's Home

Type Social Care Org Region London Last inspected 24 Feb 2023

Overall rating: Requires Improvement  View full CQC report

Domain ratings

Five CQC key questions
Safe
Requires Improvement
Effective
Good
Caring
Good
Responsive
Requires Improvement
Well-led
Requires Improvement

Earlier inspection findings

pre-2024 framework · 3 must-do 4 should-do

Must-do actions (3)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 3
Must do
Responsive
The provider had failed to ensure that service users' care and treatment was managed in a way that ensured it was always appropriate, met their needs or reflected their preferences.
Regulation: Regulation 9 HSCA RA Regulations 2014 Person-centred care
⚠ The provider had failed to ensure that service users' care and treatment was managed in a way that ensured it was always appropriate, met their needs or reflected their preferences. Regulation 9 (1)
Must-do action 2 of 3
Must do
Well-led
The registered person did not always effectively operate systems and processes to assess, monitor and improve the quality of the service and to assess, monitor and mitigate risk.
Regulation: Regulation 17 HSCA RA Regulations 2014 Good governance
⚠ The registered person did not always effectively operate systems and processes to assess, monitor and improve the quality of the service and to assess, monitor and mitigate risk Regulation 17(1)
Must-do action 3 of 3
Must do
Safe
The registered person did not always ensure care and treatment was provided in a safe way for service users.
Regulation: Regulation 12 HSCA RA Regulations 2014 Safe care and treatment
⚠ The registered person did not always ensure care and treatment was provided in a safe way for service users Regulation 12(1)

Should-do actions (4)

Recommended improvements to enhance service quality.

Should-do action 1 of 4
Should do
Safe
We recommend the provider monitor and assess the use of the call bell system to identify if there are issues with not answering the call bells on time, and if so to identify what these are so they could be addressed.
Should-do action 2 of 4
Should do
Responsive
We recommend the provider consider current guidance on the provision of meaningful activities to promote people's wellbeing and review their practices accordingly.
Should-do action 3 of 4
Should do
Responsive
We recommend the provider consider current guidance on complaints handling and review their practices accordingly.
Should-do action 4 of 4
Should do
Well-led
We recommend the provider seek advice and guidance to review the culture at the service so care and treatment is always provided in a person centred way.

Location details

CQC ID: 1-109554621
Local authority: Ealing
Region: London

Inspection report

Type: Focused inspection
Date: 24 February 2023
Rating: Requires Improvement
Actions: 3 must-do 4 should-do
AI-extracted 17 Feb 2026