Updated 26 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one adult social care inspector.
Service and service type:
St John’s hospital provides personal care to people in sheltered housing. CQC regulates the care provided but not the premises. We reviewed only the care people received 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:
The inspection was announced we gave the service 48 hours’ notice of the inspection visit because it is small, and the manager is often out of the office supporting staff or providing care. We needed to be sure that they would be in.
Inspection site visit activity started on 22 May 2019 and ended on 23 May 2019. We visited both St John’s and Combe park to see the manager and office staff; and to review care records and policies and procedures
What we did:
Before the inspection we looked at information we had about the service. This information included statutory notifications that the provider had sent to CQC. A notification is information about important events, which the service is required to send us by law. The provider had completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what it does well and improvements they plan to make.
During the inspection we spoke with four people, one relative and four members of staff, including the registered manager and senior support staff. During the inspection we reviewed four people’s care and support records and two staff files. We also looked at records relating to the management of the service such as incident and accident records, questionnaires, recruitment and training records, policies, audits and complaints.