St Saviours Care Home

Updated 10 April 2021

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place.

This inspection took place on 23 March 2021 and was unannounced.

Updated 10 April 2021

St Saviours Care Home is a residential care home providing personal care and accommodation for up to 58 people in one purpose-built building. At the time of the inspection 57 people were supported, some of whom were living with a dementia.

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

There was no manager registered with the commission. During the inspection the manager and provider had confirmed that an application to register had been submitted and the manager was waiting for a registration interview. There was no record of an application having been received and the provider was unable to provide us with evidence by way of a reference number to confirm the application had been. This limits the rating of well-led as the registered managers condition has not been met. Since the inspection site visit we have received an application to register however it was returned due to being incomplete.

The management team were aware that some areas such as documentation and care planning needed to be further developed. During the inspection we identified additional areas, including the recording of some medicine applications and documenting night staff involvement in fire drills. There was no direct impact on people however we have made a recommendation about the management of medicines and a recommendation about quality assurance procedures.

People told us they felt safe and were supported by kind and caring staff. Staff knew people well and had developed warm, caring and compassionate relationships with people. People were treated with dignity and respect; their independence was encouraged and were possible people were involved in decision making about their care.

Staff told us they were well supported and had access to a range of training which meant they were able to meet people’s needs. Healthcare professionals involved in supporting the home commended staff in relation to supporting people nutritionally with fortified meals and drinks before making a referral for prescribed supplements and also in relation to end of life care.

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.

Communal areas were themed which provided people with the opportunity for reminiscence. People could personalise their rooms and benefited from fully accessible, beautifully maintained garden areas.

A range of activities were available, including a dementia café. Activities co-ordinators were attending additional training in relation to activities for people living with a dementia and people with sensory needs.

People’s needs were assessed before they moved into the service. This information was used to develop care plans and ‘snapshots’ of care which provided a summary of people’s needs. The manager was making improvements to care plans to ensure they were detailed and personalised.

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

Rating at last inspection

The last rating for this service was Good (published 14 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.