Background to this inspection
Updated
25 July 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 on the first day was undertaken by one inspector, an assistant inspector and an expert by experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. Their area of expertise was caring for a person with dementia. One inspector returned on the second day.
Service and service type:
St Catherine’s is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at 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
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.
During the inspection
We spoke with nine people who used the service and four relatives about their experience of the care provided. We spoke with two professionals, six members of staff including care staff, senior staff and the chef. We spoke with the registered manager and the provider.
We reviewed a range of records. This included four people’s care records and medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
Updated
25 July 2019
About the service: St Catherine’s is a residential care home. The home accommodates up to 22 people in one adapted building. At the time of the inspection there were 13 people living there.
People’s experience of using this service:
At our last inspection we found two breaches of the regulation in relation to providing safe care and the quality monitoring of the service. At this inspection we found that many improvements had been made and the breaches of the regulations had been met. However, some improvements were still required in some areas to ensure that people received consistently safe care.
Some staff needed to complete their training on how to support people to move and transfer safely. Staff needed to ensure they followed people’s risk assessment consistently to ensure they received safe care. Care records were not always completed to show that care and support had been provided in line with people’s assessed needs.
People and relatives told us about how things had really improved at the home. People told us that
more activities were taking place and the environment had been improved. The quality monitoring systems had been improved this meant that checks on the day to day running of the service were being made so areas requiring improvement where being picked up on and improvements made.
Staff were kind and had built good relationships with the people receiving care and support. Staff protected people’s privacy and treated them with dignity. Activities were varied and person-centred. People received their medicines as required. People and Relatives knew who to contact if they had any complaints.
People were supported to have maximum choice and control of their lives and staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
For more details, please see full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The home was rated requires improvement at our last inspection (May 2018). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected: This was a planned inspection based on previous rating.
Follow up: We will continue to monitor information we receive about the service until we return as per our inspection programme. If we receive any concerning information, we may inspect sooner.