We carried out a review of the data available to us about St Saviours Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about St Saviours Road, you can give feedback on this service.
We found the following examples of good practice.
The home was following government guidance in relation to visitors. On arrival at the service all visitors had their temperature taken and were asked to carry out a Lateral Flow Device (LFD) COVID-19 test before they could enter the home. Results were recorded. Visitors were asked to wear personal protective equipment (PPE) and advised to remain socially distant from people and staff.
There was a programme to ensure people and staff were tested regularly. This was alongside daily temperature testing for everyone and observing people for any signs or symptoms of COVID-19.
The manager followed current guidance in relation to infection prevention and control. There was a cleaning schedule that demonstrated that all areas of the house were cleaned regularly. The home had remained COVID-19 free and had contingency plans should any person or staff come into contact with anyone with COVID-19 or test positive. All staff wore PPE and had received training on infection control, putting on and taking off PPE, supporting people with oral hygiene and hand washing.
Individual risk assessments had been written for people and staff to consider specific risks for each in relation to any underlying health conditions or specific considerations that were needed. The manager told us that the organisation had been very supportive throughout the pandemic in ensuring staff had up to date advice and guidance. The organisation had recently completed a staff survey and the manager was awaiting the outcome.
People had been supported to maintain contact with family members by telephone or through social media. Risk assessments had been written to support visits with relatives as lockdown rules changed. Although people had not been able to attend day centres, they had been encouraged to take daily exercise walking on the sea front and local parks. One person was keen to tell us that they did not want to return to their day centre anymore. The manager confirmed that alternative activities were under consideration and now that gyms and swimming pools were open again these would be offered to people.
Please read the safe section for further information of the findings.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism who used the service can live as ordinary a life as any citizen.
St Saviour’s provided accommodation and personal care for up to four people who have learning disabilities and some associated physical and/or sensory disabilities. Three people used the service at the time of inspection. The building was situated over two floors, with people's bedrooms located upstairs. Some people had their own bathrooms attached to their bedrooms and there were communal facilities for those that did not. There was a kitchen, dining-room, large lounge and conservatory for people to relax in. People also had access to a large garden area at the back of the property, with decking and views of the sea.
At our last inspection in March 2017, the service was rated ‘Good’ overall. We re-inspected as the service had a change of provider. During this inspection we found that the service remained Good.
The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
People were safe. Risk assessments were completed that enabled them to do the activities they chose and ensured staff were aware of all the support people needed to keep them safe. Staff were recruited safely and people were part of the process. There were suitable numbers of staff to meet the needs of people and sufficient contingency plans to cover any staff absences. People received their medicines safely from trained staff. Accidents and incidents were recorded and monitored with action taken that reduced reoccurrence. The registered manager and staff had a good understanding of how to recognise potential signs of abuse and knowledge of risks to people.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practise.
Staff had the skills and knowledge to support people and meet all their needs. They spoke highly of their induction and the guidance they received to get to know the people they supported, their routines and preferences. Further support was provided in supervisions, appraisals and team meetings.
People’s nutritional needs were met and they were given choice and control over what they wanted to eat and drink. When dietary concerns were identified, staff took action to minimise risks whilst people’s wishes were listened to and considered. Records showed that advice was regularly sought from health and social care professionals, particularly when people’s needs changed. This had included alternative therapies that had a positive impact on people.
Everyone we spoke to felt that staff were kind, caring and genuinely enjoyed working with people. People's dignity, independence and privacy was promoted. Staff knew people, their preferences and support needs well. They were proud of people’s achievements and encouraged them to build and learn new skills.
Care plans were tailored to individual needs and highlighted areas where additional support was required. People had their own key-worker; this was a named member of staff who had a central role in their lives and would oversee their support needs and care plans. Staff were very knowledgeable of people’s communication support needs. They used a variety of tools to communicate and documentation was tailored to meet their needs. Although no formal complaints had been received, people and their relatives knew about the complaints procedure and felt confident to raise any concerns. People participated in a range of activities and had choice and control over what they wanted to do each day. Goals were linked in with activities and regularly reviewed with people.
Staff and relatives spoke positively about the registered manager. We were told the new provider had brought positive changes and that this made staff feel valued by the company. There was a strong emphasis on working together to achieve mutual goals and an open, transparent, supportive culture was promoted.
Further information is in the detailed findings below.