Archived: St John's Hospital

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.

Updated 26 June 2019

About the service: St John’s hospital is registered to provide personal care. At the time of the inspection 12 people were receiving care from the service. These people lived in St John’s and Combe Park both are sheltered housing facilities.

People’s experience of using this service:

Medicines were administered to people safely however there was no body maps in place that confirmed where creams should be applied. People felt safe and were supported by staff who had received training in safeguarding adults and who knew where to report concerns to.

Staff used personal protective equipment (PPE) appropriately and when required. Staff had checks undertaken to ensure they were suitable to work with vulnerable people.

Staff received training and supervision, and all felt supported and that the service was a nice place to work. All people at the time of the inspection had capacity and people had choice and control in the care they received.

People were supported by staff who promoted their independence and provided care in a dignified and respectful manner. Staff supported people with their medical and social appointments.

Staff were kind and caring and care plans were person centred and contained important information relating to people’s likes and dislikes. Staff had received training however not all staff were able to demonstrate an in depth knowledgeable of equality and diversity.

People felt able to raise a complaint should they need to. However, all people were happy with their care. No one at the time of the inspection was receiving end of life support. The provider had quality assurance systems in place that identified shortfalls. People’s views were sought so improvements to people’s care could be made.

Rating at last inspection: Rated Good at last inspection in October 2016.

Why we inspected: This was a planned inspection based on previous rating.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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