We carried out a review of the data available to us about St Edith's Court 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 Edith's Court, you can give feedback on this service.
We found the following examples of good practice.
People and staff had regularly been tested for COVID-19 and where positive results had been returned the manager had acted quickly to support people and mitigate risks.
All staff had received training on how to properly use PPE and there were good systems set up in the service to support the donning and doffing of PPE.
The manager had followed guidance on infection prevention control procedures and had reviewed cleaning schedules and processes to provide a more effective cleaning regime at the service.
Guidance had been implemented to allow where possible, for relatives to continue to visit people safely. Where visits were unable to go ahead video and telephone calls had been used.
The manager supported people to go out safely and had risk assessments in place for this. People were encouraged to access the outside landscaped gardens for fresh air and exercise.
People had been supported to continue to access healthcare, this had included visits from the GP practice nurse.
St Edith’s Court is a residential care home providing personal care without nursing for up to 39 people some of whom maybe living with dementia. At the time of inspection 39 people were using the service. The service is set over two floors in a residential area and is purpose built.
People’s experience of using this service and what we found
One person said, “They’re all very good to me. I couldn’t think of being anywhere else.” Another person said, “I like living here. It’s a very good home. The staff are very kind and nice. There’s always someone around when you want them. There’s a lot going on and they have the most beautiful gardens.”
Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents.
People were supported safely by staff who had been recruited and employed after appropriate checks had been completed. Staff who had received the training and had the appropriate skills to support people. Medication was dispensed by staff who had received training to do so.
The registered manager had a good understanding of their responsibilities in relation to the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. 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 support this practice.
People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required. The environment was well maintained and suitable for the needs of people.
Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people’s preferences of care. Staff worked to promote people’s independence.
Care plans were reviewed on a regular basis. People were supported to follow their interests and participate in social activities. The registered manager responded to complaints received in a timely manner. People were supported at the end of their life.
The registered manager had systems in place to monitor and provide good care and these were reviewed on a regular basis.
Rating at last inspection
The last rating for this service was Good. (last report published 10 February 2017).
Why we inspected
This was a planned inspection based on the previous rating.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
St Edith’s Court provides accommodation and personal care for up to 39 people some of whom may be living with dementia. At the time of our inspection 36 people were living at the service.
At our last inspection the service was rated as Good. At this inspection we found the service remained Good.
Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were cared for safely by staff who had been recruited and employed after appropriate checks had been completed. People’s needs were met by sufficient numbers of staff. Medication was dispensed by staff who had received training to do so.
People were safeguarded from the potential of harm and their freedoms protected. Staff were provided with training in Safeguarding Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The manager knew how to make a referral if required.
People had sufficient amounts to eat and drink to ensure that their dietary and nutrition needs were met. People's care records showed that, where appropriate, support and guidance was sought from health care professionals, including GPs and dentists.
Staff were attentive to people's needs. Staff were able to demonstrate that they knew people well. Staff treated people with dignity and respect.
People were provided with the opportunity to participate in activities which interested them. These activities were diverse to meet people’s social needs. People knew how to make a complaint and complaints had been resolved efficiently and quickly.
The service had a number of ways of gathering people’s views including using questionnaires and by talking with people, staff, and relatives. The registered manager carried out a number of quality monitoring audits to help ensure the service was running effectively and to drive improvements.
This inspection took place on 6 October 2014 and was unannounced.
St Edith's Court provides accommodation for up to 39 people who require nursing or personal care. Each person living at St Edith’s had their own room with en-suite shower and toilet, and a small kitchenette. These are referred to as flats and each has its own door number. In addition to the flats there are four communal lounges with kitchens attached and a large communal dining room. Outside are landscaped gardens with different seating areas and walk ways.
The service has a Registered Manager in post referred to as the home 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 and associated Regulations about how the service is run.
We saw that people were cared for by staff that been recruited appropriately and employed after appropriate checks were completed.
From records we reviewed we saw that they were regularly updated and that staff were provided with the information they needed to meet people’s needs. We saw that people's care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.
People felt safe living at St Edith’s. Staff and the registered manager were able to explain to us what they would do to keep people safe and how they would protect their rights. We saw that the staff were provided with training in Safeguarding Vulnerable Adults from abuse, Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). The CQC is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) Deprivation of Liberty Safeguards (DoLS) and to report on what we find. We saw that there were policies, procedures and information available in relation to the MCA and DoLS to ensure that people who could not make decisions for themselves were protected.
We saw that staff were attentive to people's needs. Staff we spoke with were able to demonstrate they knew people well. We saw staff treated people with dignity and respect.
People who used the service were provided with the opportunity to participate in activities which interested them. From talking to people and staff we saw that these activities were diverse to meet people’s social needs.
The service worked well with other professionals to ensure that people's health needs were met.
From records we reviewed we saw that any complaints were resolved efficiently and quickly.
The service had a number of ways of gathering people’s views from holding meetings with staff, relatives and people to completing survey’s and talking to people individually.
The manager carried out a number of quality monitoring audits to ensure the service was running effectively.
People told us that they felt safe. One person said, "Yes, I feel very safe they look after me very well." They said that the manager and the staff were very friendly, caring and kind. Staff interaction throughout our inspection visit was good. Staff had been given information and training on safeguarding adults and they showed a good awareness of the procedure.
We found the provider had an effective complaints system available this enabled people who used the service, relatives or representatives to raise any issues or concerns they might have.
People told us that they were treated with dignity and respect. They also told us that their privacy was upheld and staff were polite. One person said to us that they "..can have a joke and laugh with the girls."
People who use the service told us that they felt safe in the home and that staff were able to meet their needs. People felt able to voice any issues and/or concerns that they may have to both staff and members of the management team. Staff told us that they feel they were well supported and worked well as a team.
Some people that we spoke with felt that the level that activities were aimed at was not always appropriate for them. For example they would like more activities that challenged their mind, such as scrabble. We discussed this with the manager who acknowledged that it was difficult to find activities that were appropriate for all people living at St Edith's Court. The manager advised that they had different activities taking place on different days.
We spoke with two relatives who told us that peoples care needs were well met.
A healthcare professional who was visiting the service at the time of our visit told us that staff were good at making timely referrals and followed advice and guidance. They also stated that they had a good working relationship with staff.
People told us that they were treated well by care staff and that their privacy and dignity were respected. People also confirmed that they felt safe and that, if they had any concerns or worries, they would discuss them with their relative or a member of staff.