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St Mary's Convent and Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 7 June 2017

St Mary's Convent & Nursing Home is a care home providing accommodation for up to 60 people who require personal care and support. At the time of the inspection there were 57 people using the service. The service was divided into three areas. The two areas on the ground floor were for people who required nursing care and the third area on the first floor provided residential care.

There was a registered manager in post. 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.

At the last inspection on the 5 and 6 May 2015, the service was rated Good.

This inspection took place on 20 and 21 April 2017 and we found the service remained Good.

Staff understood how to respond to safeguarding concerns and we saw risk assessments and risk management plans to protect people using the service from the risk of harm. There were a number of checks to ensure a safe environment. Safe recruitment procedures were followed and there were enough staff to meet people’s needs.

Medicines were administered safely, but we saw one instance where a care worker administered the medicine and a nurse signed for it. We recommended that the provider develop systems in line with the Royal Pharmaceutical Society guidance on the management of medicines in care homes to ensure the proper and safe management of medicines at all times.

Staff were supported through training and supervision to have the necessary skills to meet people’s needs. The service was very person centred. Staff, professionals and relatives all specifically noted the level of individual care each person received.

The service worked within the Mental Capacity Act (2005) so people were supported in the least restrictive way and had choices.

Nutritional needs were identified and monitored. People enjoyed their meals and had access to food and drink whenever they wanted to.

People’s day to day healthcare needs were met and healthcare professionals confirmed, in their experience, staff had the skills to care for people using the service. End of life care provided by the service was excellent.

We observed staff were kind and caring and knew of people’s preferences. Staff took time to listen and engage positively with people. People’s privacy and dignity were respected.

People and their relatives were involved in care planning and reviews were held regularly. Care needs were assessed and care plans included guidance for staff on how to support people in their preferred way. The service had a number of activities for people to attend and we observed those taking part were interested in the activity they were involved in.

The service had a complaints procedure and addressed complaints appropriately. Everyone we spoke with was satisfied with the service and no one had made a complaint.

The service was well run and the feedback we received indicated the management team were approachable and acted on information received.

The service had systems to monitor the quality of the service delivered including the environment and how the needs of the people using the service were being met.

The service met all the fundamental standards because it continued to provide a high standard of care to people using the service by a competently trained and skilled staff team providing person centred care in a kind and caring manner that involved the person using the service.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 7 June 2017

The service remains Good.

The service had safeguarding procedures in place to minimise the risk of harm to people using the service and staff knew what action to take if they suspected abuse.

People had risk assessments and risk management plans to minimise harm.

Safe recruitment procedures were followed and there were enough staff to meet people’s needs.

Medicines were administered and stored safely.

Effective

Good

Updated 7 June 2017

The service remains Good.

Staff were supported to have the necessary skills through training, supervision and appraisals.

People’s nutritional needs were assessed and they were supported to have food and drink to meet their individual needs.

People’s healthcare needs were met and we saw evidence of involvement with other relevant healthcare professionals.

Caring

Outstanding

Updated 7 June 2017

The service remains Outstanding.

Staff had developed positive relationships with people using the service, knew people’s individual preferences and ensured they provided people with choice and control.

People’s privacy and dignity were respected.

Relatives and friends were welcomed at the service and people were supported to maintain contact with people important to them.

Responsive

Good

Updated 7 June 2017

The service remains Good.

Staff were aware of people’s individual needs and provided a person centred service.

People and their relatives contributed to their care plans and reviews.

Complaints were responded to appropriately.

Well-led

Good

Updated 7 June 2017

The service remains Good.

People using the service, relatives, professionals and staff said the service was well led and the registered manager was approachable.

The service had systems to monitor the quality of the service delivered to ensure the needs of the people who used the service were being met and service checks were carried out to ensure the environment was safe.