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Inspection Summary


Overall summary & rating

Good

Updated 26 November 2019

About the service

St Marys Nursing Home is a residential care home providing personal and nursing care to 47 people at the time of the inspection. The service can support up to 48 people. All bedrooms and communal rooms are on one level.

People’s experience of using this service and what we found

Since the last inspection, there had been improvements in record keeping, risk management and ensuring people received individualised care. People had risk assessments and care plans which gave staff the information they needed to support people and keep them safe. Those people considered to have more risks, for example, with food and fluid intake, had additional monitoring charts in place.

People were happy with the care they received and told us their privacy and dignity were respected and their independence promoted. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff received training, supervision and support to enable them to feel confident when supporting people’s needs. They knew how to safeguard people from the risk of abuse and poor care.

People’s nutritional needs were met, and they told us they liked the meals provided to them. People received their medicines safely and had access to health care professionals when required.

Staff were recruited safely and, although busy, staff said there were enough of them on duty to support people. There was a comment from staff that some days a week there was no kitchen assistant to deliver hot drinks to people, so care staff completed the task, which could take them away from caring duties. A relative commented they would like to see more staff presence in the lounge. These points were discussed with the registered manager who told us they would address them.

There was a new registered manager in post, who had provided stability and consistency to the staff team. The provider had systems in place to monitor the quality of the service and to respond to complaints. These helped to identify shortfalls, learn lessons and improve the service.

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

Rating at last inspection and update: The last rating for this service was requires improvement (published 17 October 2018) and there were three breaches of regulation. 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 the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 26 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 26 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 26 November 2019

The service was well-led.

Details are in our well-led findings below.