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St James House Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 28 March 2020

About the service

St James House is a residential care home which provides accommodation for up to 30 people who require support with personal care. Accommodation is provided in 30 single bedrooms over two floors. Four of the bedrooms have en suite facilities. The home is in a residential area in Darwen. There were 29 people living in the home at the time of our inspection.

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

Medicines were not always safely managed. As a result, some people had not received all their medicines as prescribed. The audit systems in place to monitor the administration of medicines had not been sufficiently robust.

People told us they felt safe in the home and that staff were always kind and caring. Staff had completed safeguarding training and knew the correct action to take to protect people from the risk of abuse. There were sufficient numbers of staff on duty to meet people’s needs. Staff had been safely recruited. They were aware of the action to take to reduce the risk of cross infection. The home was clean and the provider had plans to replace flooring in communal areas to reduce any malodour. Risks were safely managed and equipment was regularly serviced to ensure it was safe to use.

Staff received the training, support and supervision to ensure they were effective in their roles. People’s needs were assessed and regularly reviewed. Care plans provided detailed information for staff to follow to ensure they met people’s needs in the way they wanted. People enjoyed the food provided in the home. They 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.

People told us staff were respectful towards them and supported them to be as independent as possible. People were treated as individuals with diverse needs and interests. They were provided with information about advocacy services should they wish to receive independent support with making decisions about their care.

Care plans contained information on people’s health and communication needs as well as their family background, religious needs and social interests. Activities were available for people to participate in if they wished.

The management team and staff were clear about their roles and provided care which resulted in good outcomes for people. They worked in partnership with a variety of agencies to ensure people’s health and social needs were met

For more details, please see the full report which is on the CQC website at

Rating at last inspection

The last rating for this service was good (published 26 October 2017).

Why we inspected

This was a planned inspection based on the previous rating.

We have found evidence that the provider needs to make improvements. Please see the safe and well-led sections of this report. We have identified one breach of regulations at this inspection in relation to medicines management. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 28 March 2020

The service was not always safe.

Details are in our safe findings below.



Updated 28 March 2020

The service was effective.

Details are in our effective findings below.



Updated 28 March 2020

The service was caring.

Details are in our caring findings below.



Updated 28 March 2020

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 28 March 2020

The service was not always well-led.

Details are in our well-Led findings below.