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Inspection Summary


Overall summary & rating

Good

Updated 20 December 2019

About the service:

St Margarets Care Home is a residential care home providing care and support to 19 people aged 65 and over at the time of the inspection. The service can support up to 22 people living with dementia, frailty and physical disabilities.

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

Fire safety was assessed and people had personal evacuation plans in place. These lacked detailed on how a person would be safely evacuated. Guidance was not always available on what equipment a person would require to aid a safe evacuation and the number of staff required. Accurate documentation was not always maintained. For example, policies referred to out of date legislation and care plans were not always updated following a change in a person’s care needs.

Systems were in place to manage infection control. However, these systems were not always effective and best practice guidelines were not always followed. For example, the provider’s clinical waste bin was unlocked.

There were enough staff working to provide the support people needed, at times of their choice. Recruitment procedures ensured only suitable staff worked at the service. People had access to healthcare services and input from specialist professionals when required. Their needs in relation to their personal care, nutrition and medicines were met.

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.

People felt staff were caring, kind and respectful when supporting them. People told us they felt their opinions mattered and they were listened to. People's cultural and spiritual needs were encouraged and respected. The registered manager recognised the importance of meeting people’s psychological and emotional needs. The service had a range of animals including a cat, chickens and a budgie. People were observed making a fuss of the cat. People’s privacy and dignity was respected. Friendships had blossomed between people and people were observed chatting and nattering away.

There was also a positive, friendly and caring culture amongst the staff. Links with the local community had been established and people had access to a range of activities. People’s wishes around end of life care were respected and staff worked in partnership with healthcare professionals to achieve positive outcomes for people.

People and their families were provided with information about how to make a complaint and details of the complaint's procedure were displayed at 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:

The rating for the service was Good (report published 8 March 2017)

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 20 December 2019

The service was Safe.

Details are in our Safe findings below.

Effective

Good

Updated 20 December 2019

The service was Effective.

Details are in our Effective findings below.

Caring

Good

Updated 20 December 2019

The service was Caring.

Details are in our Caring findings below.

Responsive

Good

Updated 20 December 2019

The service was Responsive.

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 20 December 2019

The service was not always Well-Led.

Details are in our Well-Led findings below.