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St Matthews Unit Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 22 April 2021

About the service

St Matthews Unit is a care home providing personal and nursing care to 55 people with a diagnosis of dementia and/or mental health at the time of the inspection. The service can support up to 58 people.

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

Systems to protect people from abuse required improvement. Injuries and when staff used physical intervention had not always been recorded, investigated or audited.

Risks to people had not always been identified, recorded or strategies put into place to reduce these risks. The environment required some improvement.

Cleaning records had significant gaps in the recording of tasks and not all areas of the home were clean.

Staff did not fully understand the legal framework around restraint. Staff had not received adequate training to understand how and when to physically intervene.

Systems and process in place to maintain oversight of the service required improvement.

People were supported by staff who knew them well and who had been safely recruited. People told us staff were ‘kind and cheerful.’

People were able to access food and fluid as they wanted. There were ‘hydration stations’ throughout the building and people told us the food was good.

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 read people’s care plans which detailed their communication, religious and support needs. When people required support from healthcare professionals, staff referred or supported people to access this support.

People, relatives and staff were able to feedback on the service and knew how to complain if needed.

The provider and registered manager sent an action plan outlining the strategies they were implementing to mitigate the concerns found on inspection.

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

Rating at last inspection

The last rating for this service was good (Published 31 October 2017)

Why we inspected

We received concerns in relation to safe care and treatment. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Mathews Unit on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to risk assessments, safeguarding and oversight of the service at this inspection.

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 for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authorit

Inspection areas

Safe

Requires improvement

Updated 22 April 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 22 April 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 22 April 2021

Responsive

Good

Updated 22 April 2021

Well-led

Requires improvement

Updated 22 April 2021

The service was not always well led.

Details are in our well led findings below.

Checks on specific services

Long stay or rehabilitation mental health wards for working age adults

Updated 17 May 2017