St Peters Hall

Updated 7 September 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection and took place on 15 August 2018 and was unannounced. The inspection was completed by one inspector.

As part of the inspection we reviewed information we held about the service including statutory notifications that had been submitted. Statutory notifications include information about important events which the provider is required to send us by law. We also contacted the local authority and Healthwatch about information they held about the provider. Healthwatch is an independent consumer champion, which promotes the views and experiences of people who use health and social care services.

We spoke with six people who lived at the home and one relative. We also spoke to two healthcare professionals by telephone, one whilst at the home and a second following the inspection. The registered manager was not available on the day of the inspection therefore we spoke with two deputy managers, a third in charge carer and a senior carer. We also spoke to one night support carer by telephone following the inspection.

We looked at the care records of four people, three staff recruitment files, the resident and staff survey from January 2018, medication administration records (MAR) and checks made by the management team to monitor the quality of the service provided and the actions they took to develop the service further.

Updated 7 September 2018

The inspection took place on 15 August 2018 and was unannounced. St Peter’s Hall provides residential accommodation and support for up to 12 adults with mental health needs. People were supported to living independently with each of the 12 units having its own kitchen, bathroom and bedroom areas. At the time of our inspection 12 people were living at the home. At the last inspection on 21 August 2015, the service was rated as Good. At this inspection we found the service remained Good.

There was a registered manager in place. 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 2008 and associated Regulations about how the service is run. The registered manager for this service is also the registered provider.

At the last inspection in August 2015 we rated the key question ‘Is this service well led?’ as ‘Requires improvement.’ At this inspection the service had improved to now be rated as good. The provider had systems in place to review and update people’s care and to assure themselves of the quality of care being delivered. Where areas had been identified for improvement, actions had been taken. People said the service was well managed and staff felt supported by the management team to provide good care.

People continued to receive care and support from staff who understood how to keep them safe. Staff were available to meet people’s needs and understood how to best support people and the risks to their health. Staff understood how to protect people from abuse and were clear about the steps they would need to take if they suspected someone was unsafe. People were supported by staff to have their medicines as prescribed and checks were made to ensure staff supported people with their medicines appropriately.

The service continued to be effective. Staff said training helped them do their job and gave them the right skills to meet the needs of the people they supported. They were supported by the management team through regular supervisions and staff meetings. Staff understood they could only care for and support people who consented to being cared for. People were supported to prepare their own meals which reflected their individual preferences. People told us staff responded when they were unwell and arranged health appointments on their behalf if they asked.

The service remained caring towards people. People said staff were caring and treated them with dignity and respect. People were involved in how their care and support was received; they were given choices and said their wishes were respected by staff.

The service remained responsive. People received care that met their needs. Staff provided care that took account of people’s individual needs and preferences and offered people choices. People said staff listened to them and they felt confident they could raise any issues should the need arise and action would be taken.

Further information is in the detailed findings below.