Archived: St Anthony's - Care Home with Nursing Physical Disabilities

Updated 15 May 2019

The inspection:

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

Inspection team:

This inspection visit took place on 30 April 2019 and was unannounced. The inspection visit was carried out by two inspectors and an expert by experience. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type:

St Anthony's - Care Home with Nursing Physical Disabilities is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection:

This inspection was unannounced.

What we did:

We checked the information we held about the service and the provider. This included notifications the provider had sent to us about incidents at the service and information we had received from the public. A notification is information about events that, by law, the registered persons should tell us about. We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed the monthly action plans the provider had sent to us with as part of their registration with us. We also reviewed safe and well checks that had been carried out in the home by the local authority after our last inspection. We used all this information to formulate our inspection plan.

We spent time observing care and support in the communal areas. We observed how staff interacted with people who used the service. During our inspection we spoke with three people who used the service, three relatives, four members of care staff, an agency staff member and two registered nurses. We also spoke with registered manager and the regional manager. We did this to gain people's views about the care and to check that standards of care were being met.

We looked at care records for seven people. We checked the care they received matched the information in their records. We also looked at records relating to the management of the service, including audits carried out within the home and medicine records.

Updated 15 May 2019

About the service:

St Anthony's - Care Home with Nursing Physical Disabilities is registered to accommodate 26 people. The people living in the home have physical disabilities. At the time of our inspection 23 people were using the service. St Anthony's - Care Home with Nursing Physical Disabilities accommodates people in one building adapted building. There are various communal lounges and dining areas, a conservatory and a garden area that people can access.

People’s experience of using this service:

The care people received was not always effective. People were not always supported to have maximum choice and control of their lives. Due to the recent history of non-compliance with the regulations and a history of repeated requires improvement and inadequate ratings, the provider needed further time to embed the improvements we have identified to ensure that they can be sustained in practice.

The care people received was safe. Individual risks were considered. Safeguarding procedures were in place. Medicines were managed in a safe way. There were enough staff available for people. Infection control procedures were implemented. Lessons were learnt when things went wrong in the home.

Staff received training that helped support people. People received support from health professionals when needed. People enjoyed the food and were offered a choice. The environment was adapted to meet people’s needs.

People and relatives were happy with the staff and supported in a kind and caring way. People were offered choices, remained independent and their privacy and dignity was maintained.

People received care that was responsive to their needs. The care they received was individual and specific to their needs. People had the opportunity to participate in activates they enjoyed. There was a complaints procedure in place.

There were systems in place to ensure the quality of the home was monitored. When areas of improvements were needed action was taken. Staff and people felt listened to and supported by the registered manager and had the opportunity to raise concerns.

We were notified of significant events that occurred within the home and the provider was displaying their previous rating in line with our requirements.

More information is in the full report.

Rating at last inspection:

Inadequate (Last report published 24 January 2019)

Why we inspected:

This was a planned inspection based on the rating at the last inspection.

Follow up:

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