Updated 9 July 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. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
One inspector and an Expert by Experience carried out the first day of inspection. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert for this inspection had experience caring for relatives living with dementia. One inspector carried out
the second and third day of inspection.
Service and service type
St Johns Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service did not have a manager registered with the Care Quality Commission. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Since our last inspection in August 2018, the previous manger had left the service. The manager started working at the service in December 2018 and had applied to CQC to register as manager. This application was in progress at the time of inspection.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.
We spoke to two healthcare professionals and one social worker who had recent experience working with the service.
We reviewed audits, quality assurance records and notifications of significant incidents at the service which the provider sent to us since our last inspection.
We used all this information to plan our inspection.
During the inspection-
We spoke with five people and nine relatives. We spoke with the manager, the deputy manager, the operations manager, three nursing staff, five care staff and the administrator.
We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included five people’s care records and multiple medication records. We looked at seven staff files in relation to recruitment and supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed