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St Teresa's Home for the Elderly Good

Inspection Summary


Overall summary & rating

Good

Updated 13 March 2018

St Teresa’s Home for the Elderly is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. There were 25 people using the service at the time of our inspection.

A registered manager was in post at the time of this inspection. 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.

This inspection visit took place on 18 and 24 January 2018. Our first visit was unannounced. This meant the service did not know we would be visiting. The last inspection of St Teresa’s took place in December 2015 when we found the service was meeting legal requirements.

The service was exceptionally caring. People using the service told us they were treated in a kind and caring manner by staff who knew them well. People and their relatives commended the quality of the care they received. They said that St Teresa’s had a warm, caring and compassionate approach underpinned by a strong Christian ethos.

People were supported to stay safe by the systems and practices in the home. Any identified risks to people were assessed and checks of the home environment and the equipment in use regularly took place.

People were supported to take their medicines safely and as prescribed. They had good access to external health services such as the GP and were supported to stay healthy. People said they liked the food provided to them. They were given choice and could eat the meals they enjoyed.

There were enough staff to meet people’s needs. A consistent established core team of staff provided continuity of care to the people staying there.

Individual care and support needs were fully assessed, documented and reviewed at regular intervals. Care plans reflected people’s whole lives and helped staff to deliver personalised care. The service was particularly skilled at helping people and their families or carers to explore and record their wishes about care at the end of their life.

People were supported by staff who were trained and well supported in their job roles. Staff members had been safely recruited and had received an induction to the service. They had received training around safeguarding vulnerable people and knew what action to take if they had or received a concern.

Staff we spoke with were confident of the service provided to people and said they would recommend St Teresa’s to others. Staff said they felt valued and had access to supervision and additional support when required.

People and their relatives felt able to raise any concerns or complaints. There was a procedure in place for people to follow if they wanted to raise any issues. Staff also said they felt comfortable in raising any concerns should they have any.

The service understood and complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS). Staff worked in people’s best interests and understood the importance of gaining people’s consent before assisting them.

The service was well led. The registered manager and her team monitored the quality of the service and made changes to improve the service provided when required. People who used the service and their relatives found the management team to be caring, approachable and responsive.

Inspection areas

Safe

Good

Updated 13 March 2018

The service was safe.

There were enough staff on duty to meet people’s needs and keep them safe.

The service identified risks to people’s safety and undertook assessments to reduce the risk of harm.

Staff were aware of safeguarding adult’s procedures and would report all concerns appropriately.

There were safe arrangements in place for the storage, administration, recording and disposal of medicines.

Effective

Good

Updated 13 March 2018

The service was effective.

Staff were provided with training and support that helped them care for people effectively.

Staff provided appropriate support to those who required assistance with their meals.

People received the support and care they needed to maintain their health and wellbeing. They had access to appropriate health care professionals when required.

The service complied with the requirements of the Mental Capacity Act (MCA) 2005 and the Deprivation of Liberty Safeguards (DoLS).

Caring

Outstanding

Updated 13 March 2018

The service was exceptionally caring.

People using the service were treated with kindness and compassion. Staff enabled people to be independent and always treated them with respect and dignity.

People’s lives were valued. Staff knew people very well, listened to them and provided personalised care.

The managers and staff at St Teresa’s provided exceptionally caring and compassionate support at the end of people’s lives. People’s spiritual needs were met well by the service.

Responsive

Good

Updated 13 March 2018

The service was responsive.

Care plans were personalised, fully addressed people’s care and support needs and were regularly updated.

People were supported to take part in activities and to maintain contact with family and friends.

People using the service and their relatives felt able to raise concerns or complaints.

Well-led

Good

Updated 13 March 2018

The service was well led.

An experienced and skilled management team promoted high standards of care and support for people using the service at St Teresa’s.

Staff were well supported by the managers who were approachable and listened to their views.

The ethos of the home was positive and promoted the delivery of high quality compassionate person-centred care.