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St Joseph's Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 October 2019

About the service

St Joseph's Care Home is a care home registered to accommodate a maximum of 19 older people with dementia. On the day of this inspection there were 16 older people with dementia living in the home.

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

While improvements had been made to the environment and fire safety of the premises, we still found that fire safety needed further attention to ensure people who used the service were safe in the event of a fire. The service had systems to protect people from the risk of abuse and improper treatment. Staff managed people's medicines well and kept the home clean and tidy.

People were cared for by staff who were well supported and had the right skills and knowledge to meet their needs effectively, following good practice guidance. Staff supported people with their healthcare needs and worked well with external healthcare professionals. The service met people's nutritional needs and worked with them to make sure food provision also reflected their preferences. 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.

People were treated well, with kindness and compassion by staff who respected their privacy and dignity and promoted inclusion. The service supported people to be independent and to regain life skills. We received positive feedback about the caring approach of staff.

People's care and support had been planned in partnership with them. Staff knew people well and

supported them in line with their current needs and wishes. Staff were knowledgeable about people's likes, dislikes and personal preferences.

The management team were dedicated to improving the ongoing care and support people received and spoke of plans to further improve the service. Quality audit processes were in place and were generally effective. They had identified that fire doors did not ensure people were safe in the event of a fire. However, the risk to people was still present during the day of our inspection and work to the fire doors had not commenced. Both people and staff had confidence in the management team and staff felt valued and well supported. This had resulted in a positive, encouraging and supportive culture within the home.

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

Rating at last inspection (and update) The last rating for this service was requires improvement (published 23 January 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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

Inspection areas

Safe

Requires improvement

Updated 26 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 26 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 26 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 26 October 2019

The service was not always well-led.

Details are in our well-Led findings below.