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Inspection Summary


Overall summary & rating

Good

Updated 21 March 2017

This inspection took place on 1 March 2017 and was unannounced.

St Martins provides care and accommodation to a maximum of 16 older people. The home is located in Coventry in the West Midlands. On the day of our inspection there were 14 people who lived at the home. The home provides care and support to older people and people who live with dementia.

The service was last inspected on 23 May 2016 when we found the provider was not meeting the required standards. We identified a breach in the legal requirements and regulations associated with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider did not ensure there were sufficient number of suitably qualified, competent and skilled staff to meet people’s care and welfare needs. Staffing levels also impacted on the availability of staff to provide the support people needed to take part in interests and hobbies that met their individual needs and wishes.

We gave the home an overall rating of requires improvement and asked the provider to send us a report, to tell us how improvements were going to be made to the service. The provider sent us an action plan which detailed the actions they were taking to improve the service. The provider told us these actions would be completed by 24 May 2016.

At this inspection on 1 March 2017 we checked to see if the actions identified by the provider had been taken and if they were effective. We found sufficient action had been taken and there was no longer a breach in Regulations of the Health and Social Care Act 2008.

Staffing levels had been improved. There were enough staff on duty to respond to people’s needs and to keep people safe and protected from risk. Increased staffing also meant during quieter periods of the day, staff were able to support people with activities that met their individual needs and interests. The registered manager and director of the service were addressing this through a joint project with a health care professional.

The service had a registered manager who had been in post since September 2016. This is a requirement of the provider’s registration. 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 provider had developed systems to gather feedback from people and relatives and used the feedback received to improve the service provided. Audits to monitor the quality and safety of the service were being regularly completed and were effective.

People were supported with their medicines by staff who were trained and assessed as competent to give medicines safely. Medicines were given in a timely way and as prescribed.

The provider conducted pre-employment checks, prior to staff starting work, to ensure their suitability to support people who lived in the home. Staff told us they were not able to work until these checks had been completed. Staff completed training the provider considered essential to meet people’s needs safely and effectively.

The registered manager understood their responsibility to comply with the relevant requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Improvements had been made in the completion of mental capacity assessments which were detailed and decision specific. Care workers gained people’s consent before they provided personal care and knew how to support people to make decisions.

People told us they felt safe living at St Martins and staff understood how to protect people from abuse. Risks related to the delivery of care and support for people who lived at the home had been identified and staff understood how these should be managed.

Staff respected and promoted people’s privacy and dignity.

Inspection areas

Safe

Good

Updated 21 March 2017

The service was safe.

People told us they felt safe and there were enough staff available to provide the support needed to help keep people safe and protected from risks. The provider's recruitment process meant risks to people's safety from unsuitable staff were minimised. Staff understood how to protect people from avoidable harm and abuse and had a good understanding of the risks associated with people’s care. Medicines were managed safely and people received their medicines as prescribed.

Effective

Good

Updated 21 March 2017

The service was effective.

Staff completed an induction and training so they had the skills they needed to effectively meet the needs of people at the home. Where people could not make decisions for themselves, people's rights were protected; important decisions were made in their 'best interests' in consultation with health professionals. People were supported to maintain good health and a nutritious diet which met their preferences. People accessed healthcare services to maintain their health and wellbeing.

Caring

Good

Updated 21 March 2017

The service was caring.

People were happy with the care and support they received from staff who were caring and thoughtful. Staff understood how to promote people’s rights to dignity and privacy at all times. People were encouraged to maintain their independence and make everyday choices which were respected by staff. People were able to maintain links with family and friends.

Responsive

Good

Updated 21 March 2017

The service was responsive.

People were supported and encouraged to take part in activities that met their individual needs and wishes. However, staff did not always have the time needed to provide support with activities. The director was taking action to address this. People and their relatives were involved in the development of care plans and care plan reviews. Care records provided staff with the information they needed to respond to people's physical and emotional needs. Complaints were managed in line with the provider’s procedure.

Well-led

Good

Updated 21 March 2017

The service was well led.

People and relatives spoke positively about the way the home was managed. Staff were supported to carry out their roles by the management team who they considered approachable and responsive. The provider had effective systems to review the quality and safety of service provided and to make improvements where needed.