17 August 2019
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.
The inspection was carried out by one inspector.
Service and service type
St Anne’s Community Services-Huddersfield 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 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 before inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority commissioners and safeguarding. We contacted the Fire Service and other professionals who might work with the service. We contacted Healthwatch to see if they had any information about the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.
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 used all of this information to plan our inspection.
During the inspection
We spoke with the registered manager, the deputy manager, and a support worker. We spoke with two people living at the service during the inspection. We reviewed a range of records. This included two people’s care records and medication records. We looked at a variety of records relating to the management of the service, including audit and quality assurance information.
After the inspection
We continued to seek clarification from the provider to validate evidence found and looked at quality assurance records they sent to us. We spoke with a relative of a person at the service.
17 August 2019
About the service St Anne's Community Services – Huddersfield is a residential care home providing personal and nursing care to six people aged 18 and over who experience mental health issues. The accommodation is provided in a large Victorian house with communal bath and shower rooms situated on each floor. In addition, some facilities are provided to enable staff to sleep at the service.
People’s experience of using this service and what we found
People told us they were safe living at this service and were supported by staff who knew how to identify abuse. A range of risk assessments were used to manage the risks to people both in the home and in the community.
A positive risk approach was used to ensure the potential for harm was minimised without restricting a person’s human rights. 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 encouraged to maintain a balanced diet and given advice on how to do this. Positive outcomes had been achieved in relation to people’s diets. Wherever possible, people prepared their own meals and were provided with facilities which promoted their independent living skills.
People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. We found staff to be knowledgeable about people, their medicines and how best to support them. Staff told us they felt supported by the registered manager and deputy manager.
Staff turnover was low, which meant they had worked at the service for a long time. People were positive about the support workers who assisted them and we could see there was a genuine, and friendly relationship between staff and people they supported.
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 provider and registered manager used a variety of methods to assess and monitor the quality of the service. We saw service level and provider audits, measuring the service to ensure they were meeting required standards of care provision.
The service worked in partnership with other organisations such as the local authority and health professionals.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was good (published 26 January 2017)
Why we inspected
This was a planned inspection based on the previous rating.
We will continue to monitor information we receive about the service until we return to visit as per our inspection programme. If we receive any concerning information we may inspect sooner.