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The Community of St Antony & St Elias - 2 Seymour Terrace Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 July 2019

About the service:

2 Seymour Terrace is a small care home that provides accommodation, personal care and support to a maximum of four people of working age who are experiencing severe and enduring mental health conditions. At the time of the inspection there were three people living at the home.

People’s experience of using this service:

People told us they were happy living at 2 Seymour Terrace, they felt safe and well supported. Relatives and healthcare professionals had confidence in the service and told us the home was well managed. We found staff afforded people respect and provided care and support with compassion.

Since the last inspection, the registered manager had made a number of improvements, however some improvements were still needed. We checked whether the home was working within the principles of The Mental Capacity Act 2005 (MCA).

We found the home was not taking appropriate action to protect one person’s rights. The person had capacity, yet decisions were being made on their behalf. However, the home was working with partnership agencies to resolve this situation.

People’s rights were not always protected. Records for one person showed there were various restrictions in place, which prevented this person from leaving the home when they wished to do so. We found there continued to be no legal basis or framework in place to support these restrictions and this person had not been informed of their legal rights.

People were protected from potential abuse by staff who had received training and were confident in raising concerns. There was a thorough recruitment process in place that checked potential staff were safe to work with people who may be vulnerable.

Risks associated with people’s complex care needs and the environment had been appropriately assessed and staff had been provided with information on how to support people safely. We have made a recommendation about window restriction.

People’s medicines were managed, stored and administered safely and appropriately by staff who had been trained and assessed as competent to do so

People were encouraged and supported to lead full and active lifestyles, follow their interests, and take part in social activities.

People were treated kindly and compassionately by staff and people were supported to express their views and make decisions about the care. People and their relatives felt comfortable raising complaints and were confident these would be listened to and acted on.

The provider had an effective governance system in place. The management team continued to carry out a regular programme of audits to assess the safety and quality of the service and identify issues

Rating at last inspection: The home was previously rated as ‘Required Improvement.’ The report was published on the 27 April 2018.

Why we inspected:

This inspection was scheduled based on the previous rating.

Enforcement:

We found repeated breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We have also made recommendations in relation to window restriction, staff training and physical intervention. Please see the ‘action we have told the provider to take’ section towards the end of the report.

Follow up:

We will continue to monitor the home through the information we receive until we return to visit as per our re-inspection programme.

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

Inspection areas

Safe

Good

Updated 26 July 2019

The home was safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 26 July 2019

The home was not always effective

Details are in our Effective findings below.

Caring

Good

Updated 26 July 2019

The home was caring

Details are in our Caring findings below.

Responsive

Good

Updated 26 July 2019

The home was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 26 July 2019

The home was not always well-led

Details are in our Well-Led findings below.