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The Community of St Antony & St Elias - 2 Seymour Terrace Good

Inspection Summary


Overall summary & rating

Good

Updated 23 October 2020

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 four people living at the home.

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

Not everyone living at the service wanted to share their views with us. One person described 2 Seymour Terrace as their home, they told us they felt safe, supported and had developed positive relationships with staff they trusted. Relatives we spoke with continued to express their confidence in the service, the staff and registered manager.

Whilst improvements had been made following the previous inspection in April 2019, the providers governance systems had not been effectively implemented in order to identify concerns or drive improvements. We have recommended the provider review its governance systems.

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; however, we found one person’s care records did not support this practice fully as they contained inaccurate/misleading information. We have recommended the provider review all documentation to ensure that any restrictions placed on people living at the service have the appropriate legal authority in place.

Risks associated with people’s care needs and the environment had been appropriately assessed and staff had been provided with information on how to support people safely.

People were supported to access a range of health professionals to enable them to live healthier lives.

Staff continued to receive the training and support they required to do their job.

People, relatives and staff had confidence in the registered manager and told us the service was well led.

We were assured the service were following safe infection prevention and control procedures to keep people safe. The service had ongoing monitoring arrangements to ensure all aspects of infection control followed best practice guidance.

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 26 July 2019) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do to improve and by when. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating. We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Effective and Well-led which contain those requirements.

As part of this inspection we also looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 2 Seymour Terrace on our website at www.cqc.org.uk.

Inspection areas

Safe

Good

Updated 23 October 2020

We were assured the service were following safe infection prevention and control procedures to keep people safe.

Effective

Good

Updated 23 October 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 23 October 2020

Responsive

Good

Updated 23 October 2020

Well-led

Requires improvement

Updated 23 October 2020

The service was not always well-led.

Details are in our well-Led findings below.