You are here

OSJCT Paternoster House - Gloucestershire Good

Inspection Summary


Overall summary & rating

Good

Updated 1 December 2018

What life is like for people using this service:

People told us they felt safe. They were protected from potential abuse and discrimination. Risks to people were identified, assessed and action taken to reduce these or remove them altogether. People lived in a clean and safe environment. Medicines were managed safely and staff provided the support people needed to take their medicines as prescribed. Enough suitably recruited and skilled staff were deployed in order to meet people’s needs.

People’s health needs were assessed and people had access to a variety of healthcare professionals to support them. People were provided with the right amount and type of food to meet their health needs. People had a choice in what they ate and drank. People’s religious preferences were being met. At the time of our visit there were no diverse cultural needs requiring support, but staff explained that this would not be a problem if there were; these would be respected and met.

The principles of the Mental Capacity Act 2005 were followed. People were supported to make independent decisions and their care was delivered in the least restrictive way possible. The Mental Capacity Act 2005 (MCA) provides a legal framework for making particular decisions on behalf of people who may lack the mental capacity to do so for themselves. The Act requires that, as far as possible, people make their own decisions and are helped to do so when needed. When they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible”.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, and some hospitals, this is usually through MCA application procedures called the Deprivation of Liberty Safeguards (DoLS).

Staff were kind and caring towards people. They maintained people’s dignity and privacy. People’s choices, preferences and wishes were known to the staff who had taken time to find these out. Relatives and representatives of people were made welcome. They were, where appropriate, able to contribute to the planning and review of people’s care. Care plans gave staff guidance on how to meet people’s needs. Further detail about people’s care needs was also communicated to staff by means of staff handover meetings and additional information kept in the care office. Information about people’s care and treatment was kept secure and confidential.

A team of volunteers, led by an enthusiastic activity co-ordinator enhanced the quality of people’s lives. They supported people with meaningful activities and gave them opportunities to mix socially. Established links with local community groups, businesses and schools supported better outcomes for people.

Staff were experienced in supporting people, at the end of their life, to have a comfortable and dignified death. Professional relationships were in place to help support this, for example, with local GPs, pharmacies and community palliative care specialists.

The home did not have a registered manager in position. 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.

An interim manager had started working at the service in July 2018 when the former registered manager had retired. The interim manager was an experienced manager who was providing strong leadership to the staff. The provider’s quality monitoring processes had identified that some improvements were needed to the service. The interim manager had worked with the provider to achieve further action which was also planned as part of the home’s on-going plan of improvement. Staff were committed to providing people with good qual

Inspection areas

Safe

Good

Updated 1 December 2018

The service remained safe.

Effective

Good

Updated 1 December 2018

The service remained effective.

Caring

Good

Updated 1 December 2018

The service remained caring.

Responsive

Good

Updated 1 December 2018

The service remained responsive.

Well-led

Good

Updated 1 December 2018

The service remained well-led.