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St Bernards Residential Care Home Limited Good

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Inspection report

Date of Inspection: 28 August 2014
Date of Publication: 27 September 2014
Inspection Report published 27 September 2014 PDF

Overview

Inspection carried out on 28 August 2014

During a routine inspection

We last inspected this service on 22 January 2014. At that time we found that the temperature of the medication storage area consistently exceeded recommended levels. Staff were not recording how many tablets had been administered when the dosage was variable and when creams had been administered. There were no protocols for PRN medication. At this inspection we found that these issues had been addressed and the manager had made the required improvements.

At St. Bernards, there were 32 people at home on the day of our inspection. We observed people during the day. We talked with the manager and the owners of the home. We looked in detail at the care records of four people. We visited on a weekday and we spoke with three relatives. We spoke with three people and three members of staff. One person told us, �It is perfectly lovely here, the staff are very kind.�

Below is a summary of what we found. The summary describes the records we looked at and what people using the service and staff told us.

If you want to see the evidence that supports our summary, please read the full report.

Is the service safe?

Staff understood their role in safeguarding the people they supported. This meant people were kept safe. We saw people were cared for in an environment that was safe and clean. There were enough staff on duty to meet the needs of people who lived at the home. There were procedures in place to safeguard people from abuse. The staff and manager had a good understanding of the safeguarding procedures.

The Care Quality Commission monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. We saw that proper policies and procedures were in place. The manager had an understanding of these safeguards which ensured people�s rights and choices were protected.

We saw that risk assessments and health and safety measures were in place to keep people safe.

Is the service effective?

The service worked well with other agencies and services to make sure people received their care safely and effectively. A relative told us, �Nothing is too much trouble for the managers.� We saw that people were treated with dignity and care. Care plans specified people�s individual needs, for example, a person�s mobility, or food requirements. One member of staff told us, �I think we treat people beautifully, I�m supported to do my job.� All the people we spoke with told us they were satisfied with the care and support they received.

Is the service caring?

We saw the staff and manager were patient and gave encouragement when they supported people. All staff were aware of peoples choices, preferences and support needs. We found the care and support was delivered with dignity and respect. A person told us, �They are very kind. They do what I want and talk to me. I�m quite alright.� We observed people during the day and saw that people were treated kindly and affectionately. We saw that people looked comfortable and relaxed in their home.

Is the service responsive?

There were cooks and domestic staff to ensure good food was provided and the environment was clean. We saw clear and detailed recording that ensured the manager could make timely and informed decisions about a person�s care and support. A relative told us, �Staff are very understanding of individual needs. They tell me straight away if there�s a problem and they are on the ball.�

Is the service well-led?

The manager was aware of their responsibilities in meeting the essential standards of quality and safety. We looked at quality assurance systems. There were systems in place to ensure the quality of the service was regularly assessed and monitored. There was a clear structure of supervision responsibilities within the staff team. Staff had regular training and learning opportunities. Staff we spoke with told us they thought the manager was approachable and provided good support. One member of staff told us, �The manager is lovely. They know what it�s like here and they help me to do my job.�