• Care Home
  • Care home

St Anne's Residential Care Home

Overall: Good read more about inspection ratings

St Annes, 4 St Annes Road, Eastbourne, East Sussex, BN21 2DJ (01323) 728349

Provided and run by:
Complete Care Group Limited

Latest inspection summary

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Background to this inspection

Updated 11 July 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team:

This inspection was carried out by one inspector.

Service and service type:

St Anne’s Residential Care Home is a ‘care home’ for people with learning disabilities, mental health, autism and other complex related issues. People in care homes receive accommodation and 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 has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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. At the time of the inspection, due to unforeseen circumstances, the registered manager was only available for part of the inspection. The inspector liaised with the registered manager over the telephone during the inspection and corresponded with them following the inspection when they were not present. Prior to the inspection the registered manager had been absent from the home due to the same circumstances.

Notice of inspection:

This inspection took place on 2 and 3 May 2019 and was unannounced.

What we did:

The provider had completed a Provider Information Return (PIR). The PIR is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We looked at other information we held about the service and provider before the inspection visit. We also contacted health and social care professionals who were in regular contact with the service.

We spoke with five people who used the service. We also had informal interactions with people living at the home and carried out observations. We spoke with the registered manager on the telephone and in person. We also spoke with one of the providers and five members of staff. Following the inspection, we liaised with one health and social care professional.

We looked at three people’s care records in various detail. We observed care and support in communal areas. We looked at three staff files. We looked at information received in relation to the general running of the home including medication records, auditing systems and environmental files.

During the inspection we asked for further information including quality assurance documents. The provider and registered manager also sent additional information in relation to their service. All the information was provided in the time scales given and the information has been included in this report.

Overall inspection

Good

Updated 11 July 2019

About the service:

St Anne’s Residential Care Home is a residential care home that was providing personal care for up to nine people with learning difficulties, mental health, autism and other complex needs. At the time of the inspection nine people were living at the service. Some people had limited verbal communication, so we captured their experience through observations.

People’s experience of using this service:

People told us they were happy living at the home and they felt safe. All people were comfortable in the presence of staff. Medicines were administered safely. The management were already aware of improvements which could be made with the management of medicines to make sure it reflected current best practice. Most risks had been identified with ways to mitigate them. Records and processes around the management of behaviours which could challenge were continuously being developed.

The provider and management had completed a range of audits to identify concerns and issues at the service. They strove to be open and constantly develop and improve the support people were received. When systems had identified issues, actions were being taken to rectify them. The registered manager was aware of their responsibility to notify the Care Quality Commission of certain events in line with their statutory obligations.

When a person had fluctuating capacity to make specific decisions records did not always reflected the knowledge, understanding and actions staff had taken. When people were deprived of their liberty systems were in place to ensure it was lawful. Any person living at the home was involved in making choices about their day to day care and these were respected by staff.

People and staff felt there were enough staff. During the inspection people were able to participate in a range of activities due to positive staffing levels. Staff had received a range of training considered mandatory by the provider. Plans were in place to further develop more senior staff to specialise in specific areas.

People had care plans which were personalised and provided a range of information for staff to use to support their needs and wishes. There were good links with other health and social care professionals which was important due to the complex needs of anyone living at the home. However, some information sharing was not always in a timely manner.

Staff were kind and caring and knew the people living at the home incredibly well. Staff respected privacy and dignity throughout the inspection. Strong links had been developed with the community which had a positive impact for people.

More information about the detailed findings can be found below.

Rating at last inspection:

At the last inspection the home was rated good. It was published on 23 May 2017.

Why we inspected:

This was a planned inspection based on the previous rating.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

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