Background to this inspection
Updated
1 February 2024
The inspection
This was a focused inspection to check whether the provider had met the requirements of the Warning Notice in relation to Regulation 17 (good governance) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.
Inspection team
This inspection team consisted of 3 inspectors and 2 Expert by Experiences. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
St Quentin Senior Living, Residential and Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Quentin Senior Living, Residential and Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was a registered manager in post.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.
During the inspection
We spoke with 15 people who used the service and 8 relatives about their experiences of the care received. We spoke with 9 members of staff, this included the 2 registered managers, one of whom was also the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We spoke with nursing staff, senior staff and care staff, a kitchen manager and kitchen assistant.
We also spoke with an external professional who worked closely with the service, who provided their feedback on the service.
We reviewed a range of records, this included 6 people's care records and multiple medicines and daily care records. We reviewed 5 staff files in relation to recruitment processes and training. A variety of records relating to the management of the service, including policies and procedures, environmental checks and audits were also reviewed.
Updated
1 February 2024
About the service
St Quentin Senior Living, Residential & Nursing Homes is a care home providing personal and nursing care to up to 73 people across 3 individual buildings located next to each other. The service provides support to older people, some of whom may be living with dementia. At the time of our inspection there were 71 people using the service.
People’s experience of using this service and what we found
The provider had made improvements since our last inspection; however, the quality assurance systems in place were still not robust enough to ensure improvements were identified and made. We identified where some people’s care plans still contained conflicting information.
The provider had made improvements to the detail of people’s risk assessments, since our last inspection. The provider had made improvements to the management of people’s medicines since our last inspection. People were safeguarded from abuse and avoidable harm. The provider ensured there were enough suitable staff. This included the use of some agency staff supporting people with 1:1 care. People were protected from the risk of infection as staff were following safe infection prevention and control practices. The provider learnt lessons when things went wrong.
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; the policies and systems in the service supported this practice.
There was a positive and open culture at the service. The provider understood their responsibilities under the duty of candour. People and staff were involved in the running of the service and fully understood and took into account people’s protected characteristics. The provider had created a learning culture at the service to help improve care people received. The provider worked in partnership with others to meet people’s needs.
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 10 October 2023) and there was a breach of regulation. At this inspection we found improvements were made and the provider was no longer in breach of regulation.
Why we inspected
We undertook this focused inspection to check whether the Warning Notice we previously served in relation to Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 had been met. This report only covers our findings in relation to the Key Questions Safe and Well-Led.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has remained requires improvement. 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 St Quentin Senior Living, Residential & Nursing Homes on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.