28 April 2018
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
This was a comprehensive inspection which took place on 7 March 2018 and was unannounced. The inspection was completed by one adult social care inspector.
Before the inspection we reviewed the information we held about the service. This included notifications from the provider and speaking with the local authority contracts and safeguarding teams.
The provider had completed a Provider Information Return (PIR).The PIR is a document which gives the provider the opportunity to tell us about the service. We used information the provider sent us in the PIR. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.
We spent time observing care in the lounges and dining rooms and used the Short Observational Framework for Inspections (SOFI), which is a way of observing care to help us understand the experience of people using the service who could not express their views to us. We looked around the building including bedrooms, bathrooms and communal areas. We also spent time looking at records, which included one person’s care records, two staff recruitment files and records relating to the management of the service.
We spoke with one person who used the service, two relatives, five care workers, a community learning disability nurse, an independent mental health advocate, the registered manager and the head of service.
28 April 2018
We undertook an unannounced inspection on 7 March 2018.
Saint John of God – 1 Bedes Close is a 'care home'. People in care homes receive accommodation and nursing or 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.
Saint John of God – 1 Bedes Close is a residential care home for up to four people living with learning disabilities. All of the living accommodation is on the ground floor of this detached house. All of the bedrooms have en-suite toilets and baths. At the time of our visit there were three people using the service and there were no plans to offer the fourth place to anyone else.
At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection we found the service remained Good.
People were safe at the service. Staff knew how to identify abuse and understand the safeguarding procedures to follow to protect people from abuse. Risks to people’s health and well-being were assessed and managed. Appropriate risk management systems were in place which ensured staff delivered safe care.
Staff had been recruited safely, were well trained and supported in their roles. There was enough staff to make sure people were kept safe and to deliver person centred care.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People got enough to eat and drink which met both their dietary and cultural needs. Staff support people to attend health care appointments and make sure they receive any medicines they are prescribed.
Staff were kind and compassionate and treated people with dignity and respect. People who used the service had developed positive relationships with staff.
Staff knew people’s likes and dislikes and people received personalised care. People’s care plans were person-centred and provided staff with good information about how to support people. Relatives told us they had never made a complaint but would speak with the registered manager if they were not happy about anything
The service was well-led by the registered manager who understood people’s needs and worked well with people and staff to improve the care delivery. There were effective audits and monitoring systems in place to ensure people’s safety and quality of care.
Further information is in the detailed findings below.