Archived: St John's Hospital

People’s experience of using this service:

Medicines were administered to people safely however there was no body maps in place that confirmed where creams should be applied. People felt safe and were supported by staff who had received training in safeguarding adults and who knew where to report concerns to.

Staff used personal protective equipment (PPE) appropriately and when required. Staff had checks undertaken to ensure they were suitable to work with vulnerable people.

Staff received training and supervision, and all felt supported and that the service was a nice place to work. All people at the time of the inspection had capacity and people had choice and control in the care they received.

People were supported by staff who promoted their independence and provided care in a dignified and respectful manner. Staff supported people with their medical and social appointments.

Staff were kind and caring and care plans were person centred and contained important information relating to people’s likes and dislikes. Staff had received training however not all staff were able to demonstrate an in depth knowledgeable of equality and diversity.

People felt able to raise a complaint should they need to. However, all people were happy with their care. No one at the time of the inspection was receiving end of life support. The provider had quality assurance systems in place that identified shortfalls. People’s views were sought so improvements to people’s care could be made.

Rating at last inspection: Rated Good at last inspection in October 2016.

Why we inspected: This was a planned inspection based on previous rating.

Follow up: We will continue to monitor the service through the information we receive. We will inspect in line with our inspection programme or sooner if required.

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

St John’s Hospital Bath provides care and support to people living independently in their own flats. On the day of our inspection support was being provided to 11 people.

At the last inspection of the service in 3 March 2014 we found the service was meeting the regulations.

The service had a registered manager in place. 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 and associated Regulations about how the service is run.

People told us they were happy with the care that was provided and that it met their needs. They told us staff treated them with kindness and respect. Where appropriate people were supported to have an adequate diet and have sufficient to eat and drink.

People’s care plans were reviewed quarterly and more frequently if changes were required. Risks to people from receiving care were addressed as part of their care planning.

There were sufficient staff to provide care which met people’s needs. Recruitment procedures were followed to ensure only people suitable to work with vulnerable people were employed.

Medication was administered safely and as prescribed. Medication audits were carried out and where discrepancies or omissions were identified action was taken to address the cause.

Staff were provided with regular training, supervision and appraisals. This meant that they had been provided with the skills required to meet people's needs. The manager met staff regularly to discuss their work performance and plan their training and development needs.

Staff were supported by the registered manager. They described an open, friendly, caring culture where they were able to raise any issues or concerns that they had.

The management team monitored quality and safety of the service regularly and action was taken to address any deficiencies that were found and to improve the service.

People were pleased with the service they received, comments made included “it’s marvellous here” and “I’ve always been happy here”.

The care records showed that people's health needs had been assessed. The records included information from health and social care professionals which helped ensure people got the care and treatment they needed.

People planned the care they received and the agency worked with them so that a package of support was put in place in the way they wanted it to be.

The agency trained their care workers and had procedures which protected people from any form of abuse. People told us they did not have any complaints but would speak to the registered manager or staff if they had any concerns. One person said “I would talk to the manager”. People we spoke with felt safe with the care workers who visited their home. One person said “staff are so good.”

People were protected from the risks of unsuitable care workers because the agency had recruitment procedures that ensured they employed suitable care workers to provide care and support.

The service and the building were monitored and risk assessed to ensure they were suitable for the people using them.

The agency provided a safe service which promoted the wellbeing of people using the service.