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St Catherine's Care Home Good

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Inspection report

Date of Inspection: 5, 6 June 2014
Date of Publication: 27 June 2014
Inspection Report published 27 June 2014 PDF


Inspection carried out on 5, 6 June 2014

During a routine inspection

A single inspector carried out this inspection over two days. The focus of the inspection was to answer five key questions: is the service safe, effective, caring, responsive and well-led?

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

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

This is a summary of what we found:

Is the service safe?

People were seen to be treated with respect and dignity by the staff. People we spoke with said they felt staff listened to them and acted upon what they said. We saw this was the case.

The service had policies and procedures in place in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards (DoLS). There was no one currently using the service who had a DoLS in place. The manager knew how to request an assessment if this was required. Staff received safeguarding and Mental Capacity Act training. This helped to protect people.

The provider had effective systems in place to deal with any emergency.

Staff told us that they felt there were enough staff. However, we have asked the manager to monitor night shifts to make sure night staff meet people's needs.

Is the service effective?

People�s health and care needs were assessed and detailed care plans and risk assessments were in place. This helped the staff to understand people�s care needs. A person we spoke with said �If I weren�t well and wanted the GP they would get them for me. They (the staff) are very helpful.� Another said �I get the care I need.� We observed that the manager and staff spent time with people and knew people�s individual needs well.

People we spoke with said �The food is good.� and �I have had toast, tea and scrambled eggs. I eat well here.� Food and drinks were seen to be available to people at any time. Staff knew people�s dietary needs, likes, dislikes and preferences. People were supported to remain as independent as possible with eating and drinking but were given assistance, where necessary. We observed that people looked hydrated. Food provided was home cooked and appeared to be nutritious. This helped to ensure people�s nutritional needs were being met.

Is the service caring?

People we spoke with said that the staff were patient and kind. They told us they were supported to live the life they chose. We observed this was the case. People were seen undertaking various activities such as painting and doing jigsaw puzzles. Relatives we spoke with said �We have had a couple of extra years with X that we would not have had. Staff are lovely they give the personal touch. Staff make that extra bit of effort.�

We saw from the care records we inspected that people�s preferences, interests and life histories were recorded. Information such as �This is me� and �Five things you should know about me� was recorded so that staff could help people talk about their life. Changes to people�s needs were recorded and were acted upon by staff to help to maintain people�s health and wellbeing. Daily entries made by staff confirmed that care was being provided in accordance with people�s wishes.

Is the service responsive?

There was a complaints policy in place which people were made aware of. People we spoke with said they would raise issues with the staff or manager if they wished too. The manager was available for people or their relatives to speak with at any time.

The manager and staff told us how they would act on any changes in people�s condition, informing their relatives or health care professionals as necessary. This was confirmed by people we spoke with.

Is the service well led?

Systems were in place for the manager to monitor the quality of the service provided. The manager and senior manager assured us that they would make further checks about the service provided to people on a night time. We saw that action was taken to address any issues that the management team were made aware of.

The manager led the staff team by example and prided themselves on taking all relevant action required to ensure people were cared for. Detailed audits were in place which helped the manager monitor the quality of the service being provided. The manager and senior manager carried out visits at different times of the day and night to undertake observations and to speak with people and with staff.

There was a clear message given to us about the ethos of this service. This was to provide people with individualised care and support. Staff we spoke with told us the manager listened to them and acted upon what they said.

Compliments, comments and complaints were encouraged. People and their relatives told us they could speak with the manager at any time. People we spoke with said I love living here. Everything is alright for me.� And �It is very nice here I cannot complain, they care for me.�