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St Catherine's Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 10 October 2019

About the service

St Catherine’s Care Home was providing personal and nursing care to 37 people, some of who were living with dementia. The service can support up to 55 people.

People’s experience of using this service and what we found

People had received or were at risk of receiving poor quality and unsafe care. Their health and wellbeing were not always monitored to ensure action was taken if they required additional support, for example; where they had not received enough to drink. Staff did not always follow the systems the provider had in place to protect people from avoidable harm. For example, the medicines management system.

Staff had not been trained in specialist areas to help them support people living with dementia who may become distressed. Staff intervened the majority of the time with kindness and compassion. However, due to lack of knowledge and confidence they may at times of high anxiety be at risk of treating people in an unprofessional or ineffective way.

The amount of staff on duty provided people with safety, but they did not receive care and support in a timely way. People felt rushed at times and also had to wait for support. Immediate action was taken to increase staff in the evenings. The provider completed a full review and following recruitment of new staff an increase in staff will occur.

Where incidents had occurred, people in distress or errors with medicines, there were no reviews to understand if any lessons could be learnt to prevent a reoccurrence.

The provider had a system to check the quality and safety of the service which had not effectively highlighted all of the areas for improvement.

The provider and registered manager displayed a commitment to improving the experience of people who used the service. They had an action plan to develop the staff through training and support, introduce better systems to ensure safety and quality and also develop a positive culture and morale of the team.

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

Rating at last inspection

The last rating for this service was good (published 23 February 2018).

Why we inspected

We received concerns in relation to the management of people’s nutrition and hydration, safe moving and handling, staffing levels and support to people who exhibit distressed behaviour. As a result, we undertook a focused inspection to review the Key Questions of safe and well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from good to requires improvement. This is based on the findings at this inspection.

We have found evidence that the provider needs to make improvement. Please see the safe and well-led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.

The provider responded positively to our feedback and has already started to make improvements to the service.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Catherine’s Care Home on our website at www.cqc.org.uk.

Enforcement

We have identified breaches in relation to the safe care and treatment and governance at this inspection. Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 10 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 23 February 2018

The service was effective.

Staff completed regular training to ensure they had the skills to meet people�s needs.

We received generally positive feedback about the food provided. Staff supported people to ensure they ate and drank enough.

Staff worked with healthcare professionals and sought advice and guidance from them when necessary.

Staff sought people�s consent in line with legislation and best practice guidance.

The environment was adapted to meet people�s needs.

Caring

Good

Updated 23 February 2018

The service was caring.

Staff treated people with kindness and were caring.

People had choice and control over their daily routines.

Staff supported people to maintain their privacy and dignity.

Responsive

Good

Updated 23 February 2018

The service was responsive.

Staff provided person-centred care. Care plans were person-centred and evidenced people were involved in planning and making decisions about their care and support.

Regular activities provided an opportunity for meaningful stimulation.

The provider had systems in place to gather feedback and respond to complaints.

Well-led

Requires improvement

Updated 10 October 2019

The service was not always well-led.

Details are in our well-Led findings below.