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Inspection Summary


Overall summary & rating

Good

Updated 20 June 2017

This inspection was carried out on 24 May 2017. St Georges Care Home provides nursing and residential care for up to 63 people, the majority of whom are living with dementia. At the time of our inspection there were 51 people living at the service.

There was a registered manager in post and present on the day of the inspection. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 2008 and associated Regulations about how the service is run.

People were protected from the risks of unsafe care. Risks to people were identified and acted upon including risks around behaviours, nutrition, bed rails and environmental risks. Personal evacuation plans were in place for every person and staff had received fire safety training.

People told us that they felt safe. Relatives felt their family members were safe. We found staff understood how to protect people from the risks of abuse. Recruitment practices were safe and relevant checks had been completed before staff started work. There were now sufficient numbers of care staff deployed at the service to meet people's needs with the use of agency staff to meet the required numbers and further recruitment was taking place.

Medicines were managed and administered safely and people received their medicines when they needed. Staff competencies with medicines were assessed.

Staff were suitably qualified, skilled and experienced to meet people's needs including dementia and challenging behaviours. Staff received appropriate support that promoted their professional development and had regular supervisions with their line manager.

The environment was set up to meet the needs of people living with dementia. Staff understood how to support people to make decisions. Where people had restrictions placed on them there was evidence that these were done in their best interests. Staff had a clear understanding of Deprivation of Liberty Safeguards (DoLS) and the Mental Capacity Act (MCA) and their responsibilities in respect of this.

People had enough to eat and drink and there were arrangements in place to identify and support people who were nutritionally at risk. People were given choices of meals and people told us that they liked the food on offer.

People were supported to have access to healthcare services and were involved in the regular monitoring of their health. The provider worked effectively with healthcare professionals and was pro-active in referring people for assessment or treatment.

Staff treated people with dignity and respect and choices were offered to allow people to make decisions about their care. People's preferences, likes and dislikes had been taken into consideration and support was provided in accordance with people's wishes. We saw that staff treated people and their families with care and compassion.

People were able to access meaningful activities that were important and relevant to them. People's needs were assessed when they moved in to the service and on a continuous basis to reflect any changes in their needs. Care plans showed that people and relatives (where appropriate) were involved in the planning of their care.

The provider had systems in place to regularly assess and monitor the quality of the care provided. Complaints were investigated with the necessary action taken. The provider actively sought, encouraged and supported people's involvement that was used to improve the quality of care. Staff were encouraged to contribute to the improvement of the service staff felt listened to and valued. People’s records were up to date or accurate.

People told us the staff and management were friendly and approachable and were always visible in the service.

Inspection areas

Safe

Good

Updated 20 June 2017

The service was safe.

Risks to people were identified and managed to keep people safe.

Medicines were administered, stored and disposed of safely.

There were sufficient staff at the service to support people's needs.

Recruitment practices were safe and relevant checks had been completed before staff commenced work.

There were effective safeguarding procedures in place to protect people from potential abuse. Staff were aware of their roles and responsibilities.

Effective

Good

Updated 20 June 2017

The service was effective.

The environment was set up to meet the needs of people that lived with dementia.

People were supported by staff that had the necessary skills and

knowledge to meet their assessed need.

Staff understood how to apply legislation that supported people to consent to treatment. Where restrictions were in place this was in line with appropriate guidelines.

People had enough to eat and drink and there were arrangements in place to identify and support people who were nutritionally at risk.

People were supported to access healthcare services and healthcare professionals were involved in the regular monitoring of people’s health.

Caring

Good

Updated 20 June 2017

The service was caring.

Staff treated people with dignity and respect. Support was provided in accordance with people's wishes. Staff were kind and attentive towards people and their families.

People's preferences, likes and dislikes had been taken into consideration.

People's relatives and friends were able to visit when they wished.

Responsive

Good

Updated 20 June 2017

The service was responsive.

People had access to activities that were important and relevant to them.

Complaints were investigated with the necessary action recorded and responded to.

Care plans were detailed and people contributed to their planning of care.

People's needs were assessed when they entered the home and on a continuous basis.

Well-led

Good

Updated 20 June 2017

The service was well- led.

The provider had effective systems in place to regularly assess and monitor the quality of the service the service provided.

The registered manager actively sought, encouraged and supported people's involvement in the improvement of the service and used this to improve the quality of care.

Staff felt supported and valued. People said that staff and management were always there to speak with when they needed to.