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Archived: St Lukes Care Home Good

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Inspection report

Date of Inspection: 19 May 2014
Date of Publication: 25 June 2014
Inspection Report published 25 June 2014 PDF

Overview

Inspection carried out on 19 May 2014

During a routine inspection

We considered our inspection findings to answer questions we always ask;

� Is the service safe?

� Is the service effective?

� Is the service caring?

� Is the service responsive?

� Is the service well-led?

This is a summary of what we found-

Is the service safe?

Staff had received training in safeguarding and felt confident in being able to maintain people's safety. Staff were confident they would be listened to by the provider and supported with reporting procedures to safeguard people living at the service. They told us they would not hesitate to report any concerns.

CQC monitors the operation of the Deprivation of Liberty Safeguards which applies to care homes. The staff had a good knowledge base regarding these safeguards. Staff had access to appropriate policies and procedures including guidance on the Mental Capacity Act. These policies are necessary to ensure the protection of vulnerable people who lacked the ability to consent on various issues.

Changes regarding the staffing levels on the first floor raised some concerns about how they were being implemented as there was no evidence to show how the levels had been assessed as appropriate or how they would meet the dependencies and needs of people living in the top floor units. Staff had mixed concerns about the proposed changes to staffing levels and felt it was happening due to the arranged interviews for the new senior care staff posts to replace trained staff hours.

Is the service effective?

Eleven relatives told us they were happy with the care that had been provided to their relative and they felt their needs were being met. We observed the support being provided. and saw examples of good communication and patience by staff.

Staff discussed the individual needs of people they supported. Staff described the support they provided on a day to day basis including daily choices and they were knowledgeable about people's needs and requests.

The service had developed areas within the environment to support people with dementia. They had developed an open plan cinema; a fully adapted bar in one of the units; an open plan kitchenette and lounge and a sea side themed sitting area. They had also developed specialised picture signs as a way of advising people regarding were services are located such as; toilets, bathrooms and each person's bedroom. These signs helped people with dementia to be orientated and reminded about their surroundings.

Is the service caring?

We observed staff speaking respectfully to people as they approached them so they were aware who was supporting them. Staff were friendly and helpful to the people they were supporting. We observed that people being supported were relaxed and happy in the company of their staff.

We spoke with six relatives of people living at the service. They made various positive comments such as:

"The staff are very good, the care is good here"; I am always made to feel welcome whenever I visit" and "We have regular meetings I can always go to the manager to discuss anything with them".

Is the service responsive?

People living at the service had a detailed care plan in place to help to show how their needs would be met while living at St Lukes. These records were detailed and showed that people�s choices and diverse needs were identified and care plans were regularly reviewed.

Is the service well-led?

Relatives told us they were always kept informed and updated regarding their relatives support and needs.

A recent survey sent to relatives and people living at the service provided positive results regarding their opinions about St Lukes. The staff had displayed the results in the main reception on large visual charts to ensure people were kept informed of the overall results and the providers' response to their suggestions and comments.