St Annes Nursing Home

Updated 21 July 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by 1 inspector, 1 specialist advisor with a background in nursing and dementia care and 1 Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type.

St Annes Nursing Home is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Annes Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

At the time of our inspection there was a registered manager in post who was also one of the provider’s. However, the clinical lead oversaw the day to day running of the service and told us they intended to register with CQC as manager of the service.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since their registration with CQC. The provider was asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke to 17 people and relatives to gain feedback about their care. We spoke to 11 staff including, the provider, the registered manager, the clinical lead, senior staff, nursing and care staff.

We reviewed records relating to people’s care and the running of the service. These included care records for 8 people, 4 staff recruitment file, audits, policies, incidents reports, health and safety records, quality assurance records, medicines administration records and care records.

Updated 21 July 2023

St Annes Nursing Home is a care home registered to provide personal and nursing care for up to 58 people. The service provides support to older people, some of whom were living with dementia. At the time of our inspection visit there were 30 people living at the home.

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

Ongoing improvement was needed to ensure that all staff received the provider’s mandatory training updates and support through regular supervision. Care records were not always completed accurately which made it difficult to evidence that care was carried out as planned. People had access to healthcare services and were supported appropriately to eat and drink. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People and relatives told us there was a positive atmosphere at the service and they received good quality care. They told us that staff were caring and attentive to their needs. Staff had a good understanding of how people would like to be supported and treated them with dignity and respect.

The clinical lead oversaw the day to day running of the service. They had worked to make improvements to the service since they started and demonstrated an open and transparent approach during our inspection. They completed regular quality audits of the service and had a good understanding of the strengths and key challenges the service faced.

The environment was suitable to meet people’s needs. There were policies and processes in place to manage risks related to health and safety, infection control and risks related to people’s medical conditions. Staff had a good understanding of how to mitigate risks related to people’s care and there were good supplies of equipment in place to promote safe care. There were enough staff in place to meet people’s needs.

People’s care plans were reflective of their needs and preferences. Relatives told us they felt welcome by staff when visiting and felt consulted about their loved one’s care. People told us they felt happy to raise complaints or concerns to the provider and that issues were resolved. Staff had training and knowledge in providing empathetic and responsive end of life care.

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

Rating at last inspection

The last rating for this service was good (published 5 April 2019)

Why we inspected

This inspection was prompted by a review of the information we held about this service.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.