Archived: St Christopher's Residential Home

Updated 17 May 2019

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. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team: The inspection team consisted of one inspector and one assistant inspector.

Service and service type: St Christopher’s Residential Home is a care home. People in care homes receive accommodation and nursing or personal care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. St Christopher’s Residential Home is registered to accommodate up to 19 people in an adapted house.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection: The inspection was unannounced.

What we did:

Before the inspection:

• We reviewed information we have received about the service. This included details about incidents the provider must notify us about.

• The provider had completed a Provider Information Return (PIR). This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection:

• We spoke with five people living at the home, one relative and a visiting health care professional.

• We spoke with three members of staff, and the registered manager.

• We looked at six people's care records.

• Observed how medicines were administered and looked at medicine records.

• We looked at records of accidents, incidents and complaints.

• We looked at audits and quality assurance records.

• We looked at three staff files, training records and rotas.

Updated 17 May 2019

About the service:

St Christopher’s Residential Home is a residential care home that provides personal care and support for up to 19 older people who had a range of needs. This included some people with mobility needs and some people who were living with dementia. At the time of this inspection there were 14 people living at the home.

People’s experience of using this service:

People continued to receive a good service. Improvements in quality assurance systems seen at the last inspection in July 2016 had been sustained and embedded within practice. This meant that the rating for the well-led domain had improved to Good.

• People, their relatives and staff said that the home was well-led.

• There were a range of audits in place which were used to improve the quality of the service.

• People were supported to be engaged in the running of the home and told us their feedback was listened to. Staff worked with other organisations to meet people’s needs.

• Risks to people were assessed and managed. Staff understood their responsibilities for safeguarding people. The home was clean and staff had a good understanding of infection prevention and control. People were supported to receive their medicines safely.

• Staffing levels met people's needs and staff were suitable to work with people. People received effective care from skilled and knowledgeable staff. Staff received training to support people's specific needs.

• People had enough to eat and drink and spoke highly of the food provided. Staff were proactive in supporting people to access the health care services that they needed. Staff understood their responsibilities to gain consent from people before providing care and support.

• People spoke highly of the care they received and described staff as kind and respectful. People were supported to express their views and to have control over their lives as much as possible. Staff maintained people’s privacy and treated them with dignity.

• Staff knew people well and care was provided in a person-centred way. People were supported to maintain contact with people who were important to them. Staff were responsive to people’s needs and supported people to have enough to do. People were confident that any complaints would be addressed. Staff supported people to plan for end of life care.

Rating at last inspection: Good, the last report was published on 29 July 2016.

Why we inspected: This was a scheduled inspection based on the previous rating.

Follow up: ongoing monitoring. We will continue to monitor the intelligence we receive about this home and plan to inspect in line with our re-inspection schedule for those services rated Good

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