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Inspection Summary


Overall summary & rating

Good

Updated 26 April 2018

St Christopher’s Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

St Christopher's Care Home accommodates up to 52 people in one adapted building. At the time of our inspection, the service was providing support to 39 people .

At the last inspection in February 2016, the service was rated Good. At this inspection on 21 March 2018 we found the service remained Good overall, however improvements were required under the ‘well led’ domain.

The provider had systems in place to monitor the quality of the service. We found that whilst all areas of the service were monitored, actions were not always taken and improvements were not always made.

The service did not always notify the Care Quality Commission of certain events and incidents in a timely way.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.

Staff had a good understanding of abuse and the safeguarding procedures that should be followed to report abuse and incidents of concern. Risk assessments were in place to manage potential risks within people’s lives, whilst also promoting their independence.

The staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Adequate staffing levels were in place. Staffing support matched the level of assessed needs within the service during our inspection.

Staff induction training and on-going training was provided to ensure they had the skills, knowledge and support they needed to perform their roles. Specialist training was provided to make sure that people’s needs were met and they were supported effectively.

Staff were well supported by the registered manager and senior team, and had regular one to one supervisions. The staff we spoke with were all positive about the senior staff and management in place, and were happy with the support they received.

People's consent was gained before any care was provided. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice

Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Care plans reflected people’s likes and dislikes, and staff spoke with people in a friendly manner.

People were involved in their own care planning and were able to contribute to the way in which they were supported. People and their family were involved in reviewing their care and making any necessary changes.

A process was in place which ensured people could raise any complaints or concerns. Concerns were acted upon promptly and lessons were learned through positive communication.

Inspection areas

Safe

Good

Updated 26 April 2018

The service remains good.

Effective

Good

Updated 26 April 2018

The service remains good.

Caring

Good

Updated 26 April 2018

The service remains good.

Responsive

Good

Updated 26 April 2018

The service remains good.

Well-led

Requires improvement

Updated 26 April 2018

The service was not consistently well led.

Quality assurance systems were in place but actions and improvements were not always made.

The service did not always notify the CQC promptly of incidents that they were required to.