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St Christopher's Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 24 February 2021

About the service

St Christopher’s Home is a residential care home providing personal care to 40 people aged 65 and over at the time of the inspection. The service can support up to 54 people.

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

Systems and process in place to review and monitor the quality, effectiveness of the service required improvement.

Risks to people had not consistently been mitigated. Staff had not always followed the strategies in place and we found gaps in records for pressure care and food and fluids.

Records of injuries to people had not always been appropriately recorded.

Not everyone we spoke to felt there was enough staff on duty and staff did not always respond to people in a timely manner. Call bells were found to be unanswered for periods of time over 10 minutes on three separate occasions.

Medicine administration required improvements. We found gaps in the recording and best practice was not consistently followed.

Infection control measures were in place, however we found gaps in the cleaning records. The home appeared clean

People were supported by staff who had been recruited safely and who knew them well.

People were supported to stay in contact with their family during the pandemic via phone calls, video chats and outdoor visiting.

The registered manager and staff were open and transparent throughout the inspection and put actions into place after feedback.

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

Rating at last inspection

The last rating for this service was Good (published 26 April 2018).

Why we inspected

We received concerns in relation to staffing levels and pressure sores. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 coronavirus and other infection outbreaks effectively.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has changed from Good to Requires Improvement. This is based on the findings at this inspection.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Christopher’s Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.

We have identified breaches in relation to risk management, medicine management and oversight at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 24 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 24 February 2021

Caring

Good

Updated 24 February 2021

Responsive

Good

Updated 24 February 2021

Well-led

Requires improvement

Updated 24 February 2021

The service was not always well led.

Details are in our well led findings below.