Archived: St Edmunds Nursing Home

Updated 21 June 2017

We carried out an unannounced focused inspection on 18 May 2017. This inspection was completed to check that improvements to meet a legal requirement had been met. This was in regard to the registered persons not taking into consideration the complex needs of people. Therefore, there were insufficient staff to meet people’s needs at our last inspection.

The provider told us improvements would be made after our comprehensive inspection on 4 October 2016.

We inspected the service against one of the five key questions we ask about services; is the service safe. This is because the service was not meeting the legal requirement in relation to that section.

The inspection was undertaken by a single inspector.

During our inspection we spoke with 10 people, three relatives, four care workers, one registered nurse, a housekeeper, a cook and the manager. We also spoke with the project manager who was overseeing the home. We looked at records which included staff rotas, dependency levels of people using the service, the training planner and training statistics, the policy on absence, the concerns and complaints folder and the audit checklist.

Updated 21 June 2017

We carried out an unannounced comprehensive inspection on 4 October 2016. A breach of a legal requirement were found. After the inspection, the provider wrote to us to say what they would do to meet the legal requirement in relation to the breach.

At the last inspection on 4 October 2016 we found that the provider was not meeting the standards of care we expect. This was in relation to the registered persons not taking into consideration the complex needs of people. Therefore there were insufficient staff to meet people’s needs.

We undertook this focused inspection on 18 May 2017 to check that they had followed their plan and to confirm they now met the legal requirement. During this inspection on the 18 May 2017 we found the provider had made improvements in the area we had identified. The legal requirement for Regulation 18 was now met.

This report only covers our findings in relation to that requirement. You can read the report from our last comprehensive inspection by selecting the ‘all reports’ link for St Edmund’s Nursing Home on our website at www.cqc.org.uk.

St Edmund’s Nursing Home provides care for people who require personal care. It provides accommodation for up to 49 people. At the time of the inspection there were 49 people living at the home.

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.

On the day of our inspection we found that the registered provider had ensured that there were sufficient staff on duty to keep people safe and meet their needs. The manager ensured that people’s dependency levels were reviewed on a regular basis, in consultation with each individual. Staff were consulted about the staffing levels and told us they felt their opinions were valued.