Archived: St John's Nursing Home

Updated 23 May 2017

We carried out an unannounced focused inspection on 28 March 2017. This inspection was completed to check that improvements to meet three legal requirements had been met. This was in regard to staff being unaware of how to implement the Mental Capacity Act 2005 and how to store and administer medicines safely. We also found the registered manager had not fulfilled their legal obligation in sending us notifications about accidents and incidents which had happened. The provider told us improvements would be made after our comprehensive inspection on 27 September 2016.

We inspected the service against three of the five key questions we ask about services; is the service safe, is the service effective and is the service well-led. This is because the service was not meeting legal requirements in relation to those sections.

The inspection was undertaken by a single inspector.

During our inspection we looked at all storage areas for medicines. We spoke with three relatives, two care workers, two registered nurses, a member of the administration staff and the registered manager. We also spoke with the project manager who is overseeing the home on behalf of the administrators. We observed staff administrating medicines. We looked at records which included medicines administration records, four care plans, audit records and accident and incident records.

Updated 23 May 2017

We carried out an unannounced comprehensive inspection on 27 September 2016. Breaches of three legal requirements were found. After the inspection, the provider wrote to us to say what they would do to meet the legal requirements in relation to the breaches.

At the last inspection on 27 September 2016 we found that the provider was not meeting the standards of care we expect. This was in relation to the staff being unaware of how to implement the Mental Capacity Act 2005 and the safe storage and administration of medicines. The registered manager had also failed to inform the Care Quality Commission (CQC) of accidents and incidents which had occurred in the home, which they are legally obliged to do.

We undertook this focused inspection on 28 March 2017 to check that they had followed their plan and to confirm they now met the legal requirements. During this inspection on the 28 March 2017 we found the provider had made improvements in the areas we had identified.

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

St John’s Nursing Home provides care for people who require personal care. It provides accommodation for up to 37 people. At the time of the inspection there were 35 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 staff were more aware of how to implement the Mental Capacity Act 2005 and had received further training. Documentation was in place in the care plans we looked at to show people’s mental capacity had been tested, if necessary and other parties consulted. The storage of medicines had improved and staff were observed administrating medicines in a safe way. The notifications which the registered manager was required by law to send to us were now being received by CQC.