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St Michael's Nursing Home Good

Inspection Summary


Overall summary & rating

Good

Updated 9 June 2018

This inspection was carried out on12 and 13 April 2018 and was unannounced.

Care service description

St Michael’s Nursing Home is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. St Michael’s Nursing Home provides care for up to 65 older people who have nursing needs and who may also be living with dementia. The care home is based in a residential area of Westgate-on-Sea, with car parking on site, and public transport links close by. The service is arranged as two separate units over two floors of a detached building. There are communal lounges and dining areas. On the day of the inspection there were 53 people living at the service.

Rating at last inspection

At our last inspection we rated the service good. At this inspection we found overall the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. However, we did find an area, records that needed improvement. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection but one of the domains now requires improvement.

At this inspection we found the service remained Good.

Why the service is rated Good.

The service continues to be rated as good but some records needed improvement. Staff had not always completed some records accurately and concisely to show that people were getting the support and care that had been planned for them and for risks to be minimised. Records had been audited and checked but the inaccuracy of the records had not been identified as a shortfall. Other information in care plans and medicines records needed further details to make sure people were receiving consistent care from the staff in the way that suited them best. The registered manager took immediate action to address the issues.

People, staff and relatives told us that the service was well led and that the management team were supportive and approachable and that there was a culture of openness within the service. The registered manager was experienced and skilled in supporting people with complex health needs and continued to enhance their knowledge and skills. They had a clear vision for the service and this was shared by the staff. The registered manager worked with other professionals and outside agencies to ensure people had the support they needed. There were links with the local community. The registered manager had sought feedback from people, their relatives and staff about the service.

People felt safe in the service. Staff understood how to protect people from the risk of abuse and knew the action they needed to take to report any concerns in order to keep people safe. The management responded appropriately when concerns or complaints were made.

Staff understood people's specific needs and had good relationships with them. Throughout the inspection people were treated with dignity and kindness. People's privacy was respected. Staff were respectful and caring when they were supporting people. At the end of their lives people were supported to have a comfortable, dignified and pain –free death.

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.

People were assessed before they came to live at the service. Care plans contained the detail needed to show how all aspects of people’s care was being provided in the way they preferred. Risks to people's health and safety were assessed and there was guidance for staff to mitigate risk and keep people as independent as possible. There was a wide range of activities provided for people to

Inspection areas

Safe

Good

Updated 9 June 2018

The service remains Good

Effective

Good

Updated 9 June 2018

The service remains Good

Caring

Good

Updated 9 June 2018

The service remains Good

Responsive

Good

Updated 9 June 2018

The service remains Good

Well-led

Requires improvement

Updated 9 June 2018

The service Requires Improvement

Checks and audits undertaken had not identified lack of accurate recording. There was a lack of oversight and governance in some areas.