Archived: Presentation Sisters Care Centre

Presentation Sisters Care Centre is a care home providing nursing and personal care to 32 people aged 65 and over, some of whom are living with dementia. The service can support up to 36 people. The service is set over three floors which are accessed by stairs or a central lift. People have private rooms and access to numerous lounges, dining areas and a garden.

The infection control policy had all the required guidance and details in relation to COVID-19, however these had not all been implemented or embedded to ensure safety measures against COVID-19 were in place at the time of our inspection. For example, we found personal protective equipment (PPE) was not being used in accordance with guidance. This may have been reflected by the lack of up to date training provided to staff in relation to the use of PPE. We also identified that the required chemicals were not consistently being used to maintain the hygiene of the home. After our inspection the registered manager gave us assurances these areas had been addressed.

We found the following examples of good practice.

¿ The provider had commenced full care home testing for people using the service. Staff were being tested three times a week and action taken when any risk had been identified.

¿ The hygiene of the home was being maintained and additional touch point cleaning had been introduced after our inspection.

¿ People using the service were supported to received recreational support from staff who focused on activities, these had involved hairdressing, walking in the grounds and one to one support to reduce isolation.

¿ Visitors were currently not being given access to the home. People continued to stay in contact with family through media calls and the use of the telephone.

¿ The registered manager had ensured there were sufficient supplies of personal protective equipment.

Presentation Sisters Care Centre is a care home providing nursing and personal care to 35 people aged 65 and over, some of whom are living with dementia. The service can support up to 36 people. The service is set over three floors which are accessed by stairs or a central lift. People have private rooms and access to numerous lounges, dining areas and a garden.

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

People were protected from the risk of abuse and avoidable harm by trained staff. Staff understood their responsibility to identify and report any safety concerns. People and their relatives felt the service was safe. Risks to people were assessed and well-managed. Infection control measures were in place to help prevent illness. Policies and processes were in place to safely manage the administration of medicines.

Care plans were developed in collaboration with people and their relatives and included their preferred routines, likes and dislikes. People had a choice of nutritious food, snacks and drinks throughout the day. Staff received a full induction, competency checks and regular supervision. People were given choice and control of their lives wherever possible. Staff supported people in the least restrictive way possible and in their best interests.

People and their relatives told us staff were kind, respectful and patient. People were treated in a dignified way and their privacy was respected by staff. People were assisted to maintain relationships important to them. People had a voice in their care and were encouraged to maintain their independence where possible. Advocacy services were available to people who required them.

People received personalised care that recognised their individual needs. People’s communication needs were reflected in their care plans to allow staff guidance on the best way to support people. Activities were organised and delivered on a schedule and allowed for people to choose activities most meaningful to them. Volunteers visited with people on a regular basis to provide company and conversation. People and their relatives were aware on how to raise a concern or complaint and complaints were addressed and outcomes recorded by managers.

The registered manager and their leadership team were committed to providing a high standard of care. Staff felt the service had good training, strong leadership and positive team morale. The registered manager was aware of their regulatory responsibilities. Regular audits and spot checks were made by the leadership team to ensure the service was safe and of a good quality. People, their relatives and staff had opportunities to give feedback through meetings, questionnaires and a suggestion box. The leadership team worked with health and social care colleagues to ensure good outcomes for people.

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 September 2017)

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

This inspection visit took place on the 23 August 2017 and was unannounced. At our previous visit on the 26 February 2014 the service was meeting the regulations that we checked.

Presentation Sisters Care Centre is a care and nursing home for older people some who may be living with dementia. The service is registered to accommodate 36 people. There were 33 people using the service at the time of our visit.

The service had a registered manager. 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.

People told us and we saw there were sufficient staff available to support them. Staff had knowledge about people’s care and support needs to enable support to be provided in a safe way. Staff told us that they were supported by the management team and were provided with the relevant training to ensure people’s needs could be met.

Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. Systems were in place and followed so that medicines were managed safely and people were given their medicine as and when needed. Thorough recruitment checks were done prior to employment to ensure the staff were suitable to support people.

Assessments were in place that identified risks to people’s health and safety and care plans directed staff on how to minimise identified risks. Plans were in place to respond to emergencies to ensure people were supported in accordance with their needs. Staff told us they had all the equipment they needed to assist people safely and understood about people’s individual risks. The provider checked that the equipment was regularly serviced to ensure it was safe to use.

Staff gained people’s verbal consent before supporting them with any care tasks and helped them to make their own decisions. When people were unable to make their own decisions these were made in their best interests. People received food and drink that met their nutritional needs and preferences, and were referred to healthcare professionals as needed to maintain their health and wellbeing.

People were supported to socialise and take part in activities to promote their wellbeing. People told us that they liked the staff and we saw that people’s dignity and privacy was respected by the staff team. Visitors told us the staff made them feel welcome and were approachable and friendly.

Staff listened to people’s views and people knew how to make a complaint or raise concerns. There were processes in place for people and their relatives to express their views and opinions about the service provided. People felt the service was well managed and they were involved in decisions relating to the planning of their care. There were systems in place to monitor the quality of the service to enable the registered manager and provider to drive improvement.

We spoke with domestic cleaning staff who told us what tasks were on the cleaning schedule. They also told us the colour coding system used to identify what cleaning equipment was used in kitchen, bathrooms and communal areas. This meant that people knew what specific tasks they were responsible for and what systems were in place to prevent cross contamination.

We observed medicines being taken to people's rooms. We observed that the staff member locked the medicines trolley when leaving it to ensure medicines were stored securely. We saw that the staff member asked people using the service how they were feeling and explained to them what their medicine was before administering it to them.

When we read the staff survey on training we found one staff member had commented, 'I have learnt a lot from training courses and I am still doing so.'

We saw evidence that the manager had analysed responses to the questionnaires and identified actions to take in response to the results. One action in response to comments made by families had been to install a comments box in reception. We read some comments that had been made using the comments box. One person had commented, 'A lovely outing to Carsington, congratulations to all involved.'