Updated 5 March 2022
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
This focused inspection took place on 23, 29 November and 20 December 2021 and the first day of the inspection was unannounced. The inspection team consisted of four inspectors and one Expert-by-Experience who made telephone calls to relatives of people using the service. An Expert-by-Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
St Anne’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.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
This inspection was unannounced on the first day and announced on the subsequent two inspection days.
What we did before the inspection
The provider completed a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed information we had received about the service since the last inspection. We used all this information to plan our inspection.
During the inspection
We spoke with five people who used the service and eleven relatives about their experience of the care provided. We spoke with nine members of the care and nursing staff team and the chef. We also spoke with the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We also spoke with the interim support manager, operations manager, chief executive officer, an independent consultant and a visiting healthcare professional.
We reviewed a range of records. This included seven care records and multiple medicines records. We looked at four care and nursing staff recruitment records and staff supervision and training. We also viewed records relating to the management of the service, including audits of medicines and other audits regarding the day to day operation of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at staff supervision, training data and a range of quality assurance records. The provider also provided us with extensive amount of information to support the evidence found during the inspection of changes being made around improvements since concerns were first raised in October 2021.