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St Christopher's Care Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 31 October 2019

About the service

St Christopher’s Care Home provides accommodation, personal and nursing care to older people. The care home accommodates up to 168 people in five purpose-built buildings. At the time of the inspection 108 people were living there.

People’s experience of using this service

Since the last inspection systems had been implemented to help address the shortfalls, promote safety and improve the quality of care in the home. We found that some of these systems had been effective and some were still a work in progress. However, the atmosphere in the home had changed for the better and staff told us they felt things had improved.

There were mixed views about the management of the home from people and their relatives about the amount of engagement from the management team.

People told us that their care needs were met in most cases. We found that for people less able to request support for themselves, there may be times when care was delayed. Relatives and staff told us that there were not always enough staff. People who were able to request support told us that there were enough staff most of the time.

Care plans were detailed and included enough information for staff to be able to support people with their care needs in many cases. However, they did not all include all elements of people’s needs and some areas needed more information. Mental capacity assessments and best interest decisions needed to be completed for some people.

People gave mixed views about the activities available. People who were in their rooms were at risk of being isolated.

People told us that they received their medicines when needed. However, medicines were not always managed safely, and systems needed to be developed to manage this appropriately. People told us that they enjoyed the food. The dining experience had improved in some units but needed further development in other units.

There were systems in place to help ensure staff were trained and received regular supervision and staff felt supported by the management team.

The service met the characteristics for the rating of "Requires Improvement" in all key questions.

We have made recommendations in relation to sharing of examples of poor practice, medicines management, completion of capacity assessments and best interest decisions.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk.

Rating at last inspection and update

The last rating for this service was Inadequate (published 16 April 2019). At this inspection the rating had improved. However, enough improvement had not been made and the provider was still in breach of a regulation.

This service has been in Special Measures since 15 April 2019. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified a breach in relation to governance systems at this inspection.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will ask the provider to send us an action plan stating how they will make the required improvements. We may meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 31 October 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Requires improvement

Updated 31 October 2019

The service was not always effective

Details are in our Effective findings below.

Caring

Requires improvement

Updated 31 October 2019

The service was not always caring

Details are in our Caring findings below.

Responsive

Requires improvement

Updated 31 October 2019

The service was not always responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 31 October 2019

The service was not always well led

Details are in our Well led findings below.