St Josephs

St Josephs is a care home providing accommodation for up to 60 people in one adapted building. At the time of our inspection visit 50 people were resident. One part of the home specialises in providing care to people living with dementia. This is known as Gainsborough.

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

We received information raising concerns how people using the service and staff were being kept safe. This related to safeguarding and staffing concerns. We had received feedback from the provider about these matters prior to our visit to the premises. We also assessed infection prevention and control relating to COVID-19.

We observed that people were kept safe with sufficient appropriately trained staff. People were enabled to safely take part in events and activities such as hairdressers, manicures and flower arranging. These were all thought through and measures were put in place to minimise risks associated with COVID-19.

We were assured that this service met good infection prevention and control guidelines.

People appeared and told us that they were okay and happy. Systems in place to protect people from harm were appropriate. Staff consistently told us that they could recognise safeguarding concerns and would and knew how to escalate these concerns if needed.

Rating at last inspection

The last rating for this service was Good (published 30 October 2017)

Why we inspected

We undertook this targeted inspection to follow up on specific concerns which we had received about the service. The inspection was prompted in response to concerns received about safeguarding and staffing matters. A decision was made for us to inspect and examine those risks.

Please see the safe section of this full report.

CQC have introduced targeted inspections to follow up on Warning Notices or to check specific concerns. They do not look at an entire key question, only the part of the key question we are specifically concerned about. Targeted inspections do not change the rating from the previous inspection. This is because they do not assess all areas of a key question. We found no evidence during this inspection that people were at risk of harm from these concerns.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Josephs on our website at www.cqc.org.uk.

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.

St Josephs is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. St Josephs can accommodate up to 60 people in one adapted building. At the time of our inspection 55 people were resident. One part of the home specialises in providing care to people living with dementia. This was known as Gainsborough.

There was a registered manager in post and present throughout the two days of inspection. 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.

St Josephs had grown to be an all-round good service that had responded well to our feedback. An example of this was the new provider making adaptations to the building and installing a shaft lift to ensure all areas of the home were accessible to people.

People consistently reported to us that the service staff listened to them and responded appropriately to meet their needs. People felt involved and consulted. People received a care service that assessed their needs and responded with good care planning and risk assessments in place that staff followed. There was good planning for all stages of people’s lives including events such as returning from hospital and end of life care. People told us that there were sufficient staff, that were kind, helpful and considerate to them. People were provided with healthy nutritious meals that they liked and chose. They had access to healthcare and had consented to care being provided. There was an interesting variety of activities, access to the community and day time pursuits available to people.

Staff spoke about the positive cultural changes that have come about under the new provider Anchor Trust. They were very satisfied with the management team within the home and the support given to them. Staff had received an extensive amount of training and support to up skill them. There were sufficient staff of all designations working within the home who had access to the wider management support within Anchor including a dementia specialist.

There was good oversight with the home. There were systems in place to monitor and check the quality of service on offer that was fed up the wider organisation. There was a culture of learning from events and good working relationships with other professionals external to the home.