You are here

St Mary's Residential Care Home Outstanding

This service was previously registered at a different address - see old profile

Inspection Summary


Overall summary & rating

Outstanding

Updated 9 August 2017

This inspection took place on 31 May 2017 and was unannounced. The service provides accommodation and personal care for up to four adults with a learning disability. At the time of our visit there were four people living at the service.

There was a registered manager in post. 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. The registered manager was also the registered manager for a sister home two doors away and as such ran both services very similarly aside from recognising and promoting the individuals who lived in each of the two homes.

We last inspected the service in January 2015. At that time we found no breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 or the Health and Social Care Act 2008 (Registration) Regulations 2009. The service was rated as Good in all five key lines of enquiry and received an overall rating of Good.

At this inspection we found the service remained Good in three of the key lines of enquiry and they had improved to an Outstanding rating in Caring and Well Led. Overall the rating has changed to Outstanding

St Mary’s was part of a small organisation which also included an additional small care home accommodating 10 people in total and, a domiciliary care agency providing care and support to people in their own homes. The ethos, vision and values were provider led and, as such, applied across all three services. This included; following current best practice, innovation, plans for the future and continuous striving to be the best. It was evident that the provider and registered managers worked together effectively. However each service was additionally recognised for its individuality. They had a healthy, respectful, working relationship which encouraged each service to strive to provide the best possible care independently, based on their own merits. Two of the providers other services had received an overall outstanding rating following inspections by CQC in November 2016.

Following those inspections the provider and registered manager had continued to improve the quality of the services they provided despite having achieved outstanding status. They continued to put people who used their services at the forefront of this.

The registered manager and staff followed procedures which reduced the risk of people being harmed. Staff understood what constituted abuse and what action they should take if they suspected this had occurred. Staff had considered actual and potential risks to people, action plans were in place about how to manage these, monitor and review them. Medicines were managed safely and staff followed the services policy and procedures.

People were supported by the services recruitment policy and practices to help ensure that staff were suitable. The registered manager and staff were able to demonstrate there were sufficient numbers of staff with a combined skill mix on each shift.

People moved into the service when a full assessment had been completed and the registered manager was sure they could fully meet a person’s needs. People’s needs were assessed, monitored and evaluated. This ensured information and care records were up to date and reflected the support people wanted and required.

Staff had the knowledge and skills they needed to carry out their roles effectively. They were supported by the provider and the registered manager at all times. People were helped to exercise choices and control over their lives wherever possible. Where people lacked capacity to make decisions Mental Capacity Act (MCA) 2005 best interest decisions had been made. The Deprivation of Liberty safeguards (DoLS) were understood by staff and, appropriately implemented to

Inspection areas

Safe

Good

Updated 9 August 2017

The service remains safe.

Effective

Good

Updated 9 August 2017

The service remains effective

Caring

Outstanding

Updated 9 August 2017

The service had improved to Outstanding

The provider, registered manager and staff were committed to providing care that was kind, respectful, and dignified. Person centred care and promoting independence were key principles on which the service was delivered and this was reflected in the day-to-day practice of the service.

People who used the service valued the relationships they had with care workers and expressed great satisfaction with the care they received and, that it was provided in a way they wanted it to be.

People felt all staff treated them with kindness and respect and often went above and beyond their roles. Staff built meaningful relationships with people who used the service

Responsive

Good

Updated 9 August 2017

The service remains responsive.

Well-led

Outstanding

Updated 9 August 2017

The service had improved to Outstanding

The service was exceptionally well led.

The vision and values of the home were embedded in the way care and support was provided to people. Feedback was encouraged and improvements made to the service when needed.

People benefitted from staff who felt supported and were motivated to learn and develop. There was a person centred culture and a commitment to providing high quality care and support.

The provider and registered manager strove to maintain, sustain and further improve the experiences of people living in the home through quality assurance processes.