29 March 2022
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 Health and Social Care Act 2008.
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.
The inspection was carried out by three inspectors. Following the inspection an Expert by Experience made telephone calls to relatives of people living at St Catherine’s Care Centre. 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 Catherine’s Care Centre is a care home with nursing care. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 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.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed all the information we held about the service, including data about safeguarding and statutory notifications. Statutory notifications are information about important events which the provider is required to send us by law. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make.
We used all this information to plan our inspection.
During the inspection
We spoke with ten people who used the service and one relative about their experience of the care provided. We spoke with seven staff members, the registered manager, clinical lead and regional director. We reviewed a range of records. This included six people’s care records and multiple medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We spoke with eight relatives regarding their experience of the care their loved ones received. We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records.
29 March 2022
About the service
St Catherine’s Care Centre is a residential care home providing personal and nursing care to up to 34 people. The service provides support to adults requiring care and support due to their physical health and those living with dementia. At the time of our inspection there were 30 people using the service.
People’s experience of using this service and what we found
People felt safe living at St Catherine’s Care Centre. Risks to people’s safety and well-being were assessed and action taken to minimise these risks. Staff had received training in safeguarding people from potential abuse and were aware of reporting procedures should they identify concerns. Safe medicines practices were followed and staff competencies in this area were assessed. Staffing levels were regularly reviewed and action taken should concerns arise. Robust recruitment processes were in place to ensure staff were suitable for their roles.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People and their loved ones were involved in the assessment and care planning process and their preferences were known to staff. People had access to healthcare professionals in line with their needs. The registered manager and clinical lead worked closely as a team to ensure people’s clinical needs were regularly reviewed and monitored.
Staff treated people with kindness and spent time socially with them. People were supported to maintain contact with those who were important to them and were able to receive visitors. People told us they had enough to do and enjoyed a variety of activities. The registered manager and well-being co-ordinator were looking to extend links within the local community.
People and their relatives felt they were able to raise concerns and would receive a response. The provider and registered manager had implemented a range of quality assurance processes to monitor the service people received. There was a positive culture within the service and people, relatives and staff were highly complementary regarding the improvements and on-going support the registered manager provided.
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 requires improvement (published 20 November 2019) and there were breaches of regulation.
The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
At our last inspection we recommended processes in relation to the Mental Capacity Act 2005 were reviewed and monitored to ensure detailed records were maintained. At this inspection we found improvements had been made and records were personalised and comprehensive.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
We will continue to monitor information we receive about the service, which will help inform when we next inspect.