We carried out a review of the data available to us about St Peters Court on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about St Peters Court, you can give feedback on this service.
St Peters Court is a nursing home providing personal and nursing care for up to 24 people aged 65 and over, in one purpose-built accommodation. At the time of the inspection 17 people were living in the service, this included people living with dementia.
People’s experience of using this service and what we found
The provider did not have robust safety and quality monitoring processes in place. Records were not always updated, and the provider had not ensured staff had up to date knowledge and skills to support them in their role.
We have made a recommendation about quality and safety monitoring processes.
People and relatives told us they felt safe in the service and staff were knowledgeable about how to raise concerns. Risks to people had been assessed; however, where concerns had been highlighted, the provider had not always checked to ensure staff practices were keeping people safe.
Staff were safely recruited. We received mixed feedback about whether there was enough staff on shift and people were sometimes supported by agency staff alongside regular permanent staff.
People received their medicines as prescribed and staff had clear information about how people liked to be supported.
Staff wore appropriate personal protective equipment (PPE) and told us they knew how to minimise people’s risk of infection through safe infection prevention and control processes.
Relatives spoke positively about the service and felt involved in people’s care. The provider had sought support from other health professionals and put measures in place to learn from incidents and look at how they could improve the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 30 October 2019)
Why we inspected
We received concerns in relation to people’s safety and the understanding and management of safeguarding concerns in the service. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
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 coronavirus and other infection outbreaks effectively.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We have found evidence that the provider needs to make improvement. Please see the well-led section of this full report
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Peters Court 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 Peter’s Court is a nursing home providing personal and nursing care to older people with nursing and dementia related needs. There were 19 people using the service at the time of our inspection. The service was purpose built and accommodated up to 24 people.
People’s experience of using this service and what we found
At this inspection, we looked at all of the key questions and checked whether the provider had made the necessary improvements to ensure people were safe and received good quality care.
Improvements had been made to the service. This included people receiving person centred care with staff being knowledgeable about their needs and keeping them safe. Accidents and concerns were recorded and dealt with appropriately. Systems and processes were in place to assess and monitor the quality of the care provided. There were enough staff who were trained, competent and supported to provide high quality care.
People and their relatives told us the service was safe. Risks to people’s health and safety were assessed and recorded and staff knew how to manage them to keep them safe. People were supported by enough staff who had been safely recruited. People’s medicines were safely managed by staff who were trained and competent. People were protected from the risk of infection as prevention and control measures were in place. Lessons had been learnt when things had gone wrong and improvements made as a result.
Staff received an induction, training and supervision and had relevant skills and knowledge to do their job. Improvements to the environment and gardens continued to be completed through an ongoing improvement plan. People had access to a range of food and drink which met their needs and preferences. Referrals to health care professionals were made in a timely way to maintain people's health and wellbeing.
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 who required support with decision making had access to advocacy services if required. Consent arrangements had been put in place for sharing a bedroom and good practice guidance was being explored to ensure people's rights were protected.
Staff treated people with dignity and respect and maintained their privacy. They were kind and caring and knew people well. People were encouraged to be as independent as possible and were supported to maintain important relationships.
People’s care plans had been reviewed and updated and were more person centred. They outlined people’s physical, health and mental health needs, their wishes and preferences. Work was ongoing in updating and exploring people’s life histories. The involvement of people and their families in their assessment and the review of their care had been put in place.
A complaints process was in place, with no outstanding complaints. People’s wishes, and preferences had been recorded to ensure their needs were met whilst receiving end of life care.
The manager led by example and was a visible role model for the staff. The provider, manager and staff were aware of their role and responsibilities and staff felt encouraged and supported in their day to day work.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
In September 2018, we undertook a comprehensive inspection and looked at all key questions. There were multiple breaches of the regulations. The service was rated as Requires improvement and the report was published on 29 November2018.
The provider completed an action plan 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. The overall rating for the service has changed from Requires improvement to Good.
Why we inspected
This was a planned inspection based on the previous rating.
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.