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Archived: St Anne's Community Services- Doncaster Good

The provider of this service changed - see old profile

The provider of this service changed - see new profile

Inspection Summary

Overall summary & rating


Updated 26 April 2018

The inspection took place on 27 March 2018. The inspection was unannounced.

This service provides care and support to people living in 35 'supported living' settings, so that they can live in their own home as independently as possible. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service is divided into five separate geographical teams. Each geographical area has a registered manager. 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 service can support a maximum of 80 people. On the day of our inspection 75 people were receiving support from St Anne’s Doncaster.

At the last inspection in January 2017 the service was rated Requires Improvement. We found the service had improved in the areas of medicines, care planning and quality assurance. However, these improvements needed to be continued and sustained. At this inspection, we found the service had sustained the improvements and embedded them into everyday practice. We have rated the service as Good.

Processes were in place to keep people safe and free from harm. Staff were knowledgeable in safeguarding adults' procedures and any concerns were discussed with the registered manager and local authority safeguarding team. Plans were in place to manage and mitigate risks to people. The registered manager regularly reviewed any incidents that occurred. There were sufficient staff to meet people's needs. People received their medicines as prescribed. Infection control procedures were adhered to.

People were supported by staff that had the knowledge and skills to undertake their duties. Staff completed a programme of training and received regular supervision. Staff supported people to eat and drink sufficient amounts and met their dietary requirements. Healthcare professionals were liaised with by staff and visited the service as required to ensure people had their health needs met. Staff adhered to the Mental Capacity Act 2005 and conditions specified in people's Deprivation of Liberty Safeguards authorisations.

Kind and respectful relationships had been developed at the service. Staff were polite and friendly when engaging people. Staff supported people to make choices and communicated with people in a way they understood. People's privacy and dignity was maintained.

People's care and support needs were met. Care plans were regularly reviewed and held sufficient and appropriate detail about how people were to be supported. A full activities programme was in place, this included individual and group activities. People said they would be comfortable to make a complaint and were confident action would be taken to address their concerns. The registered managers and provider treated complaints as an opportunity to learn and improve.

Staff felt well supported by the registered managers and area manager and felt they were approachable. Staff and people's feedback was obtained through informal conversations, organised meetings and regular surveys. A programme of audits was in place to review and monitor the quality of service delivery. The registered manager adhered to the requirements of the CQC registration and submitted notifications about key events that occurred at the service.

Further information is in the detailed findings below.

Inspection areas



Updated 26 April 2018

The service was safe.

There were systems in place to safeguard people from the risk of harm and staff had a good understanding of these processes.

Incidents and accidents were appropriately reported and recorded.

The provider had a robust recruitment procedure.

There were sufficient members of staff on duty at all times.

Risks to people had been assessed and reviewed regularly.

People's medicines were managed safely and stored appropriately.



Updated 26 April 2018

The service remains Good.



Updated 26 April 2018

The service remains Good.



Updated 26 April 2018

The service remains Good.



Updated 26 April 2018

The service was well led.

People, their relatives and staff had opportunities to contribute their views about the service.

Staff worked effectively as a team and received good support from the registered manager.

Staff communicated important information about people's needs effectively.

There were effective systems in place to monitor and improve the quality of the service.