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St. Michaels Lodge Requires improvement Also known as Shakthi Healthcare Limited

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 26 October 2019

About the service

St Michael’s Lodge is a residential care home providing personal and nursing care to nine people with mental health needs aged 25 and over at the time of the inspection. St Michael’s Lodge can accommodate up to 10 people in one adapted building.

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

We found improvements were required to the management of the service. The registered manager had failed to notify us of two notifiable serious incidents in August 2018. Staffing levels were not always adequate to meet people’s needs.

People told us they felt safe and staff treated them well. Staff understood their responsibilities for reporting any suspicions of abuse.

People’s risks were assessed, and guidance provided to reduce these. However, the fire risk assessment did not take account of people smoking inside the house. Systems were in place to safely manage medicines. Lessons were learnt when things went wrong, however follow up information was not always documented.

People were cared for by staff who received appropriate training to effectively carry out their role. Staff worked with professionals to support people’s care needs.

People were asked for their consent before care was provided. 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’s nutrition and hydration needs were met.

Care plans documented people’s preferences, likes and dislikes. People’s communication needs were documented in their care plan. Staff were caring and kind and spoke attentively to people.

People were supported by staff who knew people well. People were supported to maintain their independence and their dignity was valued and respected. People were encouraged to make daily living decisions and staff supported them to make their own choices.

People were supported to participate in activities and follow their own interests. People knew how to raise a concern if they were unhappy about the service they received.

There were systems in place for monitoring the quality of the service, however, we found management presence at the service was not enough to ensure the smooth running of the service. The provider knew what was expected of them in terms of Duty of Candour, they had spoken with the local authority and relatives concerning incidents at the home.

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 15 March 2017).

Why we inspected

This was a planned inspection based on the previous rating.

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

Enforcement

We have identified breaches in relation to staffing levels, recruitment, governance and notification of other incidents.

Please see the action we have told the provider to take at the end of this report.

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.

Inspection areas

Safe

Requires improvement

Updated 26 October 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 26 October 2019

The service was effective

Details are in our safe findings below.

Caring

Good

Updated 26 October 2019

The service was caring

Details are in our safe findings below.

Responsive

Good

Updated 26 October 2019

The service was responsive

Details are in our safe findings below

Well-led

Requires improvement

Updated 26 October 2019

The service was not always well-led

Details are in our safe findings below.