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Inspection summaries and ratings from previous provider

Overall summary & rating


Updated 9 October 2018

This inspection was undertaken on 3 and 4 September 2018. The first day of our inspection visit was unannounced.

St Johns Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

St Johns Nursing Home accommodates up to 46 people across two separate units, the Pines and the Limes, within one adapted building, and specialises in care for people living with dementia and rehabilitation for people with enduring mental health needs. In addition, there are three flats to promote more independent living. At the time of our inspection visit, there were 40 people living at the home.

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.

We last inspected the service in October 2016 when we rated it as Good. In August 2018 we re-registered the service to reflect a change in the ownership structure of the registered provider. This change had no impact on the day-to-day operation of the service. Although, therefore, this was our first inspection of the re-registered service.

People were supported to stay as safe as possible by staff who understood what actions to take to reduce risks to their well-being. This included reducing risks to people’s physical health and mental well-being. The registered manager had recruited additional staff so they could reduce the need to use agency staff and to further promote consistency of care which met people’s wishes and choices. People could rely on trained and competent staff supporting them to have the medicines they needed to remain well and free from pain.

People benefited from living in a home where there were systems in place to reduce the risk of infections and staff knew what action to take to care for people if they experienced any infections. Checks on the environment were undertaken and systems for identifying if there was any learning after safety incidents were in place.

Staff considered people’s care needs and involved people who knew them well before people came to live at the home, so they could be sure they could meet people’s needs. Staff received the ongoing training they required so people would be supported by staff with the skills needed to help them. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to choose what they wanted to eat and the registered manager was looking at ways to ensure the meals people were offered were to their liking and varied. Staff supported people to obtain care from other health and social care professionals so they would remain well.

People had developed caring relationships with the staff who supported them. Staff communicated with people in the ways they preferred and encouraged them to make their own day to day decisions about their care. People received care from staff who acted to promote their dignity and independence. Systems were in place to respond to any concerns or complaints and to act to resolve these.

People’s care had been planned by taking their individual wishes, histories and needs into account. People’s care plans incorporated advice provided by other healthcare professionals, so they would receive the care they needed. Procedures and processes were implemented to show people’s skin was regularly assessed and wounds were monitored regularly.

Staff had received compliments about the way care was provided. The registered manager and provider checked people received the care they wanted, so they would be assured people enjoyed a good quality of life and risks to their safety were reduced.

The registered manager listened to the views of people who lived at the home, their relatives and staff when developing people’s care and the home further. This helped to ensure people had the equipment they needed and opportunities to continue to do things they enjoyed as their needs changed. The registered manager planned further work to continually drive through improvements so people would benefit from living at a home where there was a cohesive staff team who were supported to further develop their caring skills and experience.

Further information is in the detailed findings below.

Inspection areas



Updated 9 October 2018

The service was safe.

People were supported by staff who had the insight into recognising and reporting abuse to keep them as safe as possible.

Risks to people had been identified so the right equipment and aids were sought to meet people's needs in the safest way.

People's needs were met and responded to by sufficient suitably recruited staff.



Updated 9 October 2018

The service was effective.

Staff had the knowledge and skills required to meet people's individual needs and promote their health and wellbeing.

People were supported to make their own decisions wherever possible and staff had a good understanding of how to support people who lacked the capacity to make some decisions for themselves.

Food and drinks were provided and the registered manager was looking at how meals could be further enhanced to ensure people�s choices and preferences continued to be met.



Updated 9 October 2018

The service was caring.

Staff were kind and caring towards people, and respected their dignity and privacy.

People were consulted about their care and enabled to express their views.

Staff understood the importance of people's relationships and visitors were made welcome.



Updated 9 October 2018

The service was responsive.

People received personalised care that was responsive to their changing needs and preferences.

People's social and recreational interests had been considered and the registered manager had identified further work was required to ensure all people�s needs were met.

Complaint procedures were in place in formats to empower people in raising any concerns they had so these were responded to and addressed.



Updated 9 October 2018

The service was well led.

People who lived at the home and their relatives were encouraged to voice their opinions and make suggestions for service improvement.

Staff could voice their views about the care provided and make suggestions about the running of the home.

The provider and the registered manager�s quality checking systems were used to drive through ongoing improvements to ensure people were receiving a good standard of care.