St Michaels Nursing Home

Ratings

• Overall

  Good

• Safe

  Good

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Good

Our view of the service

St Michaels Nursing Home is a residential care home providing accommodation, personal and nursing care for up to 39 people. At the time of this assessment 24 people were receiving care at the home. We carried out this assessment due to concerns raised following a joint quality visit from the Integrated Care Board and Local Authority. The concerns found related to the managment of medicine, poor complaints process, safeguarding issues including unexplained bruising, poor personal care and hydration and nutrition for people using the service. The last inspection was carried out in May 2023 and the was rated overall as good, with a requires improvement for responsive as peoples needs were not always met in a timely manner and opportunities for people to participate in social activities were limited and did not always meet the individual needs or preferences of people in the home. During this assessment we acknowledge the change within the management structure and how this has benefitted the people who reside at the home, but also for the staff. It was evident that there have been challenges within the service but the leaders and staff are working hard to address them in order to meet the individual needs of people who use the service and improve their experience of care. Leaders have addressed the concerns relating to the managment of medicines, poor complaints process, safeguarding issues including unexplained bruising, poor personal care and hydration and nutrition for people using the service. However, the majority of the work that has been completed is in is infancy, it now needs to be embedded in order to bring about sustained, positive change.

People's experience of this service

During our assessment we spoke with 2 people who use the service the 4 relatives. People and their relatives felt safe and knew who to speak to if they have any concerns. The relatives told us they were fully involve with their loved ones care planning and managing their risks. Staff kept relatives informed of hospital or GP appointments or if their loved one needs changed. Relatives were mostly positive about the levels of staff to meet the needs of their loved ones. Although there had been some occasions when they were less staff this was addressed and agency staff were called in to increase the staffing numbers. People and their relatives told us that care staff worked well with agencies outside of the home to ensure their needs were met to. For example, resolving issue with medication, referrals to specialist services and attending healthcare appointments. Everyone we spoke with told us that staff listened to them, knew their personal histories and preferences, treated them with kindness, empathy and compassion.