Seton Care Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We reviewed 4 quality statements under this key question: Shared direction and culture, Capable, compassionate, and inclusive leaders, Governance, management and sustainability and Partnerships and communities. Staff were clear about their responsibilities and roles and felt supported by the manager and management team. Staff spoke positively about the leadership and culture of the service. The provider had quality assurance systems and processes in place. However, they were not always effective in monitoring the oversight of the service, this was in relation to medicines management and oversight of agency records. Following the assessment, the manager sent us the new improved templates of their auditing processes which they were about to implement at the service. The manager took immediate action after the onsite assessment visit to update agency staff records, amend their medicines auditing processes and review people’s mental capacity assessments where required. We did not find these improvement needs affected the safety and quality of people’s care and any future risks were mitigated by the actions taken by the manager during this assessment.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We received positive feedback from staff about the culture of the service. Comments included, “Everyone gets on so well, I would be happy for a relative to live here. Everyone is so cheerful, there is never an atmosphere", "I joined last year, I love it here.” and “People receive the best care here; I have worked in other homes, and this is the nicest place to work.”

Systems and process were in place to share information with staff. Daily handovers were held to share information about people using the service. The manager carried out daily walk rounds, and staff had the opportunity to attend regular staff meetings, share information in their 1:1 supervision and had the opportunity to provide their feedback via staff surveys. The manager told us they were available should any member of staff need to speak to them.

The manager told us, “In my time at Seton care home I have put a structure in place to provide consistency for more effective oversight of the service which is still in progress. I have introduced training champions within the service which include dementia, health and safety and activity champions” Staff told us they felt supported by the management team and other colleagues. They were provided with training to enhance their knowledge and skill sets to provide safe care and treatment to people. Staff told us staff morale was high due to the good working relationships they had with the management team and other colleagues.

The manager told us they were supported by the provider and sister servant. Away day manager meetings for peer support. The manager was looking at different ways of providing recognition and reward for staff for their commitment, day to day practice and going above and beyond.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Staff feedback was positive, they told us they felt supported and listened to by the management team, comments included, “I feel very supported, the manager carries out my supervision, the seniors update me about any risk to a person and I am provided with a handover when I arrive for my shift.” And “We have supervisions, staff meetings, have access to training. I feel 100% supported.”

Governance systems and processes were in place to monitor the overall safety and quality of the service; however, improvements were needed to the management of medicines to ensure a more robust oversight was in place. The manager responded immediately to the concerns we found relating to agency staff records and the reconciliation of some medicines after the assessment and took action to revisit all staff medicines competencies and implement a medicines trolley audit at every shift handover. The provider was aware of the regulatory requirements and made statutory notifications to relevant agencies when required to do so. There was a system to manage incidents and learn from them to improve practice.

People received care from a service that worked in partnership with other health and social care professionals to achieve good outcomes for them.

The manager told us they worked with other professionals and received support and guidance when needed. They spoke positively about working in partnership with other health professionals and how this had led to better outcomes for people. The manager told us how people using the service had attended short training sessions alongside staff members by an external healthcare professional to cover oral health, pressure areas and the next upcoming training is around the importance of hydration this was to empower people to have information first hand in these areas.

Feedback was requested but not received from a local GP practice/health service.

The manager kept a monthly overview for each person which identified and logged appointments people had attended, or visits received from other external health professional services and what treatment had been provided.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.