About the service St Peter’s Court is a nursing home providing personal and nursing care to older people with nursing and dementia related needs. There were 19 people using the service at the time of our inspection. The service was purpose built and accommodated up to 24 people.
People’s experience of using this service and what we found
At this inspection, we looked at all of the key questions and checked whether the provider had made the necessary improvements to ensure people were safe and received good quality care.
Improvements had been made to the service. This included people receiving person centred care with staff being knowledgeable about their needs and keeping them safe. Accidents and concerns were recorded and dealt with appropriately. Systems and processes were in place to assess and monitor the quality of the care provided. There were enough staff who were trained, competent and supported to provide high quality care.
People and their relatives told us the service was safe. Risks to people’s health and safety were assessed and recorded and staff knew how to manage them to keep them safe. People were supported by enough staff who had been safely recruited. People’s medicines were safely managed by staff who were trained and competent. People were protected from the risk of infection as prevention and control measures were in place. Lessons had been learnt when things had gone wrong and improvements made as a result.
Staff received an induction, training and supervision and had relevant skills and knowledge to do their job. Improvements to the environment and gardens continued to be completed through an ongoing improvement plan. People had access to a range of food and drink which met their needs and preferences. Referrals to health care professionals were made in a timely way to maintain people's health and wellbeing.
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 who required support with decision making had access to advocacy services if required. Consent arrangements had been put in place for sharing a bedroom and good practice guidance was being explored to ensure people's rights were protected.
Staff treated people with dignity and respect and maintained their privacy. They were kind and caring and knew people well. People were encouraged to be as independent as possible and were supported to maintain important relationships.
People’s care plans had been reviewed and updated and were more person centred. They outlined people’s physical, health and mental health needs, their wishes and preferences. Work was ongoing in updating and exploring people’s life histories. The involvement of people and their families in their assessment and the review of their care had been put in place.
A complaints process was in place, with no outstanding complaints. People’s wishes, and preferences had been recorded to ensure their needs were met whilst receiving end of life care.
The manager led by example and was a visible role model for the staff. The provider, manager and staff were aware of their role and responsibilities and staff felt encouraged and supported in their day to day work.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
In September 2018, we undertook a comprehensive inspection and looked at all key questions. There were multiple breaches of the regulations. The service was rated as Requires improvement and the report was published on 29 November2018.
The provider completed an action plan to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations. The overall rating for the service has changed from Requires improvement to Good.
Why we inspected
This was a planned inspection based on the previous rating.
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.