- Care home
St Peter's House
Report from 7 August 2024 assessment
Contents
Ratings
Our view of the service
St Peter's House is a residential care home providing the regulated activity of accommodation for person's who require nursing or personal care for up to 66 people. The service does not provide nursing care. The service provides support to older people some of whom are living with dementia. At the time of our inspection there were 61 people using the service. We carried out this inspection from 15 August to 29 August 2024 and visited the service on 15, 21 and 22 August 2024. This assessment was carried out following concerns shared with us about the care people were receiving at the service. People's complaints were not always documented or promptly responded to. Governance processes were in place however improvement was needed to ensure a robust audit trail of actions taken and communication improved. The building was clean, well decorated and there was an ongoing refurbishment plan in place. Staff we spoke with said they were well supported. People and relatives were, overall, positive about the care and support received. We observed positive and caring interactions between staff and people. We looked at 16 quality statements across 4 key questions. Our overall rating of this service remains requires improvement. We found 2 continued breaches of legal regulations in relation to safe care and treatment and governance arrangements. In instances where CQC have decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.
People's experience of this service
People and their relatives felt there had been improvements since the change in management and staff provided them with kind and compassionate care. However, they also told us concerns and complaints were not always responded to, and communication could be improved. People did not always receive their medicines as prescribed. We found people were at risk of experiencing harm due to poor management of health and safety concerns. However, despite these concerns, we received generally positive feedback from people and those important to them. People told us they were mostly happy with the care they received and spoke positively about the kind and caring attitude of staff. Relatives said management and staff were approachable and welcoming when they visited the service. We observed people's experience of the service and found staff were mostly kind and caring in their approach. Feedback from staff and relatives regarding staffing levels was mixed, some people felt there were enough staff and others disagreed. Our observations highlighted that staff were not always deployed in the best way to maximise interactions between staff and people and the lack of mobilising equipment meant people were left waiting for staff support. In response to our findings the registered manager took prompt action. Further work was needed to enhance the experience of people mobilising in wheelchairs to improve access to garden areas. All corridors and doors had been painted in the same colour alongside a lack of signage this impacted on people living with dementia who we observed struggled to locate their rooms and orientate around the service. Many of the memory boxes located outside people’s rooms for the purpose of signposting them to their room were empty of personal items. The manager told us this had been recognised as an area of improvement needed and a dementia specialist had been sought to provide guidance and advice to make improvements.