Archived: St John's

Updated 12 December 2017

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was an unannounced inspection and took place on 24 and 31 October 2017.

The inspection was carried out by one inspector.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also checked notifications made to us by the provider, safeguarding alerts raised regarding people living at the home and information we held on our database about the service and provider.

During the inspection, we spoke with five people, three care staff and the registered manager. We also contacted six relatives, three of whom responded and two health care professionals one of whom responded. There were six people living at the home.

During our visit we observed care and support, was shown around the home and checked records, policies and procedures and maintenance and quality assurance systems. We also looked at the personal care and support plans for three people and two staff files.

We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 12 December 2017

This was an unannounced inspection that took place on 24 and 31 October 2017.

The home provides personal care and accommodation for up to six people with learning disabilities. It is located in the Teddington area.

The home had a registered manager. 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 and associated Regulations about how the service is run.

At the last inspection on 2 and 7 September 2015 the home met all the key questions and was rated good in each with an overall good rating.

Relatives spoke on behalf of people with limited verbal communication. People enjoyed living at St John’s and were happy there. They liked how staff provided them with care and support. People were enabled to make their own choices and these included activities with people going to and coming back from them during our visit. The activities they pursued were varied and took place at home and in the community. The home was a safe place to live and work and there was a welcoming, friendly atmosphere. People’s interaction with staff and each other was positive throughout our visit.

The home’s records were up to date and covered all aspects of the care and support people were provided with. People’s care plans were individualised to them and contained comprehensive information that was regularly reviewed. This enabled staff to carry out their duties efficiently and professionally. Staff encouraged people to discuss their health needs with them and people had access to GP’s and other community based health professionals. People were supported to choose healthy and balanced diets that also met their likes, dislikes and preferences, whilst protecting them from nutrition and hydration associated risks. They said they were happy with the choice and quality of meals provided.

People were well supported, familiar with the staff that supported them and staff were fully aware of people’s needs, routines and preferences. Relatives told us that staff worked well as a team and provided them with updated information as required. Staff had appropriate skills and provided care and support in a professional, friendly and supportive way that was focussed on people and their individual needs. The staff were well trained and made themselves accessible to people and their relatives. Staff said they enjoyed working at the home and that the organisation was a good one to work for. They received good training, support and there were opportunities for career advancement.

People said the management team and provider were approachable, responsive, encouraged feedback and consistently monitored and assessed the quality of the service provided.

The health care professional that we contacted was satisfied with the support that the home provided for people.