24 October 2017
During a routine inspection
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.