Background to this inspection
Updated
3 September 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 3 August 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
3 September 2020
About the service
Little Sister of the Poor – St Peters Residence accommodates up to 59 older people across four separate units, in one purpose built building. At the time of our inspection 56 people were living at the home.
People’s experience of using this service
Medicines were not always managed safely, with registered nurses not demonstrating full knowledge in medicines administration. Fire drill procedures were not always as robust as they could be to ensure safety was routinely checked.
Management quality assurance systems were not always effective in identifying issues in a timely manner. Improvements required in medicines and fire safety had not been previously identified by the provider.
The environment was not as dementia friendly as it could be, to support with orientation. We have made a recommendation in relation to reviewing appropriate dementia friendly environments.
Staff were safely recruited, with some improvements needed to ensure that full employment history was up to date. Incidents and accidents were appropriately responded to. The home was very clean and well maintained.
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 were well supported with their nutritional needs and were able to access healthcare professionals when they needed to. Staff were well supported through induction, supervision and training.
People and relatives felt that people were well cared for, in a friendly and accommodating environment. Staff ensure they respected people’s privacy and dignity, whilst supporting them to be independent.
Complaints were responded to as necessary. People had their communication needs supported and received personalised care. There were a range of activities available for people to participate in if they chose to.
People, relatives and staff were positive about management support, and spoke highly of the teamwork approach to ensure people received good care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection:
The last rating for this service was good (published 16 August 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Enforcement
We have identified one breach in relation to good governance at this inspection.
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.