Archived: St. John's Almshouses

Updated 17 January 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 was planned to check 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 inspection took place on 29 November and 02 December 2016. The provider was given 24 hours’ notice because the location provides a domiciliary care service; we needed to be sure someone would be in.

The inspection was carried out by one inspector. Before the inspection, we asked the provider to complete 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 reviewed the completed PIR before the inspection. We also checked other information we held about the service and the service provider, including previous inspection reports and notifications about important events which the provider is required to tell us about by law.

During the inspection we spoke to three people who used the service and one family member. We also sent questionnaire surveys to people and staff to obtain their feedback. We received completed surveys from one person, one family member, one health professional and three staff members. We spoke with the registered manager, a registered nurse and three staff members. We looked at care records for three people. We also reviewed records about how the service was managed, including staff training and recruitment records.

The service was last inspected in October 2013, when we did not identify any concerns.

Updated 17 January 2017

This inspection took place on 29 November and 02 December 2016 and was announced. The provider was given 24 hours because the location provides a domiciliary care service; we need to be sure that someone would be available in the office.

St. John’s Almshouses is a registered charity that provides a personal care service to people who live in a complex of private apartments within communal grounds. Whilst not all people needed any personal care or support, those that did could either choose to make their own arrangements or use the personal care service provided by St. John’s Almshouses staff. When we visited, four people were using the service and receiving support with their personal care. Other people who lived at St. John’s Almshouses could receive care and support should they need it in an emergency.

The service 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 2008 and associated Regulations about how the service is run.

People and their families told us they felt safe and secure when receiving care. Relevant recruitment checks were conducted before staff started working at St John’s Almhouses to make sure they were of good character and had the necessary skills. However, there dates weren’t clear in staff employment histories. Therefore it was not possible to identify whether there were any gaps in between jobs. The manager was aware of our concerns and actions to address them had already been put in place.

People’s risks were not always managed effectively. People’s risk assessments and those relating to their homes’ environment were detailed and helped reduce risks to people while maintaining their independence. However, some people’s care records did not contain information to help staff reduce risks to people’s diabetes management.

Staff received training in safeguarding adults. They completed a wide range of training and felt it supported them in their job role. New staff completed an induction before being permitted to work unsupervised. Staff told us they felt supported and received regular supervision and support to discuss areas of development. Staff meetings were held every three months. There were sufficient numbers of staff to maintain the schedule of care visits to meet people’s needs.

People who used the service felt they were treated with kindness and said their privacy and dignity was respected. People received their medicines safely. Staff had an understanding of legislation designed to protect people’s rights and were clear that people had the right to make their own choices.

Staff were responsive to people’s needs which were detailed in people’s care plans. Care plans provided comprehensive information which helped ensure people received personalised care. People felt listened to and a complaints procedure was in place.

Staff felt supported by the registered manager and could visit the office to discuss any concerns. Staff meetings were held regularly. There were systems in place to monitor the quality and safety of the service provided. Accidents and incidents were monitored, analysed and remedial actions identified to reduce the risk of reoccurrence.