St Anselm's Nursing Home

Updated 24 June 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was completed by an inspector.

Service and service type

St Anselm’s Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Anselm’s Nursing Home is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 3 relatives about their experience of the care provided. We spoke with 3 people who were happy to speak to us about their experience of living at the service. We spoke with a healthcare professional who was visiting the service. We observed staff interactions with people in the communal areas. We spoke with 8 members of staff including the registered manager, the provider, administrator, senior carer, care staff and the maintenance person.

We reviewed a range of records. This included 5 people’s care plans and all the medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including checks and audits.

Updated 24 June 2023

About the service

St Anselm’s Nursing Home is a residential care home providing personal and nursing care to up to 26 people. The service provides support to adults who have mental health needs. At the time of our inspection there were 25 people being supported in one large adapted building.

People’s experience of using this service and what we found

People told us they felt safe, and staff were kind. Relatives told us, they were happy with the support people received and their relatives appeared happy and content.

Medicines management had improved since the last inspection, medicines records were accurate, and people received their medicines as prescribed.

Potential risks to people’s health and welfare had been assessed and there was guidance in place for staff to mitigate the risks. Accidents and incidents had been recorded and analysed to identify patterns and trends, action had been taken to reduce the risk of them happening again.

There were enough staff to meet people’s needs, who had been recruited safely. People and relatives told us, staff supported them to go to church, out to appointments and shopping trips.

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.

Checks and audits had been completed on the quality of the service. People, staff and relatives had been asked their opinion of the service and to make suggestions. There were systems in place to protect people from abuse and discrimination, the registered manager understood their responsibility to report any concerns to the local safeguarding authority.

People, staff and relatives told us the provider and registered manager were approachable and they were comfortable to raise any concerns with them. Relatives confirmed they were kept informed of any accidents or changes to their relative’s needs.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 29 April 2022). The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

We received concerns in relation to how people were supported to make decisions about sharing bedrooms with people they did not know. We carried out an unannounced focused inspection of this service on 15 March 2022. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Anselm’s Nursing Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.