Archived: St Pauls Care Centre

Updated 19 August 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 was meeting the legal requirements and regulations associated with the Health and Social Care Act 2012, 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 26 July 2017 and was unannounced. The inspection team included one inspector, two experts by experience and a specialist adviser. An expert by experience is a person who has experience in this type of service. The specialist advisor had experience of working as a nurse and provided specialist advice on the nursing care being provided at St Pauls Care Centre.

Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that requires them to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed, information we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us.

During the inspection we spoke with 16 people who lived at the home, 13 relatives, six staff, two nurses, the activity coordinator, the registered manager and the nominated individual. We looked at care plans relating to five people and three staff files and a range of other relevant documents relating to how the service operated. These included monitoring data, training records and complaints and compliments.

Updated 19 August 2017

The inspection took place on 26 July 2017 and was unannounced. At our last inspection on 25 June 2015, the service met the standards but needed improvement in some areas. St Paul’s Care Centre provides residential and nursing care for people including people with dementia for up to 88 elderly people. At the time of our inspection 88 people were living at the home. The care is provide over four floors all floors provide nursing care and two of these floors are nursing and dementia care.

There was a manager in post who had registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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.

People were supported to take their medicines by trained staff. However the documentation for medicines prescribes as and when needed (PRN) required improving.

People felt safe at St Pauls Care Centre. Staff had received training in how to safeguard people from abuse and knew how to report concerns, both internally and externally.

Where potential risks were identified there was involvement of other professionals when required to ensure people were safe.

Safe recruitment practices were followed to help ensure that all staff were suitably qualified and experienced. Arrangements were in place to ensure there were sufficient numbers of staff available at all times to meet people’s needs.

Staff received training and refresher updates relevant to their roles and had regular supervision meetings to discuss and review their development and performance.

People were supported to maintain good health and had access to health and social care professionals when necessary. They were provided with a healthy balanced diet that met their individual needs.

Staff obtained people’s consent before providing personal care and support, which they did in a kind and compassionate way. Staff had developed positive and caring relationships with the people they cared for.

People were involved in the planning, delivery and reviews of the care and support provided. Confidentiality of information held about their medical and personal histories was securely maintained throughout the home.

People received personalised care and support that met their needs and took account of their preferences. Staff were knowledgeable about people’s background histories, preferences, routines and personal circumstances.

People were supported to take part in meaningful activities relevant to their needs.

Complaints were recorded and responded to in line with the service policy. People, relatives and staff were complimentary about the registered manager and how the home was run and operated.

Effective systems were in place to quality assure the services provided, manage risks and drive improvement.