St James's Lodge

Updated 26 February 2021

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.

As part of CQC’s response to the coronavirus pandemic we are looking at the preparedness of care homes in relation to infection prevention and control. This was a targeted inspection looking at the infection control and prevention measures the provider has in place.

This inspection took place on 27 January 2021 and was unannounced.

Updated 26 February 2021

Why we inspected:

This inspection was a scheduled comprehensive inspection based on previous rating.

St James’s Lodge (St James’s) was inspected on the 25 & 26 October 2018. This was an unannounced inspection.

What life is like for people using this service:

People were assured of continuing to receive care that was safe, effective, caring responsive to their needs and well-led.

Everyone we spoke with told us St James’s was a lovely place to live and visit, that staff were kind and caring and people were treated with respect.

People were involved in their day to day lives through being empowered to make their own choices about where they spent their time, who with and how. Their independence was promoted and staff actively ensured people maintained links with their friends and family.

People's health was well managed and staff had positive links with professionals which promoted wellbeing for them.

Staff showed a genuine motivation to deliver care in a person-centred way based on people's preferences and likes. People were observed to have good relationships with the staff team.

The environment was safe and people had access to appropriate equipment where needed. Staff had received appropriate training and support to enable them to carry out their role safely, including the management of medicines.

Staff were recruited safely in good numbers to ensure people’s needs were met. There was time for social interaction and activity with staff. Staff knew how to keep people safe from harm.

People were given a good, healthy diet and kept hydrated. The service was following a new, internationally agreed way of monitoring people’s food needs. They were also ensuring Dignity in Food guidelines were integral to this.

The registered manager, provider and senior team worked well to lead the staff team in their roles and ensure people received a good service. People, their relatives and staff told us they were approachable and that they listened to them when they had any concerns or ideas. All feedback was used to make continuous improvements to the service.

Rating at last inspection: The service was previously rated as Good. The report was published on the 5 May 2016.

About the service: St James’s Lodge is a nursing home that is registered to provide personal and nursing care to 38 older people. There were 28 people living there at the time of the inspection.

Recommendations:

• In respect of equality, diversity and human rights, we recommend the provider review their Statement of Purpose and training to ensure everyone knows they are welcome to their home, including people who may have difference, and staff are better able to understand the diversity of people.

• We have recommended that the provider reviews the Accessible information standards and the ensure the requirement implemented in their work

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as

per our re-inspection programme. If any concerning information is received we may inspect sooner.

The full details can be found on our website at www.cqc.org.uk