St Petroc's Care Home

Updated 19 July 2022

Inspection team

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.

Inspection team

The inspection was carried out by two inspectors and a member of the medicines team.

Service and service type

St Petroc's is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and we looked at both during this inspection.

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

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

Notice of inspection

This inspection was unannounced.

What we did before the inspection

Before the inspection, we reviewed information we held about the service and the provider which included any statutory notifications sent to the CQC. A notification is information about important events which the service is required to send us by law. We used the information the provider sent us in the provider information return. 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 of this information to plan our inspection.

During the inspection we reviewed six people's care plans and risk assessments. 19 people’s medicine records were reviewed. We looked at three staff files in relation to recruitment. We reviewed staff training and supervision. We also reviewed other records relating to the management of the service, including complaints received. We met with the registered manager, a community nurse, 10 people and five staff during the inspection. Following the inspection, we received feedback from three healthcare professionals.

Updated 19 July 2022

About the service

St Petrocs Care Home is a residential care home providing personal care to up to 30 people. The service provides residential care to older people who may have a physical disability. At the time of our inspection there were 24 people using the service.

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

Risks were identified, assessed and recorded. Care plans were completed for each person and contained details of the person's needs and preferences.

There were sufficient staff to support people. The service was fully staffed with no vacancies. The service was not using any agency staff at the time of this inspection. Recruitment procedures were robust.

People told us they felt safe with staff. There were systems to help protect people from abuse and to investigate any allegations, incidents or accidents.

People were supported by staff who had been appropriately trained to carry out their role. Staff told us they felt well supported.

People's care and support needs were assessed before they started using the service. People received support to maintain good health and were supported to maintain a balanced diet, where this was part of their plan of care.

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.

Staff understood the importance of respecting people's diverse needs and promoting independence.

Mental capacity assessments had been carried out where it was indicated. Deprivation of Liberty Safeguards (DoLS) authorisations had been applied for appropriately. The registered manager did not have effective recorded oversight of the two authorisations in place at the time of this inspection. However, we were assured immediate action would be taken to address this and were provided with evidence of this the day after the inspection visit.

There were robust auditing or monitoring processes in place at the time of this inspection. The provider had implemented effective quality assurance systems to monitor the quality and safety of the care provided.

Staff were able to access the management team whenever they needed any assistance or guidance. Staff comments included, “I feel happy and well supported here, we get regular supervision and the manager is always around if we need anything,” “Morale is good, we all get along, it is better now we have more staff” and “I have just arrived from India, I have done all my training and am very happy here.”

People told us they liked living at St Petroc's and that the staff were caring and responded when they called. Comments included, “Just had a wash and clean up, they have made me very comfortable,” “They (Staff) always look after me well” and “I have no concerns.”

Visiting healthcare professionals told us, “We come here regularly, there are always staff around to speak with. They report any concerns to us quickly. I have been asked to check on someone today as the carer has noticed something. We have no concerns” and “They are responsive and good at letting us know if someone is unwell.”

People were regularly asked for their views by the management team at meetings and through surveys. People were provided with information on how to raise any concerns they may have.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service was good (published 2 March 2020).

Why we inspected

We received concerns in relation to medicines management, communication, slow staff response to people’s changing needs and staff moving and handling practices. As a result, we undertook a focused inspection to review the key questions of safe, effective and well-led only.

We found no evidence during this inspection that people were at risk of harm from these concerns. Please see the safe, effective and well led sections of this full report.

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 not changed following this inspection.

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

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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