St Theresa's Rest Home

Updated 14 February 2019

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 8 January 2019 and was unannounced.

The inspection was carried out by one adult social care inspector and an expert-by-experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Before the inspection we looked at information that we had received about the service and formal notifications that the service had sent to the CQC. We also looked at safeguarding notifications that the provider had sent to us. Providers are required by law to inform CQC of any safeguarding issues within their service.

We used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with the provider and six staff which included the registered manager, the health service manager, two senior care assistants and two care staff. We also spoke with eight people living at the home. We looked at four care records and risk assessments, seven people's medicine records, five staff files and other paperwork related to the management of the service including staff training, quality assurance and rota systems. Following the inspection, we spoke with 11 relatives.

Updated 14 February 2019

This inspection was carried out on 8 January 2019 and was unannounced.

St Theresa’s Rest Home is a residential care home for older people with varying physical and emotional needs including some people who are living with dementia. At the time of this inspection there was 23 people living at the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

People told us that they felt safe living at St Theresa’s Rest Home. Care staff were able to give examples of they would identify potential abuse and the actions they would take to protect and safeguard people from abuse.

Risk assessments were detailed and person-centred and gave clear information and guidance on how care staff were to support people with their identified risk and to keep them safe and free from harm.

Systems and processes were in place to ensure people received their medicines safely, as prescribed and on time.

Recruitment processes followed by the service enabled them to only recruit staff that had been assessed as safe to work with vulnerable adults.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were supported to live a healthy lifestyle and maintain positive well-being. People had access to a variety of health and social care professionals to enable this.

Staff were supported through training, supervisions and annual appraisals to effectively carry out their role.

People were observed to enjoy their meals and confirmed that they were always given choice and offered an alternative where a meal was not of their liking. People always had access to snacks and drinks of their choice.

People and their relatives knew who to speak with if they had a complaint to raise. They were confident that if they did raise a concern that this would be dealt with immediately and appropriately.

Care plans were person centred and gave detailed information to care staff on how to support people according to their needs and preferences.

We observed caring and respectful interactions between people and care staff. People had established positive relationships with all staff who worked at St Theresa’s.

People and their relatives knew the registered manager very well and felt confident in approaching them and the management team at any time.

Management oversight processes in place allowed the service to check the quality of care and support that people received so that where required the appropriate improvements, learning and development of the service could be implemented.

Further information is in the detailed findings below.