St Josephs

Updated 9 January 2021

The inspection

This was a targeted inspection to check whether the provider had met the requirements of the specific concern we had about safety relating to safeguarding and staffing. We are conducting reviews to ensure that the Infection Prevention and Control practice was safe and the service was compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We will assess all of the key question at the next comprehensive inspection of the service.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

St Joseph’s is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. 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.

Notice of inspection

We gave a short notice announcement of this inspection on the morning of our visit. This was to assess for COVID-19 risks.

What we did before inspection

We reviewed information we had received about the service since their last inspection. We sought feedback from the local authority and professionals who work with the service. We used all of this information to plan our inspection. We had requested information from the provider prior to the inspection and this information was used as part of the inspection plan.

During the inspection

We spoke with the registered manager, their line manager and interviewed three care staff. We spoke with other staff and people as we walked around the whole premises with the registered manager on their daily check. We examined a number of records relating to safeguarding, staffing rosters and recruitment records for five staff that included their induction and training provided.

After the inspection

We spoke to eight staff by email. We continued to seek clarification from the provider to validate evidence found.

Updated 9 January 2021

This unannounced inspection took place on 30 October and 22 November 2017. This was the first ratings inspection for this registered provider Anchor Trust. Registration of Anchor Trust began on 6 February 2017.

St Josephs is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. St Josephs can accommodate up to 60 people in one adapted building. At the time of our inspection 55 people were resident. One part of the home specialises in providing care to people living with dementia. This was known as Gainsborough.

There was a registered manager in post and present throughout the two days of inspection. A registered manager is a person who has registered with the Care Quality Commission 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 2008 and associated Regulations about how the service is run.

St Josephs had grown to be an all-round good service that had responded well to our feedback. An example of this was the new provider making adaptations to the building and installing a shaft lift to ensure all areas of the home were accessible to people.

People consistently reported to us that the service staff listened to them and responded appropriately to meet their needs. People felt involved and consulted. People received a care service that assessed their needs and responded with good care planning and risk assessments in place that staff followed. There was good planning for all stages of people’s lives including events such as returning from hospital and end of life care. People told us that there were sufficient staff, that were kind, helpful and considerate to them. People were provided with healthy nutritious meals that they liked and chose. They had access to healthcare and had consented to care being provided. There was an interesting variety of activities, access to the community and day time pursuits available to people.

Staff spoke about the positive cultural changes that have come about under the new provider Anchor Trust. They were very satisfied with the management team within the home and the support given to them. Staff had received an extensive amount of training and support to up skill them. There were sufficient staff of all designations working within the home who had access to the wider management support within Anchor including a dementia specialist.

There was good oversight with the home. There were systems in place to monitor and check the quality of service on offer that was fed up the wider organisation. There was a culture of learning from events and good working relationships with other professionals external to the home.