St Josephs Rest Home

Updated 9 June 2023

The inspection

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.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by 1 inspector.

Service and service type

St Josephs Rest home is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Josephs Rest home is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

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

Notice of inspection

We gave a short period of notice of the inspection. This was because we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). 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 looked at notifications we had received from the service. A notification is information about important events, which the provider is required to tell us about by law. We used all this information to plan our inspection.

During the inspection

We spoke with 4 people who used the service, 5 relatives, 3 members of staff, the registered manager, and the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. We looked at 4 people’s care records, 3 staff recruitment files, medicines administration records, staff rotas, staff training, health and safety audits, incidents and accidents and records relating to the running of the service. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Updated 9 June 2023

About the service

St Josephs Rest home 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. The service is registered for 26 people. At the time of our visit, 25 people were using the service.

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

Staff understood their role in safeguarding people and how to raise concerns about people’s safety. Risk assessments had been carried out to identify any risks to people, when providing care and support. Sufficient staff were available to meet people’s needs and a robust recruitment system was in place. Accidents and incidents were recorded in detail and these were investigated by the registered manager to prevent or minimise them from happening again. People received support with their medicine which was managed safely. There were systems in place for the monitoring and prevention of infection.

An initial assessment of people was carried out before they started using the service. Staff had the knowledge, training and skills to care for people effectively. Staff received regular supervision and support to carry out their roles. People had choices during mealtimes and were supported with meals when required. Staff understood and acted in line with the principles of the Mental Capacity Act 2005. People were supported to maintain good health and to access healthcare services when they needed them.

Care was provided with kindness and compassion. Confidentiality of people’s personal information was maintained. People were treated with respect and their independence, privacy and dignity were protected and promoted. People received care and support in accordance with their preferences, interests and diverse needs.

People received personalised care and support that was tailored to their individual needs. Care plans were informative and had sufficient instructions for staff on how to deliver care and support to people, in accordance with their wishes. Care plans were reviewed and updated in a timely manner. People were supported to take part in activities within the service and in the community. People maintained relationships with friends and relatives. People and their relatives knew they could speak with staff or the management team if they had any concerns.

People and their representatives felt the service was managed well and staff felt supported. The registered manager operated an open and inclusive culture where people, relatives, staff, and other professionals were encouraged to help improve the service provided to people. Staff were aware of their responsibilities in ensuring the quality of the service was maintained. There were systems in place to monitor the service and address any areas of improvement where needed. Regular audits took place and any issue identified was acted on.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

At the last inspection the service was rated Good (report published 9 December 2017).

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

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