19 December 2019
During a routine inspection
St Andrews House is based within the community of Nottingham. People using the service live in flats within the extra care setting. (Extra care scheme is purpose-built accommodation in which varying amounts of care and support can be offered, and where some services and facilities are shared enabling older people to live independently in their own homes) The building was managed by an independent organization. The service supported 13 people and employed nine staff at the time of our inspection. Not everyone who used the service received personal care. CQC only inspects where people receive personal care.
People’s experience of using this service and what we found
We inspected the service to ensure systems were in place to protect people from avoidable harm.
The process for submitting notifications needed to be more robust. Risks were assessed and monitored to reduce risks for people and staff managed any risk effectively. Relevant checks were in place to ensure the right staff were employed. People received their medicines as prescribed and in a safe way. Infection control legislation was adhered to and Lessons were learned when things went wrong.
People’s needs were assessed to ensure they received effective care. Staff were supported to attend training and develop their skills and knowledge.
Where required people were supported to have a balanced diet and the service was supported by healthcare professionals and worked well with them to provide consistent care and support.
The provider demonstrated an understanding of the principles of the Mental Capacity Act. 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 were kind, considerate and treated people respectfully. The service promoted independence and encouraged people to do things for themselves. Staff and management worked with passion and dedication and the people who used the service always came first. The registered manager and staff worked well with external healthcare professionals to ensure people received good care and support.
We have made a recommendation about the safeguarding reporting system.
Why we inspected
This service was registered with us on 02/11/2018 and this is the first inspection.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.