St. Michaels Lodge Also known as Shakthi Healthcare Limited

Ratings

• Overall

  Requires improvement

• Safe

  Requires improvement

• Effective

  Good

• Caring

  Good

• Responsive

  Good

• Well-led

  Requires improvement

Our view of the service

St Michael’s Lodge is a care home providing personal care for up to 10 people, in an adapted building. At the time of our assessment the service was supporting 6 people with personal care. The service supports people with mental health needs. This assessment was undertaken following CQC’s new approach: https://www.cqc.org.uk/assessment This is our first assessment of the service using the new approach. We looked at 4 key question areas (safe, caring, responsive and well led) and 12 quality statements within those key questions: learning culture, safeguarding, involving people to manage risks, safe and effective staffing, infection control , independence, choice and control, equity in experiences and outcomes, shared direction and culture, capable, compassionate and inclusive leaders, freedom to speak up, Governance, management and sustainability and learning, improvement and innovation. The assessment was prompted by a review of information we held about the service. Managing risk was not effective within the service due to the lack of detail within risk assessments to provide staff with effective guidance and support. This was a breach of regulation 12 (Safe Care and Treatment) of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. We found there was a lack of systems and effective oversight in place to monitor the quality of the care provided, as they not identified the issues found during the site visit. This was a breach of regulation 17 (Good governance) of the Health and Social Care Act (Regulated Activities) Regulations 2014.

People's experience of this service

Overall people were happy while living at the home. At times people were seen asking for support from staff and people did comment on the number of staff present at the service. People were supported to enjoy activities of their choice in the community. Relatives were generally positive and provided comments on how extra staff would benefit outcomes for their family member and provide more personalised support.