This was an unannounced inspection carried out on 17 December 2015.
St Bartholomews is a purpose built nursing home. The service is a non profit making organisation and has registered charity status. The service is registered to accommodate up to 51 people. The service has 20 beds which are used to admit people from hospital that require intermediate and rehabilitation care. People receiving intermediate and rehabilitation care were supported by a multi-disciplinary team. These included occupational therapists, physiotherapists, social workers and the homes nursing and care staff.
A registered manager was in post. 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.
At the last inspection in October 2013 we found that the service was meeting all of the regulations that we assessed.
Procedures were in place to protect people from abuse and staff had a good understanding of these procedures.
Systems were in place to ensure that medicines were managed appropriately and to ensure that people received their medicines when they needed them.
Procedures were in place that would enable people to be evacuated safely in the event of an emergency.
Sufficient numbers of staff were on duty to meet the needs of people who used the service. Effective recruitment procedures were in place that helped minimise the risk of people not suitable to work with vulnerable people being employed.
People’s needs were assessed to ensure that the service had the facilities to meet their individual needs.
Health care professionals were available to support people with their specific health needs and to ensure that people received the care and support they required.
Systems were in place for the implementation of the Mental Capacity Act 2005 and to ensure that people’s rights in respect of the Act were upheld.
People’s dietary needs were catered for. Staff responsible for planning people’s meals had a good awareness of individuals’ specific dietary requirements.
People were supported by a staff team who received regular training and support in order for them to deliver safe and effective care.
Systems in place ensured that people received the care and support they wanted as they approached their end of life.
People’s care plans were developed in a manner that promoted person centred care and they contained detailed information for staff as to how and when people’s needs were to be met.
People had the opportunity to participate in activities at the service to help maintain their physical and psychological health and wellbeing.
A compliants procedure was in place and people were confident that any complaints they had would be listened to.
Effective systems were in place to monitor the service that people received. This helped ensure that any improvements needed to the service would be identified quickly and addressed.