Background to this inspection
Updated
16 September 2021
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC's response to care homes with outbreaks of coronavirus, 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. This inspection took place on 27 August 2021 and was announced.
Updated
16 September 2021
St Davids is a ‘care home’ for 16 older people. There were 15 people living in the home when we visited, some of whom were living with dementia. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
At our last inspection on 17 February 2016 we rated the service as overall ‘good’. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
There was a registered manager in post. A registered manager is a person who has registered with the CQC 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.
Audits were not always effective in highlighting gaps in the management of medicines. Some improvements were required to ensure risk assessments were reviewed more regularly. People, relatives and staff were happy with the way the service was being led and both the registered manager and provider were approachable and visible in the home. There was a culture of openness and empathy and the views of people were used to plan improvements to the service.
People continued to receive a safe service. People told us they were happy living in the home and that they felt safe. There were enough staff on duty to meet people’s needs and allow staff to spend time with people without being rushed. The home was clean and tidy which reduced the risk of infection and staff knew how to report any concerns if required. People told us they received their medication at the right time.
People continued to receive an effective service. Staff received training that was relevant to their role and which helped them meet people’s needs effectively. People told us they enjoyed the home cooking provided by the cook and we saw that staff monitored people’s health needs closely to ensure people were referred to healthcare professionals when needed.
People continued to receive a caring service. People were treated with kindness and respect and staff enjoyed supporting and caring for people.
People’s independence was promoted; staff actively encouraged people to do as much as they could for themselves. People were supported to keep in touch with relatives and friends and develop new relationships. Relatives were happy with the quality of the service and were made to feel welcome in the home.
People continued to receive a responsive service. People enjoyed a range of activities and trips that were organised in line with their wishes and preferences. Healthcare professionals told us that the service worked hard to ensure people received high quality end of life care. People’s needs were assessed and care was delivered in line with these assessments.
Further information is in the detailed findings below.