Background to this inspection
Updated
27 June 2019
The inspection:
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
Inspection team:
The inspection was carried out by one inspector.
Service and service type:
St Michaels’s is a care home. People in care homes receive accommodation and personal care as a 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 had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection:
This inspection was unannounced and took place on 29 May 2019.
What we did:
We used information the provider sent to us in the Provider Information return (PIR). This is information we require providers to send to us at least once annually to give us some key information about the service, what the service does well and improvements they plan to make. We looked at information we held about the service, including notifications they had made to us about important events. We also reviewed all other information sent to us from other stakeholders, for example, the local authority and members of the public.
The home is currently in administration and a new provider is being sought. The administrator and the administrators representative was providing ongoing support to the registered manager regarding all aspects of the service. During the inspection, we spoke with the registered manager, the administrators representative and four staff. We also spoke with three people who lived at the service and two relatives.
We looked at seven care records, three staff employment related records and records relating to the quality and management of the service.
Details are in the Key Questions below.
Updated
27 June 2019
About the service:
St Michael’s is registered to provide personal and nursing care for up to 39 people. Some people may have a diagnosis of dementia. At the time of the inspection there were 27 people living in the home. The home was over two floors areas to support people with residential, dementia and nursing needs.
People's experience of using this service:
Our inspection in July 2016 found the service to be Good in all areas. At this inspection we found evidence the service did not meet the characteristics of Good in all areas. We have made two recommendations to the service about aspects of medicines and quality assurance. More information is in the full report.
The registered manager had completed audits on the service to help ensure the quality of service. However, these did not identify concerns we found during our inspection such as record keeping associated with medicines, consent, moving and handling and some aspects of the environment.
People felt safe and happy living at St Michael’s. People's risks were assessed and planned for and there were enough staff to meet people's needs and give people the time and reassurance they needed.
There was sufficient and adequately trained staff to support people safely. Most recruitment processes were robust. This helped to ensure staff were appropriate to work with vulnerable people. The provider had suitable systems in place to protect people from abuse. People were safeguarded from abuse and avoidable harm by trained staff who cared about people's wellbeing.
People had choices about what food to eat, how to spend their time and were involved in aspects of their care. Staff knew them well including their likes, dislikes and preferences and provided support to people in the way they liked.
Staff had adequate professional support to enable them to support people safely and effectively.
People were supported in a friendly and respectful way. People, relatives and staff got on well and staff were aware of people's personalities and behaviours. People told us staff supported them in a patient and unhurried manner. People and relatives said that staff were caring.
People knew how to make a complaint. There was an effective complaints process in place. Complaints were thoroughly investigated, and action taken to address the complaint raised.
Care at the end of people's lives had been considered and recorded in their care plans.
People and staff commented positively about the registered manager, administrator and staff
The service met the characteristics for a rating of good in three of the five key questions we inspected and rating of requires improvement in two. Therefore, our overall rating for the service after this inspection was requires improvement.
Rating at last inspection: Good (report published 7 November 2016)
Why we inspected: This was a scheduled inspection based on previous rating.
Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk