St Anne's Home - London

Updated 18 April 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection, we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection team consisted of 1 inspector.

Service and Service Type

St Anne’s Home - London is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. St Anne’s Home - London is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of Inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority. We used the information the provider sent us in the information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We observed care and treatment in communal areas. We spoke with a relative and 7 people who used the service. We spoke with 7 staff including the registered manager, deputy manager, human resources officer, clinical lead, a nurse and 2 care staff. We looked at a range of management records including medicines and quality audits. We reviewed 3 people’s care records including risk assessments and 3 staff recruitment records. After the site visit, we continued to liaise with the service. The registered manager sent us documentation we asked for and clarified any queries we had.

Updated 18 April 2023

About the service

St Anne’s Home – London is a care home which provides nursing and personal care for up to 34 older people who may be living with dementia. At the time of this inspection there were 32 people being supported in the purpose-built care home.

People’s experience of using this service and what we found

People were kept safe from the risk of harm or abuse. People using the service felt safe with staff at the service. Staff knew how report concerns of abuse. People had risk assessments in place. There were enough staff at the service to meet people’s needs and nobody had to wait long for support.

Staff were recruited safely. Improvements had been made in the management of medicines. People were protected from the risks associated with the spread of infection. Accidents and incidents were recorded and lessons learnt from these shared with staff.

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.

Managers and staff understood their role and responsibilities. The provider had reviewed their quality assurance systems which led to improvements in the delivery of safe care and treatment. People spoke positively about staff and managers. Staff and relatives spoke positively about the leadership in the service.

The provider involved people, relatives, staff and professionals in developing the service. People and staff had regular meetings so they could be updated on changes within the service. The provider carried out quality surveys to identify areas for improvement. The provider worked jointly with other agencies to improve outcomes for people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (published 4 December 2019) and there was a breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

At our last inspection, we recommended the provider seek guidance in relation to quality monitoring and auditing systems. At this inspection we found the provider had followed the recommendation and improvements had been made.

Why we inspected

We carried out an unannounced comprehensive inspection of this service on 12 November 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions safe and well-led which contain those requirements.

For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Anne’s Home - London on our website at www.cqc.org.uk

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.