Cross and Passion Convent

Updated 28 May 2022

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.

Inspection team

One inspector carried out the inspection.

Service and service type

Cross and Passion Convent 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. Cross and Passion Convent 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 service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

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

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. We used all this information to plan our inspection.

During the inspection

We spoke with two Sisters who lived at the Convent about their experience of the care provided. We spoke with seven members of staff including the registered manager, deputy manager, care workers, housekeeping, handyman and the chef. We had a walk around the Convent to make sure it was homely, suitable and safe. We observed the care and support Sisters received. This helped us understand the experience of Sisters who could not talk with us. We reviewed a range of records. This included two Sister's care records and multiple medication records and we looked at two staff files in relation to recruitment. We looked at a variety of records relating to the management of the service, including policies and procedures.

Updated 28 May 2022

About the service

The Sisters of Cross and Passion Convent offers residential and nursing care for up to sixteen people. People who live at Sisters of the Cross and Passion Convent are known as, Sister, followed by their religious name. All the Sisters belong to the same religious order. The Convent is situated overlooking Lytham Green and close to community facilities. Communal accommodation is spacious and individual bedrooms are provided with an en-suite facility. There were nine Sisters living at the Convent who were receiving support at the time of our inspection.

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

Sisters were safe and protected from abuse and avoidable harm. The registered manager identified risks, and this was documented to support staff and ensure the safety of the Sisters. Staff followed robust infection prevention and control procedures related to COVID-19 and other infections. Staff were recruited safely and deployed to suit specific needs of Sisters. Medicines were stored and administered as prescribed. The registered manager had systems to learn from incidents to further improve the safety of the service.

Sisters 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. Sisters had access to a range of healthcare professionals and services. Sister's diets and preferences were catered for and they enjoyed a variety of food on offer. Birthdays, feast days and special events were celebrated. The chef said, “I work for the Sisters and always ask if the food is alright. It is like a big family here.” The home provided a comfortable and relaxed environment for Sisters and visiting relatives.

Sisters were looked after by kind and caring staff, who were patient in their approach and treated them with dignity and respect. One Sister told us, “I am very grateful to be here.” Staff delivered person centred care and tailored their support to Sisters individual needs, promoting their independence.

Sisters received personalised care that was responsive to their needs and preferences. Activities were planned daily and Sisters could choose whether to participate or not. Sisters we spoke with told us they knew how to make a complaint if they had any concerns. Sisters end of life wishes including their preferred place of care were recorded and respected. All the Sisters were able to offer comfort and support through prayer and companionship when a Sister was at end of life and afterwards.

The management team had auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured Sisters were able to give their views of the service and improvements made when they were identified.

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

Rating at last inspection

This service was registered with us on 01 April 2022 and this is the first inspection.

The last rating for the service at the previous legal entity was good, published on 29 December 2018.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

We found no evidence during this inspection that Sisters were at risk of harm. Please see the safe, effective, caring, responsive and well-led sections of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Cross and Passion Convent on our website at www.cqc.org.uk.

Follow up

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