9 April 2018
During a routine inspection
There were 34 people living in the service when we inspected on 9 April 2018. This was an unannounced comprehensive inspection.
There was a registered manager in place. 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 our last comprehensive inspection of 27 October 2016 this service was rated requires improvement. The key questions for safe, effective, responsive and well-led were rated as requires improvement and caring rated as good. There were breaches of Regulation relating to care planning and governance. At this inspection, improvements had been made and the service was now rated good.
You can read the reports from our last inspections, by selecting the 'all reports' link for All Hallows Nursing Home on our website at www.cqc.org.uk.
There were systems in place to provide people with a safe service. Staff were trained and understood how to safeguard people from abuse. Risks to people were managed well and staff were provided with guidance about how to mitigate risks. There were systems in place to provide adequate staffing levels to people who used the service. Staff recruitment processes were robust. Medicines were managed safely. There were infection control processes in place which reduced the risks of cross contamination in the service. Where incidents had occurred, the service had systems in place to learn from these and use the learning to drive improvement in the service.
Staff were trained and supported to meet people’s needs effectively. People were supported to see, when needed, health and social care professionals to make sure they received appropriate care and treatment. Staff worked with other professionals involved in people’s care to provide people with an effective and consistent service. People’s nutritional needs were assessed and met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. The environment was appropriate for people using the service.
People were treated with care and compassion by the staff. People’s privacy and independence was promoted and respected. People were listened to and their views about how they wished to be cared for were respected.
People’s care was assessed, planned for and met. Care records guided staff in how people’s preferences and needs were met. Social activities were in the process of being improved. People’s choices were documented about how they wanted to be cared for at the end of their life. Compliments received by the service demonstrated that caring and compassionate care was delivered at the end of people’s lives. There was a complaints procedure in place and people’s complaints were addressed and used to improve the service.
The service had systems in place to monitor and improve the service provided to people. There were ongoing improvements being made in the Trust intended to further improve the service provided to people.