About the service St Vincent’s Nursing Home is a residential care home providing personal and nursing care to up to 60 people aged 65 and over with general nursing needs and end of life care. At the time of the inspection there were 56 people living at the home. The service had four separate units, each of which have individual bedrooms with en-suite facilities and communal living, dining, bath, shower and toilet facilities.
People’s experience of using this service and what we found
Risk management plans were not always in place when a specific risk had been identified to provide staff with guidance as to how they could reduce possible risks. Records relating to possible risks did not always contain accurate information to provide staff with guidance.
Medicines were administered appropriately but information relating to how medicines should be administered was not always accurate.
Incident and accident records were completed but actions were not always identified to reduce potential risks to people using the service. This meant the provider could not ensure the learning from the investigation into incidents and accidents was used to reduce the risk of reoccurrence.
People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.
Staff were not up to date with some of the training identified as mandatory by the provider. This meant staff may not be aware of current best practice when providing support.
Records relating to people using the service did not always provide accurate information relating to the care and support they needed, so staff had all the information they needed to care for people.
The provider had a range of audits in place, but these did not always provide appropriate information to identify where actions for improvement were required for example in relation to the care plans.
People told us they felt safe when they received care and support from staff. The provider had systems to investigate safeguarding concerns and complaints with any lessons learned identified. There was a recruitment process in place. The provider had appropriate procedures for preventing and controlling infection.
People felt the care workers provided care in a kind and caring way as well as treating them with respect and dignity. The cultural and religious preferences and needs were identified in people’s care plan.
People living at the home and staff felt the service was well led.
For more details, 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 22 January 2019 ). The service remains rated requires improvement. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been made/ sustained and the provider was still in breach of regulations.
Why we inspected
This was a planned inspection based on the previous rating. We have found evidence that the provider needs to make improvements. Please see the Safe, Effective, Responsive and Well led sections of this full report. You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for St Vincent’s Nursing Home on our website at www.cqc.org.uk.
Enforcement
We have identified breaches in relation to person centred care, the need for consent, safe care and treatment, good governance and staffing at this inspection.
Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.