Background to this inspection
Updated
11 September 2020
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.
This inspection took place on 18 August 2020 and was announced. The service was invited to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.
Updated
11 September 2020
We carried out an unannounced inspection of the Franciscan Convent Burnley on 20 and 23 April 2018. The Franciscan Convent Burnley provides care for Sisters of the congregation of Franciscan Missionaries. The service is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and we looked at both during this inspection. The service is registered to provide accommodation and personal care for up to 25 people. At the time of our inspection seven people were living at the service.
At the last inspection on 22 and 23 May 2017, we found breaches of three of the regulations. These related to a failure to complete necessary checks when recruiting staff, a failure to comply with the Mental Capacity Act 2005 and a failure to apply for authorisation to deprive a person of their liberty. We also made recommendations about ensuring that safety checks were completed in a timely way and the need for the provider to monitor the quality of the service. Following the inspection we asked the provider to send us an action plan to show what they would do and by when, to make the necessary improvements. An action plan was provided as requested. During this inspection we found that the necessary improvements had been made and the provider was complying with all regulations reviewed.
Records showed that staff had been recruited safely and the staff we spoke with were aware of how to safeguard adults at risk. People told us there were always enough staff available to meet their needs.
People told us the staff who supported them were kind and caring. They told us staff provided them with support when they needed it. People told us staff respected their right to privacy and dignity and encouraged them to be as independent as they could be. We saw evidence of this during the inspection.
Staff received an effective induction and appropriate training. People who lived at the service felt that staff had the knowledge and skills to meet their needs.
People received appropriate support with eating and drinking and their healthcare needs were met. Appropriate referrals were made to community healthcare professionals, to ensure that people’s needs were met.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way; the policies and systems at the service supported this practice. Where people lacked the capacity to make decisions about their care, the service had taken appropriate action in line with the Mental Capacity Act 2005.
People told us that they received care that reflected their individual needs and preferences and we found evidence of this. Staff told us they knew people well and gave examples of people’s routines and how people liked to be supported.
People who lived at the service spent much of their time in the chapel attending mass and prayers. They were happy to spend the remainder of their time reading, watching television and going out for walks.
Staff communicated effectively with people. They supported people sensitively and did not rush them when providing care. People’s communication needs were identified and appropriate support was provided.
People living at the service told us staff regularly asked them if they were happy with the support they received. They felt able to raise any concerns or make suggestions for improvement.
The service had a registered manager in post. People living at the service and staff were happy with how the service was being managed. They found the registered manager approachable and supportive.
A variety of audits of quality and safety were completed by the registered manager regularly. We found the audits completed were effective in ensuring that appropriate levels of quality and safety were maintained at the service.