Background to this inspection
Updated
21 February 2019
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. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Act, looked at the quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team: The inspection was carried out by two inspectors, one assistant inspector and an expert by experience. An expert-by-experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type: St Matthews 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 both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. 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.
Notice of inspection: This inspection was unannounced.
What we did: Before the inspection we reviewed information, we held about the service including statutory notifications. Statutory notifications include information about important events which the provider is required to send us. We received feedback from the local authority and reviewed the commissioner’s report of their most recent inspection. We also reviewed the provider information return (PIR) submitted to us. This is information that the provider is required to send to us, which gives us some key information about the service and tells us what the service does well and any improvements they plan to make.
During the inspection we spoke with 10 people who lived at the home, six relatives, six staff, two senior staff, chef, the deputy manager and the registered manager.
We looked at care plans relating to four people and reviewed records relating to the management of the service.
We carried out observations throughout the day and used the short observation framework tool (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us due to their complex needs.
Updated
21 February 2019
About the service: St Matthews Care Home provides accommodation and personal care for up to 75 people including people with dementia. At this inspection 72 people were living at the service.
People’s experience of using this service:
People we spoke with at this inspection told us they were happy living in St Matthews Care Home because staff were kind and their needs were met.
People had risk assessments in place that supported positive risk taking and staff supported people’s independence daily.
Care and support was delivered in a personalised way by staff who knew people`s likes, dislikes and preferences. Staff promoted people`s privacy and dignity and their choices were respected.
Staff received training and had their competencies assessed to ensure they were skilled and knowledgeable to meet people`s needs effectively. Staff were supported to develop their skills and knowledge.
Staff used effective infection control measures to protect people from the risk of infections. Appropriate equipment was in place where needed for people to receive support in a safe way. The home looked and remained clean throughout the inspection.
People could purse their hobbies and interests. There were opportunities to take part in organised group activities. Staff encouraged and supported people to be involved. There were quiet areas for people if they preferred.
People and relatives told us there were enough staff to meet people`s needs. People felt listened to and knew who to talk with should they have any concerns.
People, relatives and staff told us the manager was visible around the home. They confirmed that managers and staff were approachable.
Complaints and feedback from people and relatives were used in a constructive way and lessons were learned to ensure improvements were made.
The registered manager used a range of effective audits and governance systems to check the quality and safety of the care people received.
Rating at last inspection: Good (report published 6 May 2016)
Why we inspected: This was a planned inspection based on the rating at the last inspection. At this inspection the service remained rated Good overall.
Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.