What the CQC found at St Philips Close

Inspectors were assured that the home had suitable arrangements to prevent and manage infections, including safe use of protective equipment.

“We were assured that the provider was using PPE effectively and safely.” from the report

Staff had completed training needed to meet people's needs. Staff who gave medicines also needed training and a competency check.

“Staff had completed necessary training to meet people's needs.” from the report

Inspectors saw examples of kind, appropriate and person-centred care. Staff supported one person to eat at their own pace.

“At mealtimes, one person was assisted with eating, this was undertaken at the person's pace.” from the report

People were generally supported to make choices, and the service was working within the principles of the Mental Capacity Act.

“People were generally encouraged to make choices and decisions in accordance with their level of understanding.” from the report

Risk assessments were not reviewed regularly and were not always detailed enough to guide staff. Some care plans were inaccurate or inconsistent.

“Risk assessments were not always routinely reviewed and insufficiently detailed to guide staff to keep people safe.” from the report

Staff did not always recognise harm risks or pass concerns on as required. A whistleblowing concern was raised during the inspection and investigated by the provider.

“However, they did not always recognise risk of harm to people and did not always escalate concerns as required.” from the report

Audits were not always completed regularly and did not identify problems found by inspectors. This meant the provider lacked sufficient oversight of safety and care quality.

“Systems failed to assess, monitor and improve the quality and safety of the service and maintain accurate records and complete records.” from the report

Some as-needed medicines did not have clear instructions for staff. Medicines were not always stored safely.

“People prescribed 'as needed' medicines did not always have guidelines in place so staff would know when and how to administer these.” from the report

Some people had long periods without being spoken to. One person spent the whole day in bed because suitable equipment was not in place.

“There were long periods of time when people were not spoken to, particularly people who did not seek staff attention.” from the report

There was little evidence that people and relatives were routinely involved in developing care plans or reviewing their needs and preferences.

“We saw little evidence that people and their relatives were involved in developing their care plans” from the report