St Thomas

St Thomas is a nursing home providing personal care for up to 72 older people, some of whom live with dementia. The service is provided in one adapted building across two floors. There are ensuite bedrooms across the ground and first floors, with shared living areas and access to a garden on the ground floor. At the time of our assessment there were 50 people living at the home. The assessment took place between 2 and 3 September 2024. Our assessment was prompted by concerns we received about how the provider was managing risks, including in relation to pressure sore care. At this assessment we found effective processes were in place to keep people safe. Since our last inspection improvements had been made at the service. The provider had implemented a robust system to ensure people’s dietary risks and needs were clearly communicated and managed when meals were prepared. Safe systems were in place which meant people were protected from avoidable harm. There were enough, suitably skilled staff to provide safe care. Staff were recruited safely. People received their medicines as prescribed. Safeguarding procedures were in place and people’s rights were respected; consent was sought as required. Infection prevention and control processes were robust. Governance systems were in place to ensure full oversight of the service. Leadership within the service was open, approachable and visible. People, relatives and staff had confidence in the management of the service. Staff had effective working relationships with external professionals, were supported in their roles and worked well together. Clear policies and procedures were in place to ensure the service operated safely.