St Nectans Residential Care Home

Safe – this means we looked for evidence that people were protected from abuse and avoidable harm.

This is the first assessment for this newly registered service. This key question has been rated Good.This meant people were safe and protected from avoidable harm.

The provider had not always ensured that there were sufficient numbers of suitably trained staff deployed.However the provider immediately ensured all staff had received the necessary training and reviewed People were given their medicine in a timely manner, however, not all staff were following good practice guidelines on medicine administration records and further training has been arranged. We observed people’s individual physical risks were being managed safely but areas needed development for managing people who lived with complex mental health needs. People had access to external support to meet their individual needs.

There was evidence of learning from incidents and accidents. Staff were able to tell us how to keep people safe from harm and abuse. We observed the home was clean and staff followed infection prevention and control practices.

Effective – this means we looked for evidence that people’s care, treatment and support achieved good outcomes and promoted a good quality of life, based on best available evidence.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s outcomes were consistently good, and people’s feedback confirmed this.

Staff worked effectively alongside health professionals to provide the best outcomes for people. Health professionals told us how well staff worked with them, and that they were knowledgeable and professional. The provider used known tools to monitor and evidence improvement and outcomes. People were encouraged to be as independent as possible and were asked for their approval and agreement when being offered support.

Caring – this means we looked for evidence that the provider involved people and treated them with compassion, kindness, dignity and respect.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people were supported and treated with dignity and respect; and involved as partners in their care.

The home had a welcoming, and friendly atmosphere. The staff knew people well and were kind and respectful with people. Staff were reassuring to people and promoted people’s independence and offered choice.

Responsive – this means we looked for evidence that the provider met people’s needs.

This is the first assessment for this newly registered service. This key question has been rated Good. This meant people’s needs were met through good organisation and delivery.People were treated as individuals and staff knew a lot about the people they support. However, there was a lack of activities to promote their well-being and to ensure their social needs were met. Staff knew how they liked their hair and clothes, and what they preferred to do and to eat and drink. People and relatives were encouraged to share their views and relatives felt well informed by the staff and management team, particularly when there were issues or concerns.

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

This is the first assessment for this newly registered service. This key question has been rated Requires Improvement. This meant the management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.

Leaders were available and approachable to people and families, but staff did not feel supported. There were systems in place to monitor the quality of care, however these were not fully effective to consistently drive improvement.