St Anthony's

People said they felt safe when supported by experienced staff who understood their needs and preferences.

“People told us they felt safe when they received support from experienced staff who were able to communicate with them effectively.” from the report

Staff knew how to report abuse, and safeguarding referrals were made when needed.

“Safeguarding referrals had been submitted when needed.” from the report

Inspectors found that the home was working within the principles of the Mental Capacity Act and had appropriate legal authorisations where needed.

“We found the service was working within the principles of the MCA and if needed, appropriate legal authorisations were in place to deprive a person of their liberty.” from the report

The home worked with specialist professionals and the local authority quality team to improve support.

“The provider worked closely with professionals including Speech and Language Therapists (SALT) and occupational therapists to ensure people received the support they needed.” from the report

Medicines were sometimes missed, late, incorrectly recorded or stored without the required temperature checks. Inspectors said this placed people at risk of harm.

“People's medicines were not always administered safely and as prescribed.” from the report

Some newly recruited staff were not sufficiently competent in moving and handling or in English language skills. This meant people could wait longer or receive care that did not meet their needs safely.

“The induction process was not effective in ensuring staff had the language skills and competence to meet people's needs safely.” from the report

Care staff told inspectors they had removed people's PEGs while waiting for nursing staff, even though they had not been trained to do this.

“Two care staff told us they had removed people's percutaneous endoscopic gastronomy (PEG's) on occasions as they were waiting too long for nursing staff to do this.” from the report

The home's audits and care record checks did not reliably identify or fix medicines, risk and documentation problems.

“Systems in place to check the quality of the service were not always effective in identifying concerns.” from the report

Staff described morale as very low and said they did not feel supported. People and relatives were aware of the poor culture.

“Staff told us the morale in the home amongst staff was negative.” from the report

Although staff had infection control training, inspectors could not be assured that everyone followed the policy. They were told about PPE and bodily-fluid disposal concerns.

“The provider could not always be assured all staff understood and complied with this.” from the report