St Stephens Care Home

Inspectors found that medicines were generally managed safely and people received them as prescribed.

“Overall medicines were managed safely, and people received these as prescribed.” from the report

The home was generally clean and staff followed infection prevention and control practices.

“People were protected from the risk of infection as staff followed safe infection prevention and control practices.” from the report

Staff worked with health professionals and relatives gave positive feedback about staff communication and knowledge.

“We received positive feedback from a visiting health professional about staff communication and knowledge.” from the report

Staff were not always deployed in line with people's needs. Some people had to wait for call bells to be answered, and staff could not always provide preferred personal care.

“The provider had failed to ensure sufficient numbers of staff were always deployed to safely meet people's individual needs.” from the report

Items and substances were not always stored safely. Inspectors also found problems with fire exits, wedged fire doors, an unlocked garden gate and a switched-off door alarm.

“The provider had failed to ensure effective systems were in place to assess, monitor, and mitigate risks to the health, safety and welfare of people using the service.” from the report

Records did not show that all staff had completed a robust induction or received supervision. Some staff had not completed safeguarding and infection control refresher learning.

“The provider had failed to ensure staff had received appropriate support, training and supervision.” from the report

The dementia unit was not fully dementia-friendly, a shower room had still not been refurbished, and parts of the building needed redecoration.

“The provider had failed to ensure the premises were suitable and properly maintained.” from the report

Governance systems were not effective enough to ensure risks and previous concerns were resolved. Some care records were incomplete or out of date.

“The provider had failed to ensure systems and processes were operated effectively to assess, monitor and improve the quality of the service.” from the report