St.Theresa's Nursing Home

Social Care Org · South West

Overall Rating
Inadequate Last inspected 1 November 2016
Domain Ratings
Safe
Inadequate
Effective
Requires Improvement
Caring
Requires Improvement
Responsive
Requires Improvement
Well-led
Inadequate

View Full CQC Report

9 must-do actions
2 should-do actions

Must-Do Actions (9)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must ensure that persons employed in the provision of a regulated activity are of good character and have the necessary qualifications, skills and experience to perform the work or tasks assigned to them, and that robust recruitment procedures are in place, including satisfactory Disclosure and Barring Service (DBS) checks and references, before staff begin working with vulnerable people.
Regulation 19 of the Health and Social Care Act 2008 (Regulated Activities) 2014
During a number of previous inspections at this service we had identified concerns that the service did not have robust recruitment procedures in place. At this inspection we found recruitment checks were not robust. We received information of concern prior to this inspection that a person had been allowed to …
Must Do
Safe
The provider must ensure that medicines are supplied, stored, administered and disposed of safely and in accordance with the law, including accurate record-keeping for handwritten entries, cream applications, stock levels, and appropriate storage temperatures for cold-chain medicines.
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014
We checked the medicine administration records (MAR). They showed that staff had signed when they gave prescribed medicines. However, where staff had handwritten new medicines onto the MAR following advice from medical professionals, the entries were not always signed and had not been witnessed by a second member of staff. …
Must Do
Safe
The provider must ensure that premises and equipment used by the service provider are safe and suitable for their intended purpose, including addressing hazards like broken shower doors, unregulated water temperatures, and ensuring proper hygiene standards for laundry and commode bowls.
Regulation 15 of the Health and Social Care Act 2008 (Regulated Activities) 2014
Before this inspection CQC received concerns that slings and handling belts were 'too big' for people. We identified some people required slings to support them when being supported to mobilise. Staff told us people had their own slings in their rooms which were suitable for their height and weight. We …
Must Do
Effective
The provider must ensure that premises and equipment used by the service provider are safe and suitable for their intended purpose, including ensuring there is sufficient and suitable equipment in relation to the layout of the building to meet people's needs effectively.
Regulation 15 of the Health and Social Care Act 2008 (Regulated Activities 2014)
We had received information that some equipment was not in working order, affecting the way staff could safely support people. One piece of moving and handling equipment had been broken. This had been repaired and all other equipment had recently been serviced. Staff were observed using this equipment safely. There …
Must Do
Caring
The provider must ensure that service users are treated with dignity and respect, and their choices in relation to their care needs are always respected.
Regulation 10 of the Health and Social Care Act 2008 (Regulated Activities) 2014
Prior to this inspection we received information of concern stating people's choices in relation to their care needs were not always respected. We heard one person calling out in distress indicating they wanted their feet to be raised. A senior nurse approached the person and explained that their feet had …
Must Do
Caring
The provider must ensure that the care and treatment of service users is appropriate and meets their needs, including ensuring continence aids are prescribed and used to meet individual needs, and are not shared communally, to respect people's dignity.
Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) 2014
People were prescribed continence aids which met their individual needs. We found packs of pads throughout the service which were not named for the individual and were being shared communally. This meant they might not get the aid specifically prescribed for their size which could result in them not being …
Must Do
Responsive
The provider must ensure that care and treatment is provided in a safe way for service users, including ensuring care records are consistently completed, accurate, and updated to provide clear information on people's needs, including wound care and repositioning, and that appropriate specialist advice is sought in a timely manner.
Regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) 2014
Staff were required to complete daily records of the care provided to each person. However, there were some gaps where no record of care was recorded by care staff. This meant it was not possible to establish the person had consistently received the care they required. Some people needed to …
Must Do
Responsive
The provider must ensure that the care and treatment of service users is appropriate and meets their needs, including ensuring the range of activities available to people is meaningful and arranged to meet individual needs, especially for those with memory issues or dementia conditions.
Regulation 9 of the Health and Social Care Act 2008 (Regulated Activities) 2014
The service had a designated activities co-ordinator who worked two hours a day Monday to Friday. On the day of the inspection they were supporting people to join in with some craft activities and a short bouncing ball game. During the afternoon session one person was making woollen balls and …
Must Do
Well-led
The provider must ensure that effective governance, including robust and effective quality assurance systems, consistent record-keeping for care needs, fluid intake, staff supervision, and accurate handover records, and that all required notifications to CQC are submitted.
Regulation 17 of the Health and Social Care Act 2008 (Regulated Activities) 2014
The provider has overall responsibility for the quality of management in the service and the delivery of care to people using the service. The provider has repeatedly not achieved this at St Theresa's Nursing Home and the service has been rated as either Inadequate or Requires Improvement since the first …

Should-Do Actions (2)

Recommended improvements to enhance service quality.

Should Do
Effective
It is recommended that the quality of the food delivered to people using the service is improved.
Should Do
Effective
It is recommended that the service carry out checks to identify if staff are competent following training received.

Previous Inspection (23 February 2016)

Rating: Requires improvement Type: Comprehensive inspection Actions: 2 must-do
2 repeated
Location Details
CQC ID: 1-1015327520
Local Authority: Cornwall
Region: South West
Inspection Report
Type: Comprehensive inspection
Date: 1 November 2016
Rating: Inadequate
Actions: 9 must-do , 2 should-do
AI-extracted 17 Feb 2026