Background to this inspection
Updated
4 March 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection visit was carried out by two inspectors. An expert by experience spoke with one person using the service and people's relatives by telephone. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service. The expert by experience's area of expertise was older people and dementia care.
Service and service type
Ogilvy Court is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the CQC. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
Before the inspection we looked at information we held about the service. This information included any statutory notifications that the provider had sent to the CQC. Statutory notifications include information about important events which the provider is required to send us by law. This information helps support our inspections.
The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We reviewed the last inspection report and provider's action plan. We used all this information to plan our inspection.
During the inspection-
We spoke with three people using the service, ten relatives, the registered manager, quality development manager, regional director, clinical lead, two nurses, three care staff, administrator, chef and laundry assistant. We observed engagement between staff and people using the service. We reviewed a range of records which related to people's individual care and the running of the service. These records included seven people's care files, policies, medicine administration records and a range of records relating to the management and quality monitoring of the service.
After the inspection
We continued to seek clarification from the provider to validate evidence found. The registered manager provided us with staff training records, menus, and audits. We received written feedback from one person’s relative and four healthcare and social care professionals.
Updated
4 March 2021
About the service
Ogilvy Court is a care home that provides personal and nursing care for up to 56 people. At the time of the inspection there were 50 people using the service. Most people using the service were older people, some of whom were living with dementia. There were also a small number of people who had a learning disability, living in the home. Accommodation was provided across two floors, with communal areas located on each floor.
People’s experience of using this service and what we found
People’s care plans had been reviewed and improved since the last inspection. They were more detailed and personalised. Comprehensive guidance helped staff ensure people’s individual needs were met.
People’s mobility needs were understood by staff. People had the equipment and tools they needed to be as active and independent as possible.
People’s mealtime experience had improved, and their choices were included in the menu.
Staff received the training, guidance and support they needed to do their job well and to effectively meet people's needs.
Improvements and developments had been made to the quality monitoring systems. These were effective in monitoring the service and making improvements when needed.
We saw positive engagement between staff and people. Systems were in place to ensure people were protected from abuse and treated with respect and dignity.
Staff, people and relatives told us that suitable staffing levels provided people with the care and support they needed.
Risks to people's safety in a range of areas including the COVID-19 pandemic were assessed and understood by staff.
Suitable infection prevention and control measures and practices were in place to keep people safe and prevent people, staff and visitors catching and spreading infection.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The registered manager was approachable and provided staff with leadership, support and direction.
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right support, right care, right culture is the guidance the Care Quality Commission (CQC) follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. The eight people living with learning disabilities and nursing needs received care and support in small unit sharing communal facilities with other people using the service. The home was welcoming and calm. It was within easy access of local amenities which people had been supported to access. The registered manager understood the principles of what constitutes good quality personalised care for people with a learning disability. People had been supported to personalise their rooms. Accessible information was used to support people's understanding and engagement.
Since the last inspection staff have received training and coaching about learning disabilities. People’s care plans have been developed and improved. They included the personalised information and guidance that staff required to provide people with personalised care. A registered learning disability nurse was employed by the care home. They provided staff with support and guidance in meeting the needs of people living with learning disabilities.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was requires improvement (published 23 July 2019). There was one breach of regulation. We told the provider to make improvements. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made in the areas where there had been shortfalls, and the provider was no longer in breach of regulation.
Why we inspected
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective, Responsive and Well-led.
The rating from the previous comprehensive inspection for the key question not looked at on this occasion was used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to coronavirus and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.