All inspections: Zetland Court - Care Quality Commission

The inspection visit took place on 25 and 26 June 2015 and was unannounced.

Zetland Court is registered to provide personal care for up to 63 people. Accommodation is on three floors with two lifts for access between the floors. The home has two separate units. Nursing care is provided within The Red Admiral View and the main house is for people requiring support with personal care. There are three lounges and two dining rooms and a very large garden for people to enjoy.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At the last inspection on 2 July 2013 the service was meeting the requirements of the regulations that were inspected at that time.

There were 62 people living there at the time of our inspection. People who lived at the home, relatives and friends told us people felt safe and secure with staff to support them. We found people’s care and support needs had been assessed before they moved into the home. Care records we looked at contained details of people’s preferences, interests, likes and dislikes.

We observed staff interaction with people during our inspection visit, spoke with staff, people who lived at the home and relatives. We found staffing levels and the skills mix of staff were sufficient to meet the needs of people and keep them safe. The recruitment of staff had been undertaken through a thorough process. We found all checks that were required had been completed prior to staff commencing work. This was confirmed by talking with staff members.

We observed medication was being dispensed and administered in a safe manner. We observed the person responsible for administering medication dealt with one person at a time to minimise risks associated with this process. We discussed training and found any person responsible for administering medicines had received formal medication training to ensure they were confident and competent to give medication to people.

People were asked for their consent before care was provided. Staff were aware of their responsibilities in relation to the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards.

People were supported by sufficient numbers of staff who had the knowledge, skills and experience to carry out their role. People told us that there were always staff available to help them when needed. Relatives of people who used the service told us that they visited the home at different times and on different days, and the staff always made them feel welcome. They said that staff were caring and treated people with respect, and that their relative was always comfortable and looked well cared for.

Staff were provided with relevant induction and training to make sure they had the right skills and knowledge for their role. Staff understood their role and what was expected of them. They were happy in their work, motivated and had confidence in the way the service was managed.

People had access to a range of health care professionals to help maintain their health. A varied and nutritious diet was provided to people. This into account their dietary needs and preferences so that their health was promoted and choices respected.

People told us they could speak with staff if they had any worries or concerns and felt confident they would be listened to.

We saw people participated in a range of daily activities both in and outside of the home which were meaningful and promoted independence.

There were effective systems in place to monitor and improve the quality of the service provided. Regular checks and audits were undertaken to make sure full and safe procedures were adhered to.

People using the service and their relatives had been asked their opinion via surveys, the results of these had been audited to identify any areas for improvement.

We spoke with the acting manager, eight people living at the home and four members of the staff team. There were 55 people living at Zetland Court during our inspection.

People were very positive about their experience of living at the home. No one we spoke with had any complaints or concerns about how the home was run and managed.

People told us that they had good relationships with the staff, who were described as "good and caring". They told us that the home was kept clean and warm. People said there were activities to keep them occupied.

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Staff were supported to deliver care and treatment safely and to an appropriate standard.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines.

Appropriate checks were undertaken before staff began work.

The provider had suitable quality assurance procedures in place to manage the health and welfare of people living in the home. People were able to comment on the service provided.

Zetland Court provides nursing and residential care for older freemasons and their female dependents. The environment was decorated and furnished to a high standard and several communal rooms provided people with the opportunity to choose where they spent their time. During our visit we spoke with four people, and eight staff, including the manager.

Care workers were polite and caring in their interactions with people. We noted staff used first names, and valued opportunities to converse with individuals. One individual we spoke with said 'staff are very considerate, they are excellent' and 'we are not restricted and have our freedom'.

We found that care plans were up to date and personal care records were completed and signed and dated. Care plans were audited to ensure the information remained up to date and relevant. One individual we spoke with told us 'I love it here'.

The home had a range of policies and procedures including safeguarding and whistle-blowing. We found staff had completed training to ensure they understood how to support individuals living at Zetland Court. One care worker told us 'I think it is a very good home'.

Some care workers we spoke with said they were well supported, however other care workers told us they would benefit from more support. Records evidenced that care workers did not always receive appropriate support and supervision.

We found that the home had suitable systems in place to monitor service provision.

These older reports are from our old approaches to inspection, including those from before CQC was created.

Archived: Zetland Court

All Inspections

25 and 26 June 2015

During a routine inspection

2 July 2013

During an inspection looking at part of the service

8, 9 October 2012

During a routine inspection

Reports under our old system of regulation