Background to this inspection
Updated
1 May 2020
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.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Court House Retirement Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. 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 Care Quality Commission. 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
The inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return. 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 took this into account when we inspected the service and made the judgements in this report. We reviewed other information that we held about the service such as notifications. These are events that happen in the service that the provider is legally required to tell us about. We used this information to plan our inspection.
During the inspection
We spoke with seven people and one relative/friend and one healthcare professional about their experience of the care provided. We spoke with six members of staff as well as the registered manager, deputy manager, home manager and chef. We observed how staff interacted with people in the home.
We reviewed a range of records. This included three people’s care records, three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service. We also looked at the storage of medicines, reviewed medicines administration records (MARs) of people within the service. We reviewed a sample of recent medicines related audits and incidents reported.
Updated
1 May 2020
About the service
Court House Retirement Home is a residential care home providing personal care to 23 people aged 65 and over at the time of the inspection. The service can support up to 29 people.
The accommodation for people is provided in three separate properties. The main house is a converted older building. The Courtyard properties are self-contained units, and The Cottage is a converted house.
People’s experience of using this service and what we found.
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. People were at the forefront of driving improvements and deciding on the activities and lifestyle within the home.
People received care and support that was safe. The provider had a robust recruitment programme and staff had received training in recognising abuse and safeguarding people. The management of medicines was safe, and people were supported to maintain control over their medicines if they wanted to.
There were enough staff to look after people safely and take time to sit and chat or join in an activity. A recent turnover of staff meant there was a relatively new staff team who had learnt to work together as a team and support the values the provider instilled in the home such as a caring personal approach to care and support. Risk assessments were in place with guidance for staff about how to keep people safe.
People received effective care and support that was focused on the person. Staff demonstrated a very good understanding of people’s needs and received training relevant to their role and the needs of people living in the home. People enjoyed a healthy balanced and nutritious diet based on their preferences and health needs.
People received care from staff who were kind and caring. Staff always respected people’s privacy and dignity. People and staff told us they felt respected and valued. People were supported to express an opinion about the care and support provided and were involved in the day to day running of the home.
People received responsive care and support which was personalised to their individual needs and wishes and promoted independence. There was clear guidance for staff on how to support people in line with their wishes. People’s end of life wishes was recorded, and the home worked with other healthcare professionals to ensure people were comfortable and pain free.
People were supported by a team that was well led. The registered manager led by example and demonstrated an open and positive approach to learning and development.
There were effective systems in place to monitor the quality of the service, ensure staff kept up to date with good practice and to seek people’s views. Records showed the service responded to concerns and learnt from issues raised.
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 good (published 28 July 2017).
Why we inspected
This was a planned inspection based on the previous rating.
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.