Selwyn Court

Selwyn Court is a care home providing personal care to 33 people at the time of the inspection. The home is registered for up to 35 people. The home supports a variety of people including younger and older adults, people living with dementia, learning disabilities and autism. People have access to their own bedroom along with communal spaces including lounges and gardens.

People's experience of using this service and what we found

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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Right Support

People were supported in line with their care plans and risk assessments. 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.

Right care

There were enough suitably recruited staff to support people. People’s medicines were stored and managed in a safe way to ensure they received these when needed.

People were protected from potential abuse as there were procedures in place and these were followed.

Infection control procedures were in place to ensure the home environment was clean and free from infection.

Right culture

People and their relatives were happy with the care and support they received. They were involved with their care and this was individual to their needs. The management team ensured that audits were completed so the improvements to care could be made when needed. They were ensuring lessons were learnt. Staff felt supported by the management team and were listened to.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement. (Published 15 March 2023)

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 and the provider was no longer in breach of regulations

Why we inspected

The inspection was prompted in part due to concerns received about the care people received. A decision was made for us to inspect and examine those risks.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.

Selwyn Court is a residential care home providing personal and nursing care for up to 35 people. The home is located in one adapted building over 3 floors. At the time of our inspection there were 22 people using the service and the third floor was unused.

People’s experience of using this service and what we found

Some systems to monitor the quality of the service had not been effective. Robust auditing had not taken place and had not identified that ‘in stock’ medication had been miscounted for 2 people. There were not enough meaningful activities taking place which would give people the opportunity to choose what they wished to do. Systems to audit daily notes for people’s care had failed to identify that some people's files had gaps in recording care received.

People felt safe and trusted staff. Staff knew how to support people to keep them safe. Prescribed medication was given according to the prescriber’s instructions. Staff had received training to recognise and report signs of abuse.

Safe recruitment processes were in place and staff received a thorough induction to familiarise themselves with the expectations of the role and the values of the service. Staff received appropriate training and supervision to help them acquire the skills and knowledge to fulfil their role and responsibilities.

People told us staff were caring and compassionate. People were treated with dignity and respect and their independence was promoted and encouraged by staff.

People’s needs were assessed before the service provided them with care or support. People and their relatives, where appropriate, were involved in this process.

The provider was open and transparent and promoted a person-centred culture within the service according to staff. Systems and processes were in place to seek the views of the people who used it.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

This service was registered with us on 03 December 2021 and this is the first inspection.

Why we inspected

This was a planned inspection as the service was unrated.

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 COVID-19 and other infection outbreaks effectively.

Enforcement

We have identified a breach in relation to ineffective auditing and governance at this inspection.

Please see the action we have told the provider to take at the end of this report.

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.

We found the following examples of good practice.

The provider maintained good levels of personal protective equipment (PPE) and staff were observed wearing PPE correctly. PPE stations were located around the home.

There were safe measures in place for visitors, health professionals and other professionals who come to the service. They had to show a negative lateral flow test, a Covid-19 pass if needed and when entering PPE was available.

People were supported to maintain contact with relatives and friends. The registered manager understood the importance which visiting had on people and they monitored and had resources available for the wellbeing of all staff.