We carried out a review of the data available to us about Court Regis on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Court Regis, you can give feedback on this service.
Court Regis is a care home providing accommodation and personal care to up to 54 people. People living at the service had a range of needs including living with dementia and / or long-term health conditions. At the time of the inspection 42 people were living at the service.
We found the following examples of good practice.
People had been given information to help them understand the changes which had occurred due to the pandemic. Changes included staff wearing personal protective equipment (PPE), such as masks, aprons and gloves and the importance of social distancing and isolating in their rooms when necessary.
The service was clean and extra cleaning duties were being carried out such as regular deep cleaning and hourly cleaning of areas that were often touched. Such as door handles, rails and light switches.
We observed staff using PPE appropriately. There were fully equipped PPE ‘stations’ around the service to ensure PPE was available to staff when needed.
The registered manager was following advice and guidance from other agencies about infection control and prevention and had updated staff training and practice accordingly.
Further information is in the detailed findings below.
People’s experience of using this service
Risks to people were managed effectively. Risk management plans were in place to support staff reduce risks to people. Staff had received safeguarding training and knew their responsibilities to safeguard people from abuse. There were sufficient staff available to care for people safely. Incidents and accidents were monitored, and actions taken to ensure learning from them. People received their medicines safely and there were systems to ensure the safe management of medicines. Staff followed infection control procedures. Health and safety of the home was maintained.
People’s needs were assessed in line with recommended guidelines. Staff were adequately trained and supported in their roles. People were supported to eat balanced diet and drink enough to maintain good health. People had access to healthcare services they needed to maintain good health.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People’s consent was sought for the care and support they received. The service complied with the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS).
People received care from staff who were kind and compassionate. Staff treated people with respect and dignity. People were involved in their care and their independence promoted. People received care personalised to their individual needs. People were supported and encouraged to do the things they enjoy and to follow their interest. Equality and diversity were promoted in the home.
People and their relatives knew how to raise complaints about the service. The registered manager responded to complaints appropriately in line with the provider’s procedure.
The quality of the service was regularly scrutinised to drive improvement. The provider worked in partnership with other organisations and services to develop and improve the service.
You can read the report from our last comprehensive inspection on our website at www.cqc.org.uk.
Rating at last inspection and update:
The last rating for this service was Good (published 7 September 2017). At this inspection the service remained Good overall.
Why we inspected: This was a planned inspection based on the previous rating of the service.
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.
At the last inspection in July 2015 the service was rated Good. At this inspection we found the service remained Good.
Staff understood their role in keeping people safe and their responsibilities in reporting any concerns. The registered manager had reported any concerns to the local authority when required. Risks to people and the environment were identified and plans had been put in place to give staff the guidance required to minimise risks. People’s medicines were managed safely and in the way they preferred.
There were enough staff to meet people’s needs and they were recruited safely. Staff had the training and support they needed to fulfil their role. They told us the registered manager and the provider’s senior management were accessible and open to new ideas. There was a complaints procedure in place. People, staff and relatives told us they knew who to speak to if they had any concerns and they were confident they would be addressed.
People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. Staff treated people with dignity and respect. People’s privacy was protected and promoted by all staff. People could have visitors whenever they liked and were supported to maintain relationships with family and friends. There were dedicated activity staff and they offered a wide variety of activities, in and out of the service and often linking with the local community.
People were supported to have food they enjoyed, which supported them to stay healthy. If people did not like what was on the menu the cook would prepare any alternative they chose. When people were unwell they were supported to access healthcare professionals quickly. When people were living with ongoing health conditions they were supported to understand any decisions related to their care.
People were involved in planning their care. Their care plans gave staff information about their life story and what was important to them. Care plans detailed what people could do for themselves and the best way to encourage them. Staff knew people well and supported them in line with their care plans and preferences.
The registered manager told us they were well supported by their manager. They met regularly with the managers of the providers other services to share learning. The registered manager also attended other local forums to keep up to date with good practice. Audits relating to the quality of the service were completed by the registered manager and senior managers. Where shortfalls were identified these had been addressed. People, staff and relatives were asked their views on the service through surveys and meetings.
The inspection was carried out on 28 July 2015 and was unannounced.
The service provided accommodation and personal care for older people some of whom were living with dementia. The accommodation was provided in a single story building. There were 43 people living in the service when we inspected.
There was a registered manager employed at the service. 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.
The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care services. Restrictions imposed on people were only considered after their ability to make individual decisions had been assessed as required under the Mental Capacity Act (2005) Code of Practice. The registered manager understood when an application should be made. Decisions people made about their care or medical treatment were dealt with lawfully and fully recorded.
People felt safe and staff understood their responsibilities to protect people living with dementia and degenerative illnesses. Staff had received training about protecting people from abuse. The management team had access to and understood the safeguarding policies of the local authority and followed the safeguarding processes.
The registered manager and care staff used their experience and knowledge of people’s needs to assess how they planned people’s care to maintain their safety, health and wellbeing. Risks were assessed and management plans implemented by staff to protect people from harm.
There were policies and a procedure in place for the safe administration of medicines. Staff followed these policies and had been trained to administer medicines safely.
People had access to GPs and their health and wellbeing was supported by prompt referrals and access to medical care if they became unwell.
People and their relatives described a service that was welcoming and friendly. Staff provided friendly compassionate care and support. People were encouraged to get involved in how their care was planned and delivered.
Staff upheld people’s right to choose who was involved in their care and people’s right to do things for themselves was respected.
The registered manager involved people in planning their care by assessing their needs when they first moved in and then by asking people if they were happy with the care they received. Staff knew people well and people had been asked about who they were and about their life experiences. This helped staff deliver care to people as individuals.
Incidents and accidents were recorded and checked by the registered manager to see what steps could be taken to prevent these happening again. The risk in the service was assessed and the steps to be taken to minimise them were understood by staff.
Managers ensured that they had planned for foreseeable emergencies, so that should they happen people’s care needs would continue to be met. The premises and equipment in the service were well maintained.
Recruitment policies were in place. Safe recruitment practices had been followed before staff started working at the service. The registered manager ensured that they employed enough staff to meet people’s assessed needs. Staffing levels were kept under constant review as people’s needs changed.
Staff understood the challenges people faced and supported people to maintain their health by ensuring people had enough to eat and drink.
If people complained they were listened to and the registered manager made changes or suggested solutions that people were happy with. The actions taken were fed back to people.
People felt that the service was well led. They told us that managers were approachable and listened to their views. The registered manager of the service and other senior managers provided good leadership. The provider and registered manager developed business plans to improve the service. This was reflected in the positive feedback given about staff by the people who experienced care from them.
People were asked for their consent before care was given.
People received care and support that was well planned and sensitively delivered.
People received the medicines they needed when they needed them.
Robust recruitment procedures meant that people were supported by suitable staff.
Effective quality assurance procedures ensured that people were provided with a good service.
Overall we found that this service was safe, effective, caring, responsive and well-led and had achieved compliance with all the standards we inspected. We have made some comments that the provider may find it useful to note to make sure that the home continues to provide a good service.
People we spoke with all told us that they felt comfortable in the home and well looked after. They said "They make time for the whole lot of us" and "They are so good and always there for you".
Relatives we spoke with said that they were happy with the care provided. They told us "They know how to treat people" and "They always keep me informed of any changes".
We saw that there was a range of activities and pastimes available for people to take part in and this included going out in the community and taking part in activities in the home. One relative told us "Everybody is encouraged to do things and is included".
We saw that people were provided with a range and choice of nutritious meals and that snacks and drinks were available when people wanted them.
We observed that staff read and understood care plans which meant that they knew what care and support to provide to people.
People were supported to make their own choices, but care plans were not always clear about how to support people with some decision making.
We found that there were systems in place to monitor the quality of service and ensure that it met the needs of the people living in the home.