Background to this inspection
Updated
23 September 2022
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 Health and Social Care Act 2008.
Inspection team
This inspection was completed by one inspector.
Service and service type
William Court and Nunn Court is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. William Court and Nunn Court is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Registered Manager
This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.
At the time of our inspection there was not a registered manager in post. However, the provider was in the process of recruiting a manager to support the deputy manager.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
The provider was not asked to complete a Provider Information Return (PIR) prior to this inspection. A PIR is information providers send us to give some key information about the service, what the service does well and improvements they plan to make. We used information gathered as part of monitoring activity that took place on 20 May 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with nine people using the service, two relatives and eight staff including the deputy manager, senior carer, carer and area manager. We reviewed a range of records. This included five peoples care and medicine records. We looked at four staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including incident records were reviewed.
Updated
23 September 2022
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
William Court and Nunn Court is a residential care home providing personal care for ten people at the time of our inspection. The service can support up to twelve people. The purpose built home consisted of one and two-bedroom apartments, with a bathroom, kitchenette, lounge and dining area.
People’s experience of using this service and what we found
Based on our review of safe and well-led the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.
Right Support
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. Staff delivered care and support tailored to people’s strengths and needs. People’s interests, abilities and wishes were promoted, ensuring people had fulfilling and meaningful everyday lives.
Right Care
Staff fully understood how to protect people from poor care, neglect and abuse. Staff completed safeguarding training and recognised and reported abuse. Staff assessed, identified and mitigated individual risks. People were supported and encouraged to take positive risks in order to achieve personal change and growth.
Right Culture
People received support and care from staff who were dedicated, kind and caring. People's quality of life was improved by the services positive, transparent culture and desire to improve. People received good quality care, support and treatment because there were enough trained staff to meet each persons’ needs and wishes. Staff ensured people and those important to them were fully involved in planning their care.
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 21 March 2019) and we found one breach of regulations. The provider completed an action plan after the last inspection to show what they would do and by when to improve staffing. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
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.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from requires improvement to good based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for William Court and Nunn Court on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.